yisihak suga - Academia.edu (original) (raw)

Papers by yisihak suga

Research paper thumbnail of Multidisciplinary Management of Skull Metastatic Follicular Thyroid Cancer in a Resource-Limited Setting

PubMed, Jun 1, 2024

A 60-year-old woman presented to the Department of Surgery with an anterior neck mass and a mass ... more A 60-year-old woman presented to the Department of Surgery with an anterior neck mass and a mass on her left forehead. She was diagnosed with follicular thyroid cancer with metastasis to the skull, a rare presentation of follicular thyroid cancer that is associated with a poor prognosis. A multidisciplinary team evaluated the patient and devised a 3-staged surgical management plan: total thyroidectomy with central lymph node dissection, cranial metastasectomy, and cranioplasty with autologous split rib graft. This case illustrates how innovative multidisciplinary surgical management can be applied in a low-resource setting involving 3 surgical sub-specialties for the best possible outcome in a patient with metastatic follicular thyroid cancer.

Research paper thumbnail of Nutritional status and quality of life among breast Cancer patients undergoing treatment in Addis Ababa, Ethiopia

BMC Women's Health

Background The prevalence of malnutrition in cancer patients ranges from 30 to 60%. While it is k... more Background The prevalence of malnutrition in cancer patients ranges from 30 to 60%. While it is known that malnutrition is prevalent among cancer patients, the relationship between undernutrition and quality of life among breast cancer patients has not been adequately explored. Therefore, the present study was aimed at assessing the association between undernutrition and quality of life among Breast Cancer patients under treatment in Addis Ababa, Ethiopia. Methods A cross-sectional study on breast cancer patients under treatment at the outpatient and in-patient departments of oncology centers of two tertiary hospitals in Addis Ababa – Tikur Anbessa Specialized Hospital (TASH) and St. Paul Millennium Medical College (SPHMMC) oncology was conducted from May 12 to August 26,2020. Nutritional status was assessed using Subjective Global Assessment (SGA) screening tool. Quality of life was assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questi...

Research paper thumbnail of Post-Thyroidectomy Complications at St Paul’s Hospital Millennium Medical College, Ethiopia: Associated Factors and Outcomes

Open Access Surgery, Sep 30, 2023

Research paper thumbnail of Epidemiology And Clinical Characteristics of Breast Cancer in Ethiopia: A Systematic Review

Research Square (Research Square), Jul 14, 2023

Research paper thumbnail of Review of Breast Abscess Cases at a Tertiary Hospital in Addis Ababa, Ethiopia

International Journal of Women's Health

Research paper thumbnail of Épidémiologie Et caractéristiques Cliniques Des complications Suppuratives Des pneumonies De l'Enfant

Archives de Pédiatrie, 2007

Research paper thumbnail of Quality of Life in Patients Living with Stoma

Research paper thumbnail of Giant Mesenteric Lipoma Causing Small Bowel Volvulus: A Case Report

Ethiopian Journal of Health Sciences, 2019

Background A lipoma of the small bowel mesentery is a rare clinical entity. It rarely causes inte... more Background A lipoma of the small bowel mesentery is a rare clinical entity. It rarely causes intestinal obstruction mainly due to volvulus. Case We report a case of a 25 years old male who presented with acute exacerbation of abdominal pain, nausea and vomiting. Plain abdominal x-ray showed complete small bowel obstruction. At laparotomy, there was small bowel volvulus with a big yellow mass as an axis. Enbloc resection and end-to-end ileal anastomosis was done. Conclusion Mesenteric lipoma are rare. They should be considered in cases of long standing abdominal pain.

Research paper thumbnail of Magnitude and Pattern of Inpatient Surgical Mortality in a Tertiary Hospital in Addis Ababa, Ethiopia

Ethiopian Journal of Health Sciences

BACKGROUND: Inpatient mortality is among regularly collected data in Key performance indicators i... more BACKGROUND: Inpatient mortality is among regularly collected data in Key performance indicators in the Ethiopian healthcare system, and it is generally reported to the Federal Ministry of Health and is used as one of inpatient services quality indicators. This study was undertaken to identify the magnitude, causes and pattern of mortalities among patients who are admitted and treated in surgical wards in Saint Paul Hospital Millennium Medical College for a period of three years.METHODS: A retrospective review was done on all patients admitted and died in the Department of Surgery in St. Paul's Hospital Millennium Medical College from January 1, 2016–Dec 30, 2018.RESULT: There were 10,259 admissions over three years and out of which there were 350 deaths between 2016-2018 making a crudemortality rate of 3.41 %. The commonest mode of admission was for emergency conditions, 195(62.7%). Out of emergency admissions, 139 mortalities were from general emergency surgery and 75 patients ...

Research paper thumbnail of Assessment of magnitude and factors affecting outcomes of head injury at Addis Ababa burn emergency and trauma hospital, Ethiopia

International Journal of Scientific Reports

Background: Head injury is the leading cause of death and disability worldwide and has become one... more Background: Head injury is the leading cause of death and disability worldwide and has become one of the highest community health problems worldwide including Ethiopia. This study aims to assess the magnitude and factors affecting the outcome of head injury patients at Addis Ababa burn and emergency treatment Hospital from 01 January 2018 to 31 December 2019.Methods: A retrospective review was conducted on a patient who had a head injury and visited Addis Ababa burn and emergency treatment Hospital, from 01 January 2018 to 31 December 2019. Results: There were 2163 head injury patients making the incidence of head injury 29.6%. The commonest cause of injury is road traffic accidents accounting for 89 (43.8%) and most patients sustained blunt injury 65 (32%).The commonest computed tomography (CT)-scan finding was intracerebral hemorrhage in 51 (25.1%) patients. Most head injury patients 112 (55.2%) stayed less than 1 week and the commonest complication was meningitis that occurred i...

Research paper thumbnail of Magnitude and Pattern of Inpatient Surgical Mortality in a Tertiary Hospital in Addis Ababa, Ethiopia

Ethiopian Journal of Health Sciences

BACKGROUND: Inpatient mortality is among regularly collected data in Key performance indicators i... more BACKGROUND: Inpatient mortality is among regularly collected data in Key performance indicators in the Ethiopian healthcare system, and it is generally reported to the Federal Ministry of Health and is used as one of inpatient services quality indicators. This study was undertaken to identify the magnitude, causes and pattern of mortalities among patients who are admitted and treated in surgical wards in Saint Paul Hospital Millennium Medical College for a period of three years.METHODS: A retrospective review was done on all patients admitted and died in the Department of Surgery in St. Paul's Hospital Millennium Medical College from January 1, 2016–Dec 30, 2018.RESULT: There were 10,259 admissions over three years and out of which there were 350 deaths between 2016-2018 making a crudemortality rate of 3.41 %. The commonest mode of admission was for emergency conditions, 195(62.7%). Out of emergency admissions, 139 mortalities were from general emergency surgery and 75 patients ...

Research paper thumbnail of Patterns of Surgically Treated Thyroid Disease: A Two Years Review at St. Paul Hospital Millennium medical Collage, Addis Ababa, Ethiopia

Ethiopian Journal of Health Sciences

BACKGROUND: Thyroid disease is a common disorder of the endocrine system worldwide. It is a commo... more BACKGROUND: Thyroid disease is a common disorder of the endocrine system worldwide. It is a common problem in developing countries, including Ethiopia. The aim of this study was to determine the burden and the pattern of thyroid disease in St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.METHODS: A retrospective review of patients’ medical records over a two-year period, January 2013-december 2014, was done. OR log books, and individual patient medical records was used for the review. Data was analyzed with SPSS version 20.RESULTS: A total of 2201 general surgical operations were done in a two-year period. Of these, 250(11%) were for thyroid surgery. Records of 222(88.8%) patients were found and used for analysis. Females accounted for 91.4% with F: M ratio of 10.7:1. The common mode of presentations were anterior neck swelling (91.4%) and toxic (29.7%) and pressure symptoms(19.4%). The common physical findings identified were multi nodular goiter (57.2%), diffu...

Research paper thumbnail of Lipomatous polyp causing colo-colic intussusception

International Journal of Scientific Reports

A lipoma is a benign tumour that arises from an adipose tissue. It is the leading benign soft tis... more A lipoma is a benign tumour that arises from an adipose tissue. It is the leading benign soft tissue tumour. It can occur anywhere in the human body. Lipomas in the gastrointestinal tract are quite rare and usually asymptomatic. We report a 70 years old male patient who presented with crampy abdominal pain. CT scan of the abdomen showed colo-colic intussusception. The patient was explored and the finding was colo-colic intussusception with a mass as a leading point. En-block resection done. Histology confirmed the mass as a lipoma.

Research paper thumbnail of Quality of Informed Consent Among Patients Who Underwent Major Surgical Procedure in a Tertiary Care Hospital, Addis Ababa, Ethiopia

Open Access Surgery

Background: Informed consent is the process by which a patient learns about and understands the p... more Background: Informed consent is the process by which a patient learns about and understands the purpose, benefits, and potential risks of a medical or surgical intervention and then agrees to receive the treatment. It is a legally required process before performing any medical or surgical procedure. In most setups where surgical services are being provided, most components of informed consent are not always complete. The aim of this study is to assess the quality of informed consent among surgical patients admitted to the surgical ward of SPHMMC (St. Paul's Hospital Millennium Medical College) from March 4 to April 12, 2019, G.C. Methods and Materials: This is an institution-based prospective cross-sectional study done on patients admitted to the surgical ward of SPHMMC from March 4 to April 12, 2019, G.C. A total of 135 patients were selected by simple random sampling and were interviewed after their surgeries and before discharge. Results: The informed consent form does not have any of the essential components of surgical informed consent. Out of 135 respondents, only 8.1% of the patients received the minimum required components of informed consent (a good quality informed consent). 85.9% were told their diagnosis, 55.6% knew the benefits of the surgery, and 60.7% knew the consequences of not doing the surgery. Only 26.7% of respondents received explanations about the risk of the procedure. 44.4% of patients were told alternative options of treatment. Conclusion: The quality of informed consent is poor in the surgical ward of SPHMMC. The hospital administration (surgical department) should develop a protocol on the amount of information disclosed to patients before surgery and train all medical personnel.

Research paper thumbnail of Post thyroidectomy skin sinus formation

International Journal of Scientific Reports, Apr 21, 2020

Research paper thumbnail of Multidisciplinary Management of Skull Metastatic Follicular Thyroid Cancer in a Resource-Limited Setting

PubMed, Jun 1, 2024

A 60-year-old woman presented to the Department of Surgery with an anterior neck mass and a mass ... more A 60-year-old woman presented to the Department of Surgery with an anterior neck mass and a mass on her left forehead. She was diagnosed with follicular thyroid cancer with metastasis to the skull, a rare presentation of follicular thyroid cancer that is associated with a poor prognosis. A multidisciplinary team evaluated the patient and devised a 3-staged surgical management plan: total thyroidectomy with central lymph node dissection, cranial metastasectomy, and cranioplasty with autologous split rib graft. This case illustrates how innovative multidisciplinary surgical management can be applied in a low-resource setting involving 3 surgical sub-specialties for the best possible outcome in a patient with metastatic follicular thyroid cancer.

Research paper thumbnail of Nutritional status and quality of life among breast Cancer patients undergoing treatment in Addis Ababa, Ethiopia

BMC Women's Health

Background The prevalence of malnutrition in cancer patients ranges from 30 to 60%. While it is k... more Background The prevalence of malnutrition in cancer patients ranges from 30 to 60%. While it is known that malnutrition is prevalent among cancer patients, the relationship between undernutrition and quality of life among breast cancer patients has not been adequately explored. Therefore, the present study was aimed at assessing the association between undernutrition and quality of life among Breast Cancer patients under treatment in Addis Ababa, Ethiopia. Methods A cross-sectional study on breast cancer patients under treatment at the outpatient and in-patient departments of oncology centers of two tertiary hospitals in Addis Ababa – Tikur Anbessa Specialized Hospital (TASH) and St. Paul Millennium Medical College (SPHMMC) oncology was conducted from May 12 to August 26,2020. Nutritional status was assessed using Subjective Global Assessment (SGA) screening tool. Quality of life was assessed using the European Organization for Research and Treatment of Cancer Quality of Life Questi...

Research paper thumbnail of Post-Thyroidectomy Complications at St Paul’s Hospital Millennium Medical College, Ethiopia: Associated Factors and Outcomes

Open Access Surgery, Sep 30, 2023

Research paper thumbnail of Epidemiology And Clinical Characteristics of Breast Cancer in Ethiopia: A Systematic Review

Research Square (Research Square), Jul 14, 2023

Research paper thumbnail of Review of Breast Abscess Cases at a Tertiary Hospital in Addis Ababa, Ethiopia

International Journal of Women's Health

Research paper thumbnail of Épidémiologie Et caractéristiques Cliniques Des complications Suppuratives Des pneumonies De l'Enfant

Archives de Pédiatrie, 2007

Research paper thumbnail of Quality of Life in Patients Living with Stoma

Research paper thumbnail of Giant Mesenteric Lipoma Causing Small Bowel Volvulus: A Case Report

Ethiopian Journal of Health Sciences, 2019

Background A lipoma of the small bowel mesentery is a rare clinical entity. It rarely causes inte... more Background A lipoma of the small bowel mesentery is a rare clinical entity. It rarely causes intestinal obstruction mainly due to volvulus. Case We report a case of a 25 years old male who presented with acute exacerbation of abdominal pain, nausea and vomiting. Plain abdominal x-ray showed complete small bowel obstruction. At laparotomy, there was small bowel volvulus with a big yellow mass as an axis. Enbloc resection and end-to-end ileal anastomosis was done. Conclusion Mesenteric lipoma are rare. They should be considered in cases of long standing abdominal pain.

Research paper thumbnail of Magnitude and Pattern of Inpatient Surgical Mortality in a Tertiary Hospital in Addis Ababa, Ethiopia

Ethiopian Journal of Health Sciences

BACKGROUND: Inpatient mortality is among regularly collected data in Key performance indicators i... more BACKGROUND: Inpatient mortality is among regularly collected data in Key performance indicators in the Ethiopian healthcare system, and it is generally reported to the Federal Ministry of Health and is used as one of inpatient services quality indicators. This study was undertaken to identify the magnitude, causes and pattern of mortalities among patients who are admitted and treated in surgical wards in Saint Paul Hospital Millennium Medical College for a period of three years.METHODS: A retrospective review was done on all patients admitted and died in the Department of Surgery in St. Paul's Hospital Millennium Medical College from January 1, 2016–Dec 30, 2018.RESULT: There were 10,259 admissions over three years and out of which there were 350 deaths between 2016-2018 making a crudemortality rate of 3.41 %. The commonest mode of admission was for emergency conditions, 195(62.7%). Out of emergency admissions, 139 mortalities were from general emergency surgery and 75 patients ...

Research paper thumbnail of Assessment of magnitude and factors affecting outcomes of head injury at Addis Ababa burn emergency and trauma hospital, Ethiopia

International Journal of Scientific Reports

Background: Head injury is the leading cause of death and disability worldwide and has become one... more Background: Head injury is the leading cause of death and disability worldwide and has become one of the highest community health problems worldwide including Ethiopia. This study aims to assess the magnitude and factors affecting the outcome of head injury patients at Addis Ababa burn and emergency treatment Hospital from 01 January 2018 to 31 December 2019.Methods: A retrospective review was conducted on a patient who had a head injury and visited Addis Ababa burn and emergency treatment Hospital, from 01 January 2018 to 31 December 2019. Results: There were 2163 head injury patients making the incidence of head injury 29.6%. The commonest cause of injury is road traffic accidents accounting for 89 (43.8%) and most patients sustained blunt injury 65 (32%).The commonest computed tomography (CT)-scan finding was intracerebral hemorrhage in 51 (25.1%) patients. Most head injury patients 112 (55.2%) stayed less than 1 week and the commonest complication was meningitis that occurred i...

Research paper thumbnail of Magnitude and Pattern of Inpatient Surgical Mortality in a Tertiary Hospital in Addis Ababa, Ethiopia

Ethiopian Journal of Health Sciences

BACKGROUND: Inpatient mortality is among regularly collected data in Key performance indicators i... more BACKGROUND: Inpatient mortality is among regularly collected data in Key performance indicators in the Ethiopian healthcare system, and it is generally reported to the Federal Ministry of Health and is used as one of inpatient services quality indicators. This study was undertaken to identify the magnitude, causes and pattern of mortalities among patients who are admitted and treated in surgical wards in Saint Paul Hospital Millennium Medical College for a period of three years.METHODS: A retrospective review was done on all patients admitted and died in the Department of Surgery in St. Paul's Hospital Millennium Medical College from January 1, 2016–Dec 30, 2018.RESULT: There were 10,259 admissions over three years and out of which there were 350 deaths between 2016-2018 making a crudemortality rate of 3.41 %. The commonest mode of admission was for emergency conditions, 195(62.7%). Out of emergency admissions, 139 mortalities were from general emergency surgery and 75 patients ...

Research paper thumbnail of Patterns of Surgically Treated Thyroid Disease: A Two Years Review at St. Paul Hospital Millennium medical Collage, Addis Ababa, Ethiopia

Ethiopian Journal of Health Sciences

BACKGROUND: Thyroid disease is a common disorder of the endocrine system worldwide. It is a commo... more BACKGROUND: Thyroid disease is a common disorder of the endocrine system worldwide. It is a common problem in developing countries, including Ethiopia. The aim of this study was to determine the burden and the pattern of thyroid disease in St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia.METHODS: A retrospective review of patients’ medical records over a two-year period, January 2013-december 2014, was done. OR log books, and individual patient medical records was used for the review. Data was analyzed with SPSS version 20.RESULTS: A total of 2201 general surgical operations were done in a two-year period. Of these, 250(11%) were for thyroid surgery. Records of 222(88.8%) patients were found and used for analysis. Females accounted for 91.4% with F: M ratio of 10.7:1. The common mode of presentations were anterior neck swelling (91.4%) and toxic (29.7%) and pressure symptoms(19.4%). The common physical findings identified were multi nodular goiter (57.2%), diffu...

Research paper thumbnail of Lipomatous polyp causing colo-colic intussusception

International Journal of Scientific Reports

A lipoma is a benign tumour that arises from an adipose tissue. It is the leading benign soft tis... more A lipoma is a benign tumour that arises from an adipose tissue. It is the leading benign soft tissue tumour. It can occur anywhere in the human body. Lipomas in the gastrointestinal tract are quite rare and usually asymptomatic. We report a 70 years old male patient who presented with crampy abdominal pain. CT scan of the abdomen showed colo-colic intussusception. The patient was explored and the finding was colo-colic intussusception with a mass as a leading point. En-block resection done. Histology confirmed the mass as a lipoma.

Research paper thumbnail of Quality of Informed Consent Among Patients Who Underwent Major Surgical Procedure in a Tertiary Care Hospital, Addis Ababa, Ethiopia

Open Access Surgery

Background: Informed consent is the process by which a patient learns about and understands the p... more Background: Informed consent is the process by which a patient learns about and understands the purpose, benefits, and potential risks of a medical or surgical intervention and then agrees to receive the treatment. It is a legally required process before performing any medical or surgical procedure. In most setups where surgical services are being provided, most components of informed consent are not always complete. The aim of this study is to assess the quality of informed consent among surgical patients admitted to the surgical ward of SPHMMC (St. Paul's Hospital Millennium Medical College) from March 4 to April 12, 2019, G.C. Methods and Materials: This is an institution-based prospective cross-sectional study done on patients admitted to the surgical ward of SPHMMC from March 4 to April 12, 2019, G.C. A total of 135 patients were selected by simple random sampling and were interviewed after their surgeries and before discharge. Results: The informed consent form does not have any of the essential components of surgical informed consent. Out of 135 respondents, only 8.1% of the patients received the minimum required components of informed consent (a good quality informed consent). 85.9% were told their diagnosis, 55.6% knew the benefits of the surgery, and 60.7% knew the consequences of not doing the surgery. Only 26.7% of respondents received explanations about the risk of the procedure. 44.4% of patients were told alternative options of treatment. Conclusion: The quality of informed consent is poor in the surgical ward of SPHMMC. The hospital administration (surgical department) should develop a protocol on the amount of information disclosed to patients before surgery and train all medical personnel.

Research paper thumbnail of Post thyroidectomy skin sinus formation

International Journal of Scientific Reports, Apr 21, 2020