Management of surgical abdominal emergencies in Kara teaching hospital (Togo): 10-year retrospective study of 594 cases

Kassegne, I.; Kanassoua, K; Sewa, E.V.; Tchangaï, Boyodi; Sambiani, J.; Ayite, A; Dosseh, E.D.

doi:10.1684/mst.2014.0386

Cited by 3 publications

(3 citation statements)

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“…Gestational age=7SA Conclusion: Extrauterine Pregnancy During our study period, 118 patients consulted for a non-traumatic abdominal surgical emergency out of a total of 467 patients admitted to the department, ie a hospital frequency of 25.27%. This frequency was lower than that ofKassegne I et al [3] in Togo which reported 95.6% and that of Harouna Y et al [4] in Niger who reported 90.11% emergency abdominal non-traumatic surgery. On the other hand, it is higher than that ofDembele Y (10%) [8] in Mali.…”

Section: Resultscontrasting

confidence: 59%

“…They constitute one of the most frequent reasons for consultation in emergency reception services [2,3]. The aetiological diagnosis of an acute abdomen, based on clinical data and laboratory results alone, is often difficult [1,[2][3][4][5] and a source of error in the absence of recourse to the imagery. The proportion of diagnostic errors is estimated between 25 and 50% in the absence of imaging [1].…”

Section: Introductionmentioning

confidence: 99%

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Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital

Sandały¹,

Francis²,

Naby³

et al. 2020

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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.

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Section: Resultscontrasting

confidence: 59%

Section: Introductionmentioning

confidence: 99%

Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital

Sandały¹,

Francis²,

Naby³

et al. 2020

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“…Indeed, of the 11 patients who died, 9 had consulted beyond 72 hours. Studies have already noted that delay in consultation is a factor of poor prognosis [13,14]. Another factor of poor prognosis is the delay in the management of the operation.…”

Section: Discussionmentioning

confidence: 99%

Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin

Hodonou¹

2018

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Objective: Identify the factors affecting the non-traumatic intestinal perforations peritonitis outcome. Methods: This was a retrospective study over a period of 30 months (1 st January 2014-30 th June 2016), which took place in four hospitals in northern Benin, including three district hospitals and one teaching hospital. The study population consisted of patients operated for generalized acute peritonitis. The inclusion criteria were: peroperative confirmation of the non-traumatic ileal perforation and the existence of a complete medical record in relation to the variables studied. Results: We collected 121 cases of non-traumatic ileal perforation peritonitis with a total of 447 cases of generalized acute peritonitis; the non traumatic ileal perforation peritonitis frequency was 27.1%. Ninety-nine files met the inclusion criteria. The mean age was 17 ± 12 years with extremes of 2 and 60 years. The sex ratio was 2.4. The predictive factors were: age (p 0.00), consultation time (p 0.03), surgical time (p 0.02), amount of peritoneal fluid (p 0.001), perforation number (p 0.0009), surgical technique (p 0.0003) and postoperative complications such as digestive fistula (p 0.001) and postoperative peritonitis (p 0.04). Conclusions: At the end of our study, the factors of bad prognosis identified were the age, the time of consultation, the time of surgery, the quantity of peritoneal fluid. Some postoperative complications may cause death.

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Management of Digestive Surgical Emergencies in Children in a Developing Country (Newborns Excluded)

Mboutol-Mandavo

et al. 2020

Asp J Pediatrics Child Health

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Aim: It was a question of determining the epidemiological, diagnostic and therapeutic aspects of the digestive surgical emergencies of the child in our environment. Patients and Methods: This is a prospective and descriptive study carried out for 12 months in the pediatric surgery department. Results: During the study period, on 668 patients admitted we retained 87 cases of digestive surgical emergencies; representing a hospital frequency of 13%. The mean age was 7.6 ± 3.5 years (range 30 days and 16 years). We noted a male predominance with 61 boys (70.1%) for 26 girls (29.9%). The taxi was the most used form of transportation in 77 cases (88.5%). The average consultation time was 5.4 days ± 5.3 days (1 hour and 21-day extremes). Abdominal pain was the main reason for consultation with 66.7% of cases. Generalized acute peritonitis was the predominant diagnosis with 32 cases (39.1%), followed by strangulated parietal hernias with 17 cases (19.5%) and acute intestinal intussusception with 11 cases (12.6%). The postoperative course was complicated in 27 cases (33.7%). parietal suppurations were the most common complication with 77.8% of cases. Six patients (6.9%) died. Conclusion: Digestive surgical emergencies represent a frequent nosological entity in our practice. Abdominal pain is the first reason for consultation. Appendicular peritonitis are the first cause of digestive surgical emergency in children in our practice. They remain a worrying problem for pediatric surgeons.

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Management of surgical abdominal emergencies in Kara teaching hospital (Togo): 10-year retrospective study of 594 cases

Cited by 3 publications

References 0 publications

Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital

Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital

Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin

Management of Digestive Surgical Emergencies in Children in a Developing Country (Newborns Excluded)

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