August 24, 2026 Thesis Open Access

Dr SABIR ALEMAYEHU (General Surgery Resident)

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        <foaf:name>Dr SABIR ALEMAYEHU (General Surgery Resident)</foaf:name>
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    <dct:title>ASSESSMENT OF SURGICAL OUTCOME OF SPINAL VERSUS GENERAL ANESTHESIA IN PATIENTS UNDERGOING APPENDECTOMY FOR ACUTE APPENDICITIS AT WALLAGA UNIVERSITY COMPRHENSIVE SPECIALIZED HOSPITAL, NEKEMTE, OROMIA, ETHIOPIA, A Retrospective Comparative Cross-sectional Study</dct:title>
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    <dct:issued rdf:datatype="http://www.w3.org/2001/XMLSchema#gYear">2026</dct:issued>
    <dct:issued rdf:datatype="http://www.w3.org/2001/XMLSchema#date">2026-08-24</dct:issued>
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    <dct:description>&lt;p&gt;&lt;strong&gt;ABSTRACT&lt;/strong&gt;&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Background:&lt;/strong&gt;&amp;nbsp;Acute appendicitis is the most common surgical emergency and appendectomy is a standard surgical procedure. In local clinical setting, anesthetic selection for appendectomy remains clinician-driven without local evidence. Spinal anesthesia may offer advantages over general anesthesia, but comparative data are lacking.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Objective:&lt;/strong&gt;&amp;nbsp;To assess surgical outcomes of spinal versus general anesthesia in patients undergoing appendectomy for acute appendicitis at Wallaga University Comprehensive Specialized Hospital, 2021-2025 G.C.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt;&amp;nbsp;This Institutional-based retrospective comparative cross-sectional study reviewed &lt;strong&gt;222&lt;/strong&gt; patient records. Data were analyzed using SPSS version 27. Bivariable logistic regression analysis done and identified candidate variables with p&amp;lt;0.25, entered into multivariable logistic regression to determine independent predictors of surgical outcome. Adjusted odds ratios with 95% CIs were reported. Model fit and multicollinearity were assessed. Statistical significance was set at p&amp;lt;0.05.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Results:&lt;/strong&gt;&amp;nbsp;Mean age was 26.99&amp;plusmn;9.1 years; 71.2% were male. Poor outcomes were lower with spinal vs. general anesthesia (11.7% vs. 33.3%, p=0.001), with fewer complications and shorter hospital stay (2.6&amp;plusmn;1.4 vs. 3.8&amp;plusmn;2.1 days, p&amp;lt;0.001). Postoperative pain was also lower in the spinal group (p&amp;lt;0.01). Independent predictors of poor outcome were general anesthesia (AOR 7.64), complicated appendicitis (AOR 6.98), ASA II/III (AOR 6.8), and surgery duration &amp;gt;1 hour (AOR 10.4) (all p&amp;lt;0.001).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Conclusion and recommendation:&lt;/strong&gt;&amp;nbsp;Spinal anesthesia for open appendectomy is associated with superior surgical outcomes compared to general anesthesia. These findings support to recommend Spinal anesthesia use in eligible patients within resource-limited settings.&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Keywords:&lt;/strong&gt;&amp;nbsp;Appendectomy, spinal anesthesia, general anesthesia, surgical outcome&lt;/p&gt; &lt;p&gt;&amp;nbsp;&lt;/p&gt;</dct:description>
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