TITLE:
Epidemiological Aspects of Diseases Seen in Pediatric Surgery Consultation at the Kara Teaching Hospital
AUTHORS:
Missoki Azanlédji Boume, Kwami Edem Edoh Bikor, Ouro-Bagna Tchagbele, Kokou Agbekogni Réné Ségbedji, Komi Deladem Azoumah, Gamédzi Komlatsè Akakpo-Numado
KEYWORDS:
Pediatric Surgery, Congenital Malformation, Children
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.11 No.4,
November
26,
2021
ABSTRACT: Background: Pediatric surgery in developing countries faces serious problems of
inadequate infrastructures and equipment. Since July 2019, a new department was
created in the north of Togo. It is in this context that this study is
initiated, with the aim of taking stock of the epidemiological distribution of
pediatric surgical diseases. Material and methods: This was a
retrospective and descriptive study over a period of eighteen months, from
October 30, 2019 to April 30, 2021. It took place in the pediatric surgery
department of the Kara teaching hospital. It concerns pathologies seen at the consultation
in the department collected in consultation register. Epidemiological
parameters were studied. Results: In eighteen (18) months, two hundred
and fifty-nine children, were seen in pediatric surgery consultation at the
Kara Teaching Hospital. The annual frequency of consultations was 172.66. The
monthly frequency was 14.39. The average age of the children was 4.56 years
with extremes of 2 days and 15 years. There were 194 boys (74.90%) and 65 girls
(25.10%). At the consultation, whatever the reason, the examination was normal
in 17 children and 242 children had abnormalities. Two hundred and twelve
children (81.85%) had each one abnormality and 30 children (11.58%) had each at
least two. A total of 298 diseases were reported in the 242 children. These
were 218 congenital diseases (73.15%) dominated by urological abnormalities
with 37.16% of cases and 80 acquired diseases (26.85%). Acquired diseases were
for 26.85% and dominated by limb trauma and infectious pathologies including
chronic osteomyelitis. Conclusion: Pathologies seen in pediatric surgery
consultation were dominated by congenital diseases. Urological malformations
are the most represented. This study forms a basis for other more extensive
ones.