TITLE:
Digestive Surgical Emergencies at the Commune II Reference Health Centre in the District of Bamako
AUTHORS:
Idrissa Tounkara, Abdoulaye Diarra, Amadou Traore, Boubacar Karembe, Sayon Diakite, Konimba Keita, Oumar Ongoiba, Madiassa Konate, Seydou Sangare, Bakary Coulibaly, Bakary Tientigui Dembele, Adegne Togo
KEYWORDS:
Surgical Emergencies, Digestive Tract, General Surgery CSRéf CII
JOURNAL NAME:
Surgical Science,
Vol.13 No.5,
May
26,
2022
ABSTRACT: We
conducted a prospective descriptive study from January 1 to December 31, 2018
with the objectives of determining the frequency of digestive surgical
emergencies, describing the clinical and para-clinical aspects of the
management of digestive surgical emergencies, evaluating the therapeutic aspect
of digestive surgical emergencies and analysing the post-operative follow-up of
patients operated on in emergencies. We counted 120 patients operated on for
digestive surgical emergencies, which corresponds to 5.80% of all consultations
and 44.80% of all surgical interventions. The male sex was the most represented
with a ratio of 1.80. The average age was 27.5 years. The majority of patients
were from Bamako. Abdominal pain was the reason for consultation in 80% of
cases. The diagnosis was essentially clinical and paraclinical in doubtful
cases. These included ultrasound, unprepared abdomen and sometimes abdominal CT
scans. Acute appendicitis was the most common pathology with 42.5%. General
anaesthesia and spinal anaesthesia were used with 50% each. The majority of
patients were operated on between 30 minutes and 12 hours after their admission
to the department (71.7%). Acute peritonitis accounted for 67% of deaths from
sepsis. The surgical technique was decided according to the pathology and the
surgeon’s choice. The postoperative course was simple in the majority of cases.
The prognosis is good when the management is early. The treatment is
medical-surgical.