ArticleBMC surgery2026
The 30-day perioperative outcomes of sigmoid volvulus surgery in resource-limited setting in Northcentral Ethiopia.
Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSigmoid volvulus remains a leading cause of intestine obstruction in low middle income countries, particularly in volvulus belt countries. The objective of this study to explore the morbidity and mortality after sigmoid volvulus surgery in Northcentral Ethiopia.
methodsHospital-based retrospective cohort study employed in Debre Tabor comprehensive specialised hospital Northcentral Ethiopia. A medical chart reviews were conducted from Jan1, 2016 to June 30,206. The collected data checked manually for completeness and consistency. The final data coded and entered to SPSS version 27 for data processing and analysis. Univariable and multivariable binary logistic regression analysis conducted to identified attributable factors for morbidity and mortality after sigmoid volvulus surgery. The result of the final model expressed in terms of adjusted Odd Ratios (AOR) and 95% CI and statistical significance declared if the p-value is less than 0.05.
resultThree hundred sixty-two patients were analysed. Mean age was 56.4(SD14.5), with male predominance (321/362,88.7%) and most patients had anesthesia low risk (ASA grade 2, 230/362,63.5%). Emergency procedures were performed in 187/362(51.7%). Gangrenous sigmoid was found for 139/362 (38·4%) patients, 139/187(74.3%) of patients who underwent emergency surgery. The overall 30-day complication rate was 80 (22.1%) of 362, and mortality was 19/362(5.5%). 30-day postoperative complications were significantly associated with ASA IV (adjusted odds ratio AOR = 13.1, 95%CI:12.6-66.3; p = 0.002), presence of comorbidity (AOR = 4.4, 2.0-9.9; p < 0.0001), emergency procedures (AOR = 11.7, 3.6-37.9; p = 0.025), and gangrenous bowel intraoperative viability (AOR = 2.5, 1.2-5.7; p = 0.25).
conclusionMore than half of patients underwent emergency surgery, and two-thirds of these had intraoperative gangrenous bowel. Perioperative complication rates were high among patients undergoing emergency surgery and among those with comorbidities and higher ASA grades, despite most patients being classified as low surgical risk. Improving access to bellwether surgery, strengthening processes of care, and building surgical capacity and health-system delivery could help achieve safe, equitable surgical care for sigmoid volvulus.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.