{"title":"Assessment of the Practice of Storage, Labeling and Usage of Anesthetic Medications in the Operation Theatres of Selected Southern Ethiopian Hospitals: A Multicenter Descriptive Cross-Sectional Study","authors":"Seyoum Hailu","doi":"10.2147/oas.s366258","DOIUrl":"https://doi.org/10.2147/oas.s366258","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44207034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seblewongel Aseme, T. Negussie, A. Tadesse, Belachew Dejene, F. Temesgen, Hana Getachew, M. Derbew, Woubedel Kiflu
{"title":"Evaluation of Factors Affecting Colostomy Closure Outcome in Children: A One-Year Prospective Cohort Study","authors":"Seblewongel Aseme, T. Negussie, A. Tadesse, Belachew Dejene, F. Temesgen, Hana Getachew, M. Derbew, Woubedel Kiflu","doi":"10.2147/oas.s360157","DOIUrl":"https://doi.org/10.2147/oas.s360157","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49653075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevalence and Predictors of Preoperative Functional Disability Among Patients Scheduled for Elective Surgery in Northwest Ethiopia: A Multi-Center Cross-Sectional Study","authors":"Mulualem Endeshaw Zeleke, Wubie Birlie Chekol, Habtamu Getinet Kassahun, Z. Mekonnen","doi":"10.2147/oas.s358809","DOIUrl":"https://doi.org/10.2147/oas.s358809","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":"1 1","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42247681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Perianal abscess is caused by an infection of anal glands located in between the sphincter muscles of the anal canal. An enterocutaneous fistula is a chronic manifestation of an acute perirectal process that forms an anal abscess. The rate of perianal abscess is increasing annually and the incidence of fistula formation following perianal abscess occur reportedly at a higher rate. Precise diagnosis of a recto-cutaneous fistula is a key factor in its eventual management. This article discusses a diagnostic approach to a rare case of a recto-cutaneous fistula using magnetic resonance imaging (MRI). Case Report: A 24-year-old male presented with a 3 ×3 cm right buttock lesion of 5 months’ duration. The wound had a scanty whitish discharge and flatus passage. He had been diagnosed with perianal abscess twice before, for which incision and drainage was done. The problem did not resolve and he had an additional, yet futile, explorative surgery. Physical examination revealed an opening on right buttock with spontaneous purulent discharge. Laboratory analysis of fluid specimen yielded no active bacterial growth. The patient had prolonged antibiotic treatment with no improvement. Pelvic MRI identified a long and deep fistulous tract extending from the right gluteal region into the muscular plane of the gluteus, invading the pubo-rectalis muscle and above levator ani muscle deep into the rectum, compatible with a recto-cutaneous fistula. Conclusion: Although rare, recto-cutaneous fistula should be diagnosed as early as possible to avoid long-lasting complications. of fistula depth, route and extension given its high diagnostic accuracy. This report can aid surgeons in making accurate surgical plans pre-operatively and minimizing harm caused by surgery to patients.
{"title":"A Diagnostic Approach to a Rare Case of a Recto-Cutaneous Fistula Following Recurrent Perianal Abscess: A Case Report","authors":"Yohannes Mekonen","doi":"10.2147/oas.s360182","DOIUrl":"https://doi.org/10.2147/oas.s360182","url":null,"abstract":"Background: Perianal abscess is caused by an infection of anal glands located in between the sphincter muscles of the anal canal. An enterocutaneous fistula is a chronic manifestation of an acute perirectal process that forms an anal abscess. The rate of perianal abscess is increasing annually and the incidence of fistula formation following perianal abscess occur reportedly at a higher rate. Precise diagnosis of a recto-cutaneous fistula is a key factor in its eventual management. This article discusses a diagnostic approach to a rare case of a recto-cutaneous fistula using magnetic resonance imaging (MRI). Case Report: A 24-year-old male presented with a 3 ×3 cm right buttock lesion of 5 months’ duration. The wound had a scanty whitish discharge and flatus passage. He had been diagnosed with perianal abscess twice before, for which incision and drainage was done. The problem did not resolve and he had an additional, yet futile, explorative surgery. Physical examination revealed an opening on right buttock with spontaneous purulent discharge. Laboratory analysis of fluid specimen yielded no active bacterial growth. The patient had prolonged antibiotic treatment with no improvement. Pelvic MRI identified a long and deep fistulous tract extending from the right gluteal region into the muscular plane of the gluteus, invading the pubo-rectalis muscle and above levator ani muscle deep into the rectum, compatible with a recto-cutaneous fistula. Conclusion: Although rare, recto-cutaneous fistula should be diagnosed as early as possible to avoid long-lasting complications. of fistula depth, route and extension given its high diagnostic accuracy. This report can aid surgeons in making accurate surgical plans pre-operatively and minimizing harm caused by surgery to patients.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47592937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Quasi-Experimental Study Compared the Learning Experiences of Inexperienced Trainees Using Laparoscopic Surgery with 2-Dimensional and 3-Dimensional Imaging Systems","authors":"Jiroot Paleekupt, Pakkapol Sukhvibul, A. Tansawet, Wisit Kasetsermwiriya, Issaree Laopeamthong, Suphakarn Techapongsatorn","doi":"10.2147/oas.s357311","DOIUrl":"https://doi.org/10.2147/oas.s357311","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47402924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Berhanetsehay Teklewold, Birhanu Mekuria, W. Chane
{"title":"Rate and Risk of Follicular Carcinoma in Patients with a Cytologic Diagnosis of Follicular Neoplasia: Experience from Tertiary Hospital in Ethiopia","authors":"Berhanetsehay Teklewold, Birhanu Mekuria, W. Chane","doi":"10.2147/oas.s355808","DOIUrl":"https://doi.org/10.2147/oas.s355808","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46532501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Workye Tigabie, Woubedel Kiflu, F. Temesgen, H. Getachew, Tihitena Nigussie, Belachew Dejenie, A. Tadesse, Miliard Derbew
{"title":"Retrospective Analysis of Inguinal Hernia in Pediatric Patients in a Tertiary Center, Addis Ababa, Ethiopia","authors":"Workye Tigabie, Woubedel Kiflu, F. Temesgen, H. Getachew, Tihitena Nigussie, Belachew Dejenie, A. Tadesse, Miliard Derbew","doi":"10.2147/oas.s324618","DOIUrl":"https://doi.org/10.2147/oas.s324618","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47977482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Role of Anatomic Dimensions in the Development of Primary Small Bowel Volvulus, NorthWestern Ethiopia: A Case-control Study","authors":"A. Bayeh, B. Abegaz","doi":"10.2147/oas.s355822","DOIUrl":"https://doi.org/10.2147/oas.s355822","url":null,"abstract":"","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43078093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Getamesay Demelash, Y. W. Berhe, A. H. Gebregzi, Wubie Birlie Chekol
Background: Cesarean section is the commonest obstetric procedure worldwide and pain is the leading compliant during the postoperative period. The objective of this study was to assess the prevalence and factors associated with postoperative pain after cesarean section at a University Hospital in Northwest Ethiopia. Materials and Methods: A prospective observational study was conducted among parturients who underwent cesarean section. After obtaining ethical approval, 299 parturients were approached. The numerical rating scale was used to measure pain severity. The association between variables was determined at 95% CI with binary logistic regression. A p-value <0.05 was considered significant. Results: A total of 290 parturients were included with a response rate of 97%. The overall prevalence of moderate to severe postoperative pain after a cesarean section was 85.5% (95% CI: 81.4–89.0%) within the first 24 postoperative hours. On the multi-variable analysis, preoperative anxiety (AOR: 2.3, 95% CI: 1.1–4.9), history of previous cesarean section (AOR: 2.3, 95% CI: 1.1–5.0), Pfannenstiel incision (AOR: 3.2, 95% CI: 1.3–8.0) and absence of regional analgesia (AOR: 3.7, 95% CI: 1.7–7.9) were significantly associated with moderate to severe postoperative pain after cesarean section. Conclusion: The prevalence of moderate to severe pain in the first postoperative day was unacceptably very high. Parturients who had preoperative anxiety, history of previous cesarean section, Pfannenstiel incisions, and those who did not receive regional analgesia have significantly suffered from postoperative pain. Pain severity needs to be assessed and documented by using pain-rating scales and interdisciplinary pain management should be provided.
{"title":"Prevalence and Factors Associated with Postoperative Pain After Cesarean Section at a Comprehensive Specialized Hospital in Northwest Ethiopia: Prospective Observational Study","authors":"Getamesay Demelash, Y. W. Berhe, A. H. Gebregzi, Wubie Birlie Chekol","doi":"10.2147/oas.s347920","DOIUrl":"https://doi.org/10.2147/oas.s347920","url":null,"abstract":"Background: Cesarean section is the commonest obstetric procedure worldwide and pain is the leading compliant during the postoperative period. The objective of this study was to assess the prevalence and factors associated with postoperative pain after cesarean section at a University Hospital in Northwest Ethiopia. Materials and Methods: A prospective observational study was conducted among parturients who underwent cesarean section. After obtaining ethical approval, 299 parturients were approached. The numerical rating scale was used to measure pain severity. The association between variables was determined at 95% CI with binary logistic regression. A p-value <0.05 was considered significant. Results: A total of 290 parturients were included with a response rate of 97%. The overall prevalence of moderate to severe postoperative pain after a cesarean section was 85.5% (95% CI: 81.4–89.0%) within the first 24 postoperative hours. On the multi-variable analysis, preoperative anxiety (AOR: 2.3, 95% CI: 1.1–4.9), history of previous cesarean section (AOR: 2.3, 95% CI: 1.1–5.0), Pfannenstiel incision (AOR: 3.2, 95% CI: 1.3–8.0) and absence of regional analgesia (AOR: 3.7, 95% CI: 1.7–7.9) were significantly associated with moderate to severe postoperative pain after cesarean section. Conclusion: The prevalence of moderate to severe pain in the first postoperative day was unacceptably very high. Parturients who had preoperative anxiety, history of previous cesarean section, Pfannenstiel incisions, and those who did not receive regional analgesia have significantly suffered from postoperative pain. Pain severity needs to be assessed and documented by using pain-rating scales and interdisciplinary pain management should be provided.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44396416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: Medial femoral condyle (MFC) corticoperiosteal free flap is a versatile flap that has been gaining popularity in maxillofacial surgery. Its relatively consistent anatomy, ease of harvest and low morbidity of the donor site make it a viable option when a small, well-vascularised piece of corticocancellous bone is needed. So far there have been only three reports of femoral fracture following an MFC free flap harvest. We present the case of a 90-year-old female patient with squamous cell carcinoma of the maxilla alveolar ridge, where a 4 × 2 cm MFC free flap was used for reconstruction of the defect after ablative surgery. On the third postoperative day, while the patient was lying in bed – prior to any attempt of patient verticalization – a femur fracture occurred at the donor site, requiring a surgical fixation of the femur. This is a highly uncommon complication; however, it should be taken into consideration when operating on elderly female patients. It is thus of utmost importance to stay well below the femur shaft when harvesting an MFC free flap in such patients.
{"title":"Femur Fracture Following Medial Femoral Condyle Flap Harvest: A Case Report","authors":"Ana Klarendić, T. Dovšak","doi":"10.2147/oas.s333899","DOIUrl":"https://doi.org/10.2147/oas.s333899","url":null,"abstract":": Medial femoral condyle (MFC) corticoperiosteal free flap is a versatile flap that has been gaining popularity in maxillofacial surgery. Its relatively consistent anatomy, ease of harvest and low morbidity of the donor site make it a viable option when a small, well-vascularised piece of corticocancellous bone is needed. So far there have been only three reports of femoral fracture following an MFC free flap harvest. We present the case of a 90-year-old female patient with squamous cell carcinoma of the maxilla alveolar ridge, where a 4 × 2 cm MFC free flap was used for reconstruction of the defect after ablative surgery. On the third postoperative day, while the patient was lying in bed – prior to any attempt of patient verticalization – a femur fracture occurred at the donor site, requiring a surgical fixation of the femur. This is a highly uncommon complication; however, it should be taken into consideration when operating on elderly female patients. It is thus of utmost importance to stay well below the femur shaft when harvesting an MFC free flap in such patients.","PeriodicalId":56363,"journal":{"name":"Open Access Surgery","volume":" ","pages":""},"PeriodicalIF":1.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48798475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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