Post-Operative Follow-Up Of Abdominal Emergencies At The Niamey National Hospital: Research Article

NANZIR SANOUSSI Moutari

doi:10.58372/2835-6276.1191

Authors

NANZIR SANOUSSI Moutari

DOI:

https://doi.org/10.58372/2835-6276.1191

Keywords:

Emergencies, surgery, acute abdomen, Niamey National Hospital, Niger

Abstract

Introduction: Digestive surgical emergency is an important public health problem in terms of morbidity and mortality. It can be seen at any age. The prognosis depends on the precocity of treatment.

Patients and Method: We carried out a prospective, descriptive and cross-sectional study involving 78 post-operative patients who underwent emergency abdominal surgery at the Niamey National Hospital over a period of one month from the ^1stto March 31, 2023. Included in the study were all patients who consulted the emergency department of the HNN, who were operated on and hospitalized in the post-operative, intensive care and visceral surgery departments, during the study period. The variables studied were: Age, sex, origin, personal history and profession, treatment received preoperatively, postoperatively, evolution during treatment, duration of hospitalization and patient outcome. The data were entered and analyzed using Microsoft 2016 and Sphinx.v5 software.

Results: The frequency of surgical emergencies was 3% (n=78) of all admissions to surgical emergency departments. Male patients were the most affected with a frequency of 69.23% (n=54), and a sex ratio of 2.25. The average age of the patients was 27.37 years with extremes ranging from 04 to 74 years. The age group from 21 to 40 was the most represented with a percentage of 52.56% (n=41). The most frequent operative diagnosis was acute peritonitis in 50% (n=39) of cases, followed by acute appendicitis and intestinal obstruction in respectively 21.79 % (n=17) and 7.69 % (n =6). The operative consequences were simple in the majority of cases with a frequency of 75.64 % (n=59). The average length of hospitalization was 10.45 days with extremes ranging from 1 to 21 days.

We deplored a mortality rate of 5.12% (n=4).

Conclusion: Surgical emergencies occupy an important place in surgical pathologies in general, and mainly concern young subjects. Morbidity and mortality still remain high in developing countries. They were mainly linked to a delay in consultation and the lack of technical platforms.

References

Ducombier A. Ethics of emergency surgery in precarious situations Edition pradel (Paris); 1996. 174 p.

Iltireh I. Digestive surgical emergencies: Diagnosis and treatment at the military hospital of Djibouti. Doctoral thesis in medicine, University of Djibouti; 2021: 17-31.

Mahamadou C, Traore D, Togola B. et al. Acute surgical abdomens in Koutiala: diagnosis and treatment; Mali medical 2019 Volume XXXIV No. 4:11.

Camara M, Kone A, Camara T et al. Epidemiological, clinical and therapeutic aspects of abdominal surgical emergencies at the prefectural hospital of Siguiri (Guinea). Health sciences and disease, 2021, Vol 22, pp 81-84.

Soumah SA, Ba PA , Diallo-Owono FK et al . Acute surgical abdomens in an African environment: study of a series of 88 cases at the Saint Jean de Dieu hospital in Thiès. Senegal 2011, volume 13, No. 37: 13.

Koumre A, Traore I, Ongoiba N et al. Appendectomy in Bamako. Ann Chir . 1995; 42:188.

Kambire J, Oueddragao S, Bere B et al. Digestive surgery emergencies at the Regional University Hospital Center of Ouahigouya (Burkina Faso) involving 394 cases. European scientific journal may 2020 vol 16 No. 15: p173.

Ibrahima G, Pope A. Perioperative management of abdominal surgical emergencies in adults at Aristide Le Dantec University Hospital. Pan African Medical journal 2016; 24 P190.

Harissou A, Sani R, Adakal O et al. Diagnostic delay and prognostic implication in the African environment. Cases of digestive surgery emergencies at the Zinder national hospital, Niger. European Journal Scientific Institute; 2013,254.

Fanyo G. Acute abdomen calls for considerable resources analyses, of 3727 in patients in the country of Stockholm during quarter of 1998 zakartiding in pubmed 2000;(37):4002-4012.

N'diayisaba, Bazira L, Gahongano G et al. Assessment of infectious complications in general surgery, analysis of a series of 2218 interventions. Med Afr . Black 1992; 39 (9): 571-573.