TITLE:
Appendicular Peritonitis in the General Surgery Department of Gabriel TOURE CHU
AUTHORS:
Maïga Amadou, Diakité Ibrahima, Bah Amadou, Diallo Aly Boubacar, Traoré Bathio, Moussa Diassana, Sidibé Boubacar Yoro, Koné Tani, Doumbia Arouna Adama, Traoré Amadou, Saye Zakari, Saadé Oumou Hélène, Kanté Lassana, Konaté Madiassa, Dembélé Souleymane, Samaké Moussa, Dembélé Bakary Tientigui, Traoré Alhassane, Togo Adégné
KEYWORDS:
Appendicular Peritonitis, Surgical Emergencies, Hospital of Sikasso
JOURNAL NAME:
Surgical Science,
Vol.13 No.1,
January
10,
2022
ABSTRACT: The appendicular peritonitis is complications of acute appendicitis which
are characterized by the diffusion of the infectious process to the peritoneal
cavity thus carrying out a generalized or
located purulent peritonitis. It can appear from the start or follow the stage
of appendicular abscess. Our objectives were to determine the frequency, to describe the clinic
and para clinic aspects, to identify the principal germs and their
sensitivities to antibiotics and to describe the operative continuations. Our prospective and descriptive study focused on
patients treated for appendicular peritonitis, from January 1st to
December 31st 2016, in the General Surgery Department of the Hospital
of Sikasso. During the period of our study, 31 cases of
appendicular peritonitis were collected, which represented 4.36% of surgical interventions, 19.25%
of urgent surgeries. The male sex accounted for 71.0% with a sex-ratio of
2.44 at the risk of males, the average age was of 20 years ± 12.99, the abdominal pain + vomiting was the
reason for consultation in 54.8% of cases. The physical examination allowed in
most cases to make the diagnosis. In doubtful cases some
additional examinations have been requested (abdomen without preparation,
abdominal ultrasound). The surgical treatment consisted of an appendectomy with peritoneal
lavage followed by drainage. The
average length of hospital stay was 8.8 days with extremes of 1 - 44
days. Hospital mortality was 9.7%. Delay in consultation and age were factors
of morbidity and high mortality.