TITLE:
Acute Intestinal Occlusions at the Cs Ref of Commune I of Bamako
AUTHORS:
Tounkara Cheickna, Samake Hamidou, Diarra Issaka, Sanogo Modibo, Traore Fousseyni, Togola Modibo, Traore Alhassane, Dembele Bakary Tientigui, Togo Pierre Adégné, Kante Lassana
KEYWORDS:
Acute Intestinal Obstructions, Surgery, Cs Ref CI, Bamako, Mali
JOURNAL NAME:
Surgical Science,
Vol.14 No.12,
December
29,
2023
ABSTRACT: Acute intestinal obstructions are defined as a complete and persistent
cessation of materials and gases in a segment of the digestive tract. They
constitute a medical-surgical emergency. Our work aimed to study acute
intestinal obstructions, to determine the hospital frequency, to describe the
aspects (epidemiological, clinical and therapeutic), to analyze the surgical
consequences and to evaluate the cost of the management of obstructions. acute
intestinal infections in the general surgery department of the reference health
center of commune I of Bamako in Mali. Our retrospective, longitudinal and
descriptive study took place from January 1, 2015 to December 31, 2019 in the
general surgery department of the reference health center in commune I of
Bamako. The average age was 47.72 years with extremes of 15 and 78 years and a
standard deviation of 16.07. Our sex ratio (56 men/15 women)
was 3.38. The clinical signs were dominated
by abdominal pain (100%), vomiting (52.9%), cessation of materials and
gases (25.4%) and meteorism (35.3%). The main etiologies found intraoperatively
were strangulated hernia (54.9%), bands and/or adhesions (21.1%), sigmoid
volvulus (12.7%), colorectal tumor (7%), small bowel volvulus (2.8%) and acute
intestinal intussusception (1.4%). Hernia repair was the most performed
surgical procedure, i.e. 54.9%. The
overall mortality rate was 1.4%.