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Problem of the Care of Digestive Surgical Emergencies at the Visceral Surgery Department of Donka National Hospital in Conakry

Received: 21 December 2020     Accepted: 29 December 2020     Published: 9 February 2021
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Abstract

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.

Published in Advances in Surgical Sciences (Volume 9, Issue 1)
DOI 10.11648/j.ass.20210901.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Emergency, Digestive Surgery, Management

References
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[3] Dr Jean Marc Hoany. Urgences en chirurgie digestive, service de chirurgie digestive et générale CHI de Raincy MontFerrail. 0141708110, Cours IFSI de maison Blanche, Mai2005.
[4] Lebeau R., Diané B., Kassi ABF, Yénon KS, Kouassi JC. Urgences abdominales digestives Non traumatiques chez les sujets âgés au CHU de Cocody, cote d’ivoire: étiologie et résultats thérapeutiques. Med Trop. 2011; 71: 24-44.
[5] HarissouA., Amadou MM., Oumarou Hetal. Retard diagnostique et implication pronostique en Milieu Africain. Cas des urgences en chirurgie digestive à l ’hôpital national de Zinder, Niger. E uropean Scientific, 2015; 11, (12): 1857-788.
[6] Cassina Petal. Dieeffezienz der chirurgishengrund diaggnostukbein adominal schmerz. Der Chirurg 1996; 67: 245-260.
[7] Solagberu B A, Duze A. T, Kuranga A O, Ofoegbu CK, O delowo E O. Surgical Emergencies in university hospital. Niger prostgrad Med J 2005; 10 (3): 140-143.
[8] Chaibou MS, Sani R, Daddy H, Kotannou M, Sanoussi S: Prise en charge per opératoire des urgences abdominales aigues à l’hôpital national de Niamey (HNN), Département D’Anesthésie-Réanimation-Urgences-Hôpital National de Niamey- Niger, RAMUR me 17, -(Spécial congrès); 2012, 4: 8
[9] Mushtaq A Mehbood AliS, Stphen L, Philomène DJ, Sifat W. Survey of chirurgical emergencies in the rural population in the Northen areas of Pakistan. Trop Med and Int Health 1999; 12: 846.
[10] A Sima Zué, A Josseaume, D Ngaka Nsafu, L Galoisy-Guibal, JP Carpentier. Les urgences chirurgicales au centre hospitalier de Libreville; annales française d’anesthésie et de Réanimation, 2003; 22-(3): 189-95.
[11] Keita M, Camara B, Goita D, Dicko H, Diallo D, Diallo B: Caractéristiques Épidémiologiques des patients admis à l’unité d’accueil des urgences, Service Anesthésie – Réanimation et des Urgences CHU du Point G-Bamako-, RAMUR me 17, (spécial congrès 2012; 4: 3).
[12] Charles-André Cuenod., Philippe Wind., Nathalie sauve. Diagnostic des urgences abdominales aigues d’origine digestive chez l’adulte: Gastroentérologie, clinique et biologique, 1999; 23 (11): 1170.
[13] N Rasamoelina., T Rajaobelison., M. F Ralahy., A. M Riel. Facteurs de mortalité par les urgences digestives dans le service de réanimation du CHU de Fianarantsoa Madagascar. Revue d’Anesthésie-Réanimation et de Médecine d’Urgence; 2010 2 (2): 10-11.
[14] Gupta SK., Gupta R., Singh G., et al. Perforation peritonitis: a two years’ experience. JK Science, 2010; 3: 141-4
[15] F. ARakotomavo., R. C. N Rakotoarison., H. Randrianambinina., T. Randriamiarana., M. J Randrianambinima. Péritonite aigue: aspects epidemio-clinique et étiologique dans un service des urgences chirurgicales Malgache. A propos de 60 cas. Journal Africaine d’ Hépato-Gastroentérologie 03/2012/; 6 (1). DOI 10.1007.
[16] Y. D. Harouna, I. Abdou, B. Saibou, L. Bazira. Les péritonites en milieu tropical. Particularités étiologiques et facteurs pronostiques actuels-A propos de 160 cas. Médecine d’Afrique Noire 2001; 48 (3): 104-106.
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    Baldé Abdoulaye Korsé, Camara Fodé Lansana, Diakité Saikou Yaya, Baldé Habiboulaye, Camara Soriba Naby, et al. (2021). Problem of the Care of Digestive Surgical Emergencies at the Visceral Surgery Department of Donka National Hospital in Conakry. Advances in Surgical Sciences, 9(1), 1-5. https://doi.org/10.11648/j.ass.20210901.11

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    ACS Style

    Baldé Abdoulaye Korsé; Camara Fodé Lansana; Diakité Saikou Yaya; Baldé Habiboulaye; Camara Soriba Naby, et al. Problem of the Care of Digestive Surgical Emergencies at the Visceral Surgery Department of Donka National Hospital in Conakry. Adv. Surg. Sci. 2021, 9(1), 1-5. doi: 10.11648/j.ass.20210901.11

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    AMA Style

    Baldé Abdoulaye Korsé, Camara Fodé Lansana, Diakité Saikou Yaya, Baldé Habiboulaye, Camara Soriba Naby, et al. Problem of the Care of Digestive Surgical Emergencies at the Visceral Surgery Department of Donka National Hospital in Conakry. Adv Surg Sci. 2021;9(1):1-5. doi: 10.11648/j.ass.20210901.11

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  • @article{10.11648/j.ass.20210901.11,
      author = {Baldé Abdoulaye Korsé and Camara Fodé Lansana and Diakité Saikou Yaya and Baldé Habiboulaye and Camara Soriba Naby and Camara Alpha Kabiné and Baldé Oumar Taibata and Diallo Amadou Dioulde and Barry Alpha Madiou and Sylla Hamidou and Doumbouya Bourlaye and Touré Ibrahima and Diakite Sandaly and Baldé Thierno Mamadou and Soumaoro Labilé Togba and Fofana Houssein and Touré Aboubacar and Diallo Aissatou Taran and Diallo Biro},
      title = {Problem of the Care of Digestive Surgical Emergencies at the Visceral Surgery Department of Donka National Hospital in Conakry},
      journal = {Advances in Surgical Sciences},
      volume = {9},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ass.20210901.11},
      url = {https://doi.org/10.11648/j.ass.20210901.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20210901.11},
      abstract = {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.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Problem of the Care of Digestive Surgical Emergencies at the Visceral Surgery Department of Donka National Hospital in Conakry
    AU  - Baldé Abdoulaye Korsé
    AU  - Camara Fodé Lansana
    AU  - Diakité Saikou Yaya
    AU  - Baldé Habiboulaye
    AU  - Camara Soriba Naby
    AU  - Camara Alpha Kabiné
    AU  - Baldé Oumar Taibata
    AU  - Diallo Amadou Dioulde
    AU  - Barry Alpha Madiou
    AU  - Sylla Hamidou
    AU  - Doumbouya Bourlaye
    AU  - Touré Ibrahima
    AU  - Diakite Sandaly
    AU  - Baldé Thierno Mamadou
    AU  - Soumaoro Labilé Togba
    AU  - Fofana Houssein
    AU  - Touré Aboubacar
    AU  - Diallo Aissatou Taran
    AU  - Diallo Biro
    Y1  - 2021/02/09
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ass.20210901.11
    DO  - 10.11648/j.ass.20210901.11
    T2  - Advances in Surgical Sciences
    JF  - Advances in Surgical Sciences
    JO  - Advances in Surgical Sciences
    SP  - 1
    EP  - 5
    PB  - Science Publishing Group
    SN  - 2376-6182
    UR  - https://doi.org/10.11648/j.ass.20210901.11
    AB  - 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.
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Friendship Hospital Sino-Guinean, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department Thoracic Surgery, Donka National Hospital Faculty of Sciences and Technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital, faculty of sciences and technic of health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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