Wacha, H., Linder, M.M., Feldmann, U., Wesh, G., Steinfensand, R.A. and Gundlach, E. (1987) The Mannheim Peritonitis Index. An Instrument for the Intraoperative Prognosis of Peritonitis. Chirurgie, 58, 84-92.
https://pubmed.ncbi.nlm.nih.gov/3568820

has been cited by the following article:

• TITLE: The Evolutionary Profile of Patients Operated for Peptic Ulcer Perforation in Bujumbura

  AUTHORS: Jean Claude Mbonicura, Prudence Bukuru, Stanislas Harakandi, Frank Ijeneza, Révérien Ndayirorere, François Nduwimana, Astère Mbonicura

  KEYWORDS: Peritonitis, Peptic Ulcer Perforation, Complications

  JOURNAL NAME: Surgical Science, Vol.15 No.1, January 16, 2024

  ABSTRACT: Background: The evolutionary profile of patients operated for peptic ulcer perforation in Bujumbura. Perforated peptic ulcer is a serious complication of peptic ulcer with potential risk of grave complications. Aim: To study the early morbidity and mortality of surgery for peptic ulcer perforation in Bujumbura City Hall hospitals: Kamenge University Hospital Center (CHUK), Kamenge Military Hospital (HMK) and Prince Louis Rwagasore Clinic (CPLR). Patients and methods: This is a retrospective, descriptive and analytical study carried out in the three hospitals of Bujumbura over a period of three years from January 1, 2020 to December 31, 2022. It involved 57 cases (n = 57) of peptic ulcer perforation. Results: The frequency of surgery for peptic ulcer perforation was 2.7% with a mean age of 43.6 years +/-15.3 years and a male predominance with a sex ratio of 3.7. Eight percent of patients presented with shock, 24.5% were smokers, and 67.9% had taken non steroidal anti-inflammatory drugs. The mean hospital stay was 15.2 days with a standard deviation of 12.1. The morbidity rate was 30.2%, 32% were classified in grade IIIb of the Clavien-Dindo Surgical Complications Scale. There were 9 deaths (17%). Seven patients who underwent surgery and received late consultations died. Conclusion: Surgery for peptic ulcer perforation remains an intervention associated with a high rate of morbidity and mortality in Bujumbura. Surgery for peptic ulcer perforation remains a procedure associated with a high morbidity and mortality rate in Bujumbura. The time before consultation was the only factor associated with early morbidity and mortality of Surgery for peptic ulcer’s perforations.