Research Article
Prevalence and Risk Factors for Anastomotic Leakage of Intestinal Anastomosis in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia: A Cross-sectional Study
Issue:
Volume 1, Issue 1, June 2026
Pages:
1-8
Received:
26 October 2025
Accepted:
4 November 2025
Published:
29 January 2026
DOI:
10.11648/j.ajot.20260101.11
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Abstract: Background: An anastomotic leak (AL) is a serious complication of gastrointestinal surgery, characterized by a loss of integrity at the anastomotic site. Despite advancements in gastrointestinal surgery, AL remains a leading cause of postoperative mortality and morbidity worldwide. Objective: To determine prevalence and identify associated factors of AL following intestinal resection and anastomosis. Methods: A cross-sectional study was conducted on 103 patients who underwent intestinal anastomosis at Yekatit 12 Hospital Medical College from October 2022 to July 2024. Data were collected retrospectively from patient records and analyzed using SPSS version 26. Descriptive statistics, binary logistic regression, and multivariate analysis were performed. A p-value < 0.05 was considered statistically significant. Results: The prevalence of AL was 13.6%. Gastrointestinal (GI) contamination during the procedure demonstrated a statistically significant association with AL (AOR = 8.88, 95% CI: 1.74–45.31, p=0.009). The median postoperative hospital stay was 8 days for the entire cohort but 21.5 days for patients with AL. The AL-related mortality rate was 28.6%. Conclusion: The prevalence of AL in this study was higher than previously reported in other Ethiopian studies. GI contamination was a significant independent risk factor for AL, which was associated with prolonged hospitalization and high mortality. Meticulous surgical technique to minimize contamination is crucial to prevent AL and its severe consequences.
Abstract: Background: An anastomotic leak (AL) is a serious complication of gastrointestinal surgery, characterized by a loss of integrity at the anastomotic site. Despite advancements in gastrointestinal surgery, AL remains a leading cause of postoperative mortality and morbidity worldwide. Objective: To determine prevalence and identify associated factors ...
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Research Article
Surgical Management of Acetabular Fractures in Adultes: About 15 Cases
Diallo Mamadou Korka,
Ba Papa Amadou,
Conde Mamady Sekou*,
Diallo Mamadou Moustapha,
Niang Coumba Diouf
Issue:
Volume 1, Issue 1, June 2026
Pages:
9-13
Received:
7 December 2025
Accepted:
22 December 2025
Published:
29 January 2026
DOI:
10.11648/j.ajot.20260101.12
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Abstract: Introduction: Acetabular fractures are relatively rare injuries. The purpose of this study was to evaluate the functional and radiographical outcomes of surgical management of Acetabular fractures in medium term. Materials and method: This was a retrospective and descriptive study conducted on the records of patients operated on for acetabular fractures classified according to Letournel and Judet criteria between January 1, 2021, and December 31, 2024. Clinical and imaging examinations were used to establish the diagnosis and indicate surgery. Anteroposterior pelvic radiographs were used to assess joint congruity according to Duquesnoy and Senegas criteria, reduction according to Matta criteria, and bone healing. Functional assessment was based on the Postel-Merle d’Aubigne criteria. Results: The series included 15 patients (15 fractures) (13 men and 2 women). The mean age was 37.8 (23 and 55) years. The fracture was due to road traffic accident (n=13) and fall from height (n=2). The fracture involved the posterior wall (n=3), posterior column (n=3), anterior column (n=2), transverse (n=1), T-shaped (n=1), associated transverse and posterior wall (n=2), posterior column and posterior wall (n=2) and bicolumn (n=1). The mean time to surgery was 13.1 (8 and 20) days. The mean hospital stay was 24 (18 and 40) days. The mean follow-up was 2.8 years (8 months and 4 years). Head/roof congruence was perfect (n=12), good (n=2), and fair (n=1). Head/acetabulum congruence was perfect in all cases. Reduction was anatomical (n=12), satisfactory (n=2), and unsatisfactory (n=2). The Postel-Merle d’Aubigne functional score was excellent (n=8), good (n=5), and fair (n=2). Conclusion: Acetabular fractures are relatively rare injuries. They occur following high-energy trauma. Surgical management within a short timeframe, using an appropriate approach, often results in anatomic reduction and a congruent hip. The functional outcome is satisfactory in the medium term.
Abstract: Introduction: Acetabular fractures are relatively rare injuries. The purpose of this study was to evaluate the functional and radiographical outcomes of surgical management of Acetabular fractures in medium term. Materials and method: This was a retrospective and descriptive study conducted on the records of patients operated on for acetabular frac...
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Research Article
Workflow Study of Orthopedic Trauma Surgery in Northeastern Romania
Anne Patton*,
Lexy Farrington,
Radu Ioan Malancea,
Harabagiu Eduard Gigel,
Bocancea Dan George,
Archie Heddings
Issue:
Volume 1, Issue 1, June 2026
Pages:
14-19
Received:
23 December 2025
Accepted:
6 January 2026
Published:
29 January 2026
DOI:
10.11648/j.ajot.20260101.13
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Abstract: Romania, like many countries in Eastern Europe, faces challenges in orthopedic trauma care due to limited surgical equipment, constrained OR schedules, and lack of opportunity for physician continuing education. This study examines the workflow of orthopedic trauma care through a discussion of current practices and recommendations from a Romanian physician’s perspective. Documentation of current practices marks the progression of healthcare realities in the eastern European nation. A qualitative, descriptive study was conducted via a semi-structured interview with an orthopedic trauma surgeon in Romania. Interview questions covered daily workflow, operating room scheduling, interdepartmental communication, patient triage, surgical prioritization, equipment availability, and discharge practices. Field notes were reviewed and verified with the participant as well as 3 additional Romanian orthopedic physicians to ensure accuracy. The perspectives collected revealed workflow challenges within the Romanian healthcare system. Resource allocation, time management, staff shortages, and hospital policy are realities that create challenges for the Romanian health care system. Issues classified as areas for improvement by the interviewee included staff employment, available resources, and accessibility to advancing technology along with increased continuing education. The data serves as a marker for the current state of Romania, representing middle to upper income eastern European countries. Addressing these issues through improved infrastructure, interdepartmental coordination, and policy reform is critical to enhancing trauma care delivery in Romania.
Abstract: Romania, like many countries in Eastern Europe, faces challenges in orthopedic trauma care due to limited surgical equipment, constrained OR schedules, and lack of opportunity for physician continuing education. This study examines the workflow of orthopedic trauma care through a discussion of current practices and recommendations from a Romanian p...
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