The aim of this study was to make our contribution to improving the quality of care for patients operated on at the Sino-Guinean Friendship Hospital. Introduction: The surgical site infections (ISO) are defined as infections occurring within 30 days after surgery (or up to a year after surgery in patients receiving implants) and affecting the incision or deep tissue site operative. Methodology: This study is a prospective, cross, a one time year from 1 st January to 31 December 2018 inclusive: The study involved 73 patients carriers of surgical site infections during the study period in visceral trauma surgery and neurosurgery departments of the kipé sino-guinean friendship hospital. The administrative procedure and patient confidentiality were respected. We had done the encoding. Results: We had noted 33 cases of infection of the operating site in the trauma department, 19 cases in the neurosurgery department and 21 cases in the visceral surgery department. Smoking was found in 22 patients, obesity in 7 patients., alcoholism in 6 patients, HIV in 5 patients, diabetes in 4 patients and no history in 23 patients. The infection occurred between 1 to 7 days in 52 cases, 7 14 day in 20 cases and higher has 14 days in 1 case. The dressings were soiled in one hundred percent of our patients who developed surgical site infections. Conclusion: Infections of the operating site constitute a serious complication and feared by surgeons because it ruins the success of the surgical act.

The aim of this work was to eassess the contribution of imaging in the management of non-traumatic abdominal surgical emergencies at the General Surgery Department of the Ignace Deen National Hospital. Material and methods: This was a prospective, descriptive study that included for 6 months all patients admitted and operated for a non-traumatic abdominal surgical emergency and having performed at least one imaging test. Results: During our study period, Non-traumatic abdominal surgical emergencies accounted for 25.27% of admissions. The average age was37.58 years old with a male predominance (65.3%) and a sex ratio of 1.88. The mean consultation time was 66.92h±40.15. PSA was the most performed imaging test (86.44%) followed by abdominal ultrasound (8.47%). The main non-traumatic abdominal surgical emergencies observed were acute generalized peritonitis (45.8%), followed by acute intestinal obstruction (44.1%). The agreement between imaging and operative diagnosis was 93.46% on PSA, 92.86% on abdominal ultrasound and 100% on abdominal CT. Conclusion: Non-traumatic abdominal surgical emergencies are frequent, imaging examinations (ASP, ultrasound) allow a good appreciation of all non-traumatic abdominal emergencies when they are judiciously used. In addition, CT, although essential, remains inaccessible due to its cost, thus limiting its emergency use.

Introduction: The goal was to highlight the issue of management of digestive surgical emergencies in our department. Methods: This was a prospective study that brought together patients treated for digestive surgical emergencies over a 10-month period (January -October 2014). Results: We collected 135 patients or 21% of all abdominal surgical conditions during the period (N=649). The average age of our patients was 34 years (range: 11 and 80); The sex ratio was 2.19. Public transport was the means used by patients. The reasons for consultation were: abdominal pain (89.63%), vomiting (77.78%), cessation of materials and gas (60%). The average consultation time was 6 days (range: 2 hours and 21 days). Acute generalized peritonitis was the most common (44.44%). The average time to treatment was 11 hours (range: 1 and 29 hours). The management was medico-surgical. The postoperative consequences were simple in (50.37%), the postoperative complications were dominated by parietal infection (30.53%), evisceration (3.70%) and scrotal hematoma (2.96%). One death was noted in (17.04%). The average length of stay was 12 days (range: 1 and 54 days). Conclusion: The management of digestive surgical emergencies remains a challenge. Morbidity and mortality would be revised downwards by reducing the diagnostic delay due to dysfunction of the care system and problems of access to care.

No abstract

The objective of this study was to contribute to the study of splenomegaly in children under the age of 15 in the Pediatric Surgery Unit of the General Surgery Department of Ignace Deen National Hospital. Methodology: This was a retrospective descriptive study lasting 5 years from January 1, 2011 to December 31, 2015 on children with splenomegaly in the pediatric surgery unit of the general surgery department of the hospital national Ignace-Deen. Results: Splenomegaly represented 1.24% of surgical pathologies during our study. Both sexes were concerned with a male predominance in 52.63%; the sex ratio was 1.11. The 10-14 age group was the most affected (47.37%); The average age of our cases was 9.5 years with extremes of 3 years and 15 years. Abdominal pain associated with an abdominal mass and fever were the main reasons for consultation (100%), followed by physical asthenia and anorexia (78.94%). 63.15% of our diagnosed cases were stage IV of the Hackett classification, followed by stage III (31.57%) and stage V (5.26%). Conclusion: Any palpable spleen must in fact be considered as pathological. The conditions causing splenomegaly are multiple in tropical countries, their frequency varies from one country to another.