TITLE:
Digestive Surgical Emergencies in the General Surgery Department of the Reference Health Center in Commune I of the District of Bamako in Mali
AUTHORS:
Cheickna Tounkara, Yacouba Fane, Oumar Amadou Malle, Siaka Diarra, Modibo Sanogo, Modibo Togola, Bakary Keita, Hamidou Samake, Bakary Tientigui Dembele, Alhassane Traore, Adégné Pierre Togo, Lassana Kante, Zimogo Zié Sanogo, Djibril Sangare
KEYWORDS:
Emergency, Digestive Surgery, Post-Operative Complication
JOURNAL NAME:
Surgical Science,
Vol.14 No.10,
October
27,
2023
ABSTRACT: Digestive surgical emergencies concern all patients
admitted urgently and for whom a decision for surgical intervention may be
necessary within 24 hours. They are on guard duty day and night. To carry out
this work we have set ourselves the following objectives: Study digestive
surgical emergencies in the general surgery department of the Cs ref CI of Bamako;
Determine the frequency of digestive surgical emergencies; Describe the clinical and therapeutic aspects, and
Analyze the results of treatment. From January 2016 to December 2016, the
general surgery department of the Cs ref CI of Bamako carried out 200 digestive
surgical emergencies whose files were usable; 119 men and 81 women, a sex ratio
of 1.5. The average age was 32.67 years; 66% medical evacuation. Abdominal pain
was the main reason for consultation. In the majority of cases, the physical
examination made it possible to make the diagnosis. Faced with certain doubtful
cases, we requested paraclinical examinations (ultrasound, ASP and the rhesus group).
The main etiology was acute appendicitis with 59% of cases. The frequency of
digestive surgical emergencies was 35.1% of all activities of the general
surgery department of the Cs ref CI of Bamako. The postoperative course was
complicated in 4% of cases. Surgical site infections were the most common
postoperative complications, accounting for 3% of our patients. One death was
noted, i.e. 0.5% of our sample. Acute
peritonitis was the cause of death in 100% of cases.