TITLE:
Management of Pediatric Abdominal Surgical Emergencies in Northern Benin
AUTHORS:
M. G. Yassegoungbe, B. Tamou Sambo, D. M. Seto, M. A. Hodonou, S. B. Noukpozounkou, B. R. Assan, S. A. Allode
KEYWORDS:
Abdominal Surgical Emergency, Pediatrics, Peritonitis, Delay in Surgery
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.10 No.2,
June
3,
2020
ABSTRACT: Background: Pediatric abdominal surgical emergencies are major causes of morbidity
and mortality. The goal was to identify the main determinants of their
management and access to assess their evolution. Patients and methods: This is a prospective, descriptive and analytical study performed at Parakou
teaching hospital and Tanguieta district hospital. It has been conducted from
January 1st to July 31st 2016. All children were included aged 0 to 15 years
and admitted for an abdominal surgical emergency with a Clinical Classification
of Emergency Patients listed from 3 to 5. Results: Pediatric abdominal
surgical emergencies accounted for 42.8% of pediatric surgical emergencies. The
average age was 9.3 ± 3.5 years old. The sex ratio was 1.7. The most
encountered etiologies were peritonitis (36.76%), abdominal trauma (16.17%) and
anorectal malformations (14.71%). The comparison of the delay in operative
treatment with the World Society of Emergency Surgery shows a delay in 82.35%
of cases. Mortality was high preoperatively and was related to the neonatal
period (p = 0.027) and to a resuscitation length of stay higher than 36 hours
(p = 0.035). Conclusion: Surgical care was delayed, mainly due to the
lack of technical capacities. Morbidity and mortality were relatively low.