TITLE:
Acute Appendicities in the Reference Health Center of Municipality II of Bamako District
AUTHORS:
Idrissa Tounkara, Boubacar Karembe, Sayon Diakite, Abdoulaye Diarra, Amadou Traore, Konimba Keita, Oumar Ongoiba, Madiassa Konate, Moussa L. Coulibaly, Bakary Coulibaly, Bakary Tientigui Dembele, Adegne Togo
KEYWORDS:
Acute Appendicitis, Clinical Aspects, Appendectomy, Postoperative Effects
JOURNAL NAME:
Surgical Science,
Vol.13 No.5,
May
26,
2022
ABSTRACT: This was a prospective study from January 2019 to December 2019 in the
reference health center of municipality II of the Bamako district. During this
period, we operated on 73 patients for acute appendicitis, including 51 men and
22 women, for a sex ratio of 1.7. The average age was 25.5 with extremes of 1
and 40 years. Abdominal pain was the main reason for consultation. The physical
signs were dominated by the positivity of the Blumberg sign in 97.3% of the
cases, the defense of the right iliac fossa in 79.5%, and the Rovsing sign in
61.6% of the cases. This physical examination made it possible to make the
diagnosis in the majority of cases. In the face of some doubtful cases, we
requested an abdominal ultrasound. Locoregional anesthesia was the most used
anesthesia technique at 72.6%. The classic anterograde appendectomy with stump
burial by Mac Burney was the most commonly used technique, respectively. The
postoperative consequences were straightforward in 87.6%. Anatomopathology
examination was performed on 69 surgical specimens and 4 appendectomy specimens
were not subjected to an anatomo-pathological examination. Phlegmonous
appendicitis was the most common at 63% of cases. Appendicitis remains the most
common surgical emergency in a community setting. The early diagnosis and the
speed of treatment guarantee improvements in the prognosis. The treatment is
mainly surgical.