Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea)

Soumaoro Labile Togba; Fofana Naby; Kondano Saa Yawo; Fofana Houssein; Thea Kokolypé; Toure Aboubacar; Diallo Aissatou Taran

doi:doi:10.11648/j.js.20210905.12

Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea)

Soumaoro Labile Togba, Fofana Naby, Kondano Saa Yawo, Fofana Houssein, Thea Kokolypé, Toure Aboubacar, Diallo Aissatou Taran

Published in Journal of Surgery (Volume 9, Issue 5)

Received: 12 August 2021 Accepted: 3 September 2021 Published: 15 September 2021

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Abstract

Introduction: Cesarean section is one of the most commonly performed surgical procedures in obstetrics and is certainly one of the oldest operations in surgery. The aim of this work was to analyze the post-cesarean surgical complications collected in our department. Methods: This was a retrospective study covering a period of five years (January 2016 to December 2020) on a consecutive series of individual records of patients referred and managed for a post-Cesarean surgical complications in the general surgery department of the Ignace Deen National Hospital of Conakry. Cases of complications occurring within 30 days after cesarean section were included in this study. Results: We collected 149 cases of early surgical complications after cesarean section. The mean age of the patients was 29.25±03 years. The majority of the patients were women from poor social backgrounds (74,50%). Peritonitis (51.01%), intestinal obstruction (19.46%) and surgical site infection (16.78%) were the most noted complications. In the management of these complications, relaparotomy was necessary in 79.19% of cases. The overall mortality rate was 14.09%. Conclusion: The reinforcement of prenatal consultation, the continuous training of health care personnel, and the improvement of the technical facilities of our hospitals are desired to reduce these complications.

Published in	Journal of Surgery (Volume 9, Issue 5)
DOI	10.11648/j.js.20210905.12
Page(s)	226-229
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Cesarean Section, Early Surgical Complications, Management, Conakry, Guinea

References

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[2]	Ngowa JDK, Ngassam A, Fouogue JT, Metogo J, Medou A, Kasia JM (2015) Early maternal complications of cesarean section: report of 460 cases in two university hospital of Yaoundé, Cameroun. Pan African Medical Journal 21: 265 doi: 10.11604/pamj.2015.21.265.6967.
[3]	Anonymous Déclaration de l’OMS sur les taux de césarienne, www.who.int/reproductivehealth.
[4]	Diawara A, Sangho H, Tangara I, Cissé MO, Traoré MN, Konaté S (2014) Postopérative complications and free cesarean section in Mali: case of a health district. Mali Medical 24 (1): 40-43.
[5]	Sawadogo YA, Komboigo E, Kiemtore S, Zamane H, Ouedraogo I, Kain DP, Toure B, Ouedraogo C, Ouedraogo A, Thieba B (2019) Parietal suppurations after cesarean section at the Yalgado Ouédraogo University Hospital, Burkina Faso: epidemiological clinical, therapeutic and prognostic aspects Pan African Medical Journal 32: 35. doi: 10.11604/pamj.2019.32.35.17167.
[6]	Sway A, Nthumba P, Solomkin J, Tarchini G, Gibbs R, Ran Y, Wanyoro A (2019). Burden of surgical site infection following cesarean section in sub-Saharan Africa: a narrative review International Journal of Women’s Health 11: 309–318.
[7]	Delamou A, Camara BS, Sidibé S et al. (2015) Free Obstetric Care: Opinions of beneficiaries in Conakry city (Guinea) Guinée Médicale 87 (2): 4-11.
[8]	Conroy K, Koenig AF, Yu Y, Courtney A, Lee HJ, Morwitz ER (2012) Infectious morbidity after cesarean delivery: 10 strategies to reduce risk. Rev obstet Gynecol. 5 (2): 6977.
[9]	Farret TCF, Dallé J, Monteiro V, Riche CVW, Antonello VS (2015) Risk factors for surgical site infection following cesarean section in a Brazilian Women's Hospital: a case-control study. Braz J Infect Dis 19 (2): 113-7.
[10]	Vjosa A. Zejnullahu, Rozalinda Isjanovska, Zana Sejfija and Valon A. Zejnullahu (2019) Surgical site infections after cesarean sections at the University Clinical Center of Kosovo: rates, microbiological profile and risk factors. BMC Infectious Diseases 19: 752 https://doi.org/10.1186/s12879-019-4383-7.
[11]	Holmer H, kamara MM, Bolkan HA et al. (2019) The rate and perioperative mortality of caesarean section in Sierra Leone. BMJ Global Health; 0016505. Doi: 10.1136/bmjgh-2019-001605.
[12]	Kinenkinda X, Mukulu O, Chenge F, Kakudji P (2017) Risk factors for maternal and perinatal mortality among women undergoing cesarean section in Lubumbashi, Democratic Republic of Congo II. Pan African Medical Journal; 26: 208 doi: 10.11604/pamj.2017.26.208.12148.
[13]	Lang’at E, Mwanri L and Temmerman M (2019) Effects of implementing free maternity service policy in Kenya: an interrupted time series analysis. BMC Health Services Research 19: 645 https://doi.org/10.1186/s12913-019-4462-x.
[14]	Kranti Suresh Vora, Sandul Yasobant, Raja Sengupta, Ayesha De Costa, Ashish Upadhyay, DileepV. Mavalankar (2015). Options for Optimal Coverage of Free C- Section Services for Poor Mothers in Indian State of Gujarat: Location Allocation Analysis Using GIS. PLoS ONE 10 (9): e0137122. doi: 10.1371/journal.pone.0137122.
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Soumaoro Labile Togba, Fofana Naby, Kondano Saa Yawo, Fofana Houssein, Thea Kokolypé, et al. (2021). Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea). Journal of Surgery, 9(5), 226-229. https://doi.org/10.11648/j.js.20210905.12

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ACS Style

Soumaoro Labile Togba; Fofana Naby; Kondano Saa Yawo; Fofana Houssein; Thea Kokolypé, et al. Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea). J. Surg. 2021, 9(5), 226-229. doi: 10.11648/j.js.20210905.12

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AMA Style

Soumaoro Labile Togba, Fofana Naby, Kondano Saa Yawo, Fofana Houssein, Thea Kokolypé, et al. Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea). J Surg. 2021;9(5):226-229. doi: 10.11648/j.js.20210905.12

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@article{10.11648/j.js.20210905.12,
  author = {Soumaoro Labile Togba and Fofana Naby and Kondano Saa Yawo and Fofana Houssein and Thea Kokolypé and Toure Aboubacar and Diallo Aissatou Taran},
  title = {Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea)},
  journal = {Journal of Surgery},
  volume = {9},
  number = {5},
  pages = {226-229},
  doi = {10.11648/j.js.20210905.12},
  url = {https://doi.org/10.11648/j.js.20210905.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210905.12},
  abstract = {Introduction: Cesarean section is one of the most commonly performed surgical procedures in obstetrics and is certainly one of the oldest operations in surgery. The aim of this work was to analyze the post-cesarean surgical complications collected in our department. Methods: This was a retrospective study covering a period of five years (January 2016 to December 2020) on a consecutive series of individual records of patients referred and managed for a post-Cesarean surgical complications in the general surgery department of the Ignace Deen National Hospital of Conakry. Cases of complications occurring within 30 days after cesarean section were included in this study. Results: We collected 149 cases of early surgical complications after cesarean section. The mean age of the patients was 29.25±03 years. The majority of the patients were women from poor social backgrounds (74,50%). Peritonitis (51.01%), intestinal obstruction (19.46%) and surgical site infection (16.78%) were the most noted complications. In the management of these complications, relaparotomy was necessary in 79.19% of cases. The overall mortality rate was 14.09%. Conclusion: The reinforcement of prenatal consultation, the continuous training of health care personnel, and the improvement of the technical facilities of our hospitals are desired to reduce these complications.},
 year = {2021}
}

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TY - JOUR
T1 - Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea)
AU - Soumaoro Labile Togba
AU - Fofana Naby
AU - Kondano Saa Yawo
AU - Fofana Houssein
AU - Thea Kokolypé
AU - Toure Aboubacar
AU - Diallo Aissatou Taran
Y1 - 2021/09/15
PY - 2021
N1 - https://doi.org/10.11648/j.js.20210905.12
DO - 10.11648/j.js.20210905.12
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 226
EP - 229
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.20210905.12
AB - Introduction: Cesarean section is one of the most commonly performed surgical procedures in obstetrics and is certainly one of the oldest operations in surgery. The aim of this work was to analyze the post-cesarean surgical complications collected in our department. Methods: This was a retrospective study covering a period of five years (January 2016 to December 2020) on a consecutive series of individual records of patients referred and managed for a post-Cesarean surgical complications in the general surgery department of the Ignace Deen National Hospital of Conakry. Cases of complications occurring within 30 days after cesarean section were included in this study. Results: We collected 149 cases of early surgical complications after cesarean section. The mean age of the patients was 29.25±03 years. The majority of the patients were women from poor social backgrounds (74,50%). Peritonitis (51.01%), intestinal obstruction (19.46%) and surgical site infection (16.78%) were the most noted complications. In the management of these complications, relaparotomy was necessary in 79.19% of cases. The overall mortality rate was 14.09%. Conclusion: The reinforcement of prenatal consultation, the continuous training of health care personnel, and the improvement of the technical facilities of our hospitals are desired to reduce these complications.
VL - 9
IS - 5
ER -

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Author Information

Soumaoro Labile Togba

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Fofana Naby

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Kondano Saa Yawo

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Fofana Houssein

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Thea Kokolypé

Department of General Surgery, Regional Hospital, N’Zérékoré, Guinea
Toure Aboubacar

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea
Diallo Aissatou Taran

Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

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APA Style

Soumaoro Labile Togba, Fofana Naby, Kondano Saa Yawo, Fofana Houssein, Thea Kokolypé, et al. (2021). Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea). Journal of Surgery, 9(5), 226-229. https://doi.org/10.11648/j.js.20210905.12

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ACS Style

Soumaoro Labile Togba; Fofana Naby; Kondano Saa Yawo; Fofana Houssein; Thea Kokolypé, et al. Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea). J. Surg. 2021, 9(5), 226-229. doi: 10.11648/j.js.20210905.12

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AMA Style

Soumaoro Labile Togba, Fofana Naby, Kondano Saa Yawo, Fofana Houssein, Thea Kokolypé, et al. Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea). J Surg. 2021;9(5):226-229. doi: 10.11648/j.js.20210905.12

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@article{10.11648/j.js.20210905.12,
  author = {Soumaoro Labile Togba and Fofana Naby and Kondano Saa Yawo and Fofana Houssein and Thea Kokolypé and Toure Aboubacar and Diallo Aissatou Taran},
  title = {Post-cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea)},
  journal = {Journal of Surgery},
  volume = {9},
  number = {5},
  pages = {226-229},
  doi = {10.11648/j.js.20210905.12},
  url = {https://doi.org/10.11648/j.js.20210905.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210905.12},
  abstract = {Introduction: Cesarean section is one of the most commonly performed surgical procedures in obstetrics and is certainly one of the oldest operations in surgery. The aim of this work was to analyze the post-cesarean surgical complications collected in our department. Methods: This was a retrospective study covering a period of five years (January 2016 to December 2020) on a consecutive series of individual records of patients referred and managed for a post-Cesarean surgical complications in the general surgery department of the Ignace Deen National Hospital of Conakry. Cases of complications occurring within 30 days after cesarean section were included in this study. Results: We collected 149 cases of early surgical complications after cesarean section. The mean age of the patients was 29.25±03 years. The majority of the patients were women from poor social backgrounds (74,50%). Peritonitis (51.01%), intestinal obstruction (19.46%) and surgical site infection (16.78%) were the most noted complications. In the management of these complications, relaparotomy was necessary in 79.19% of cases. The overall mortality rate was 14.09%. Conclusion: The reinforcement of prenatal consultation, the continuous training of health care personnel, and the improvement of the technical facilities of our hospitals are desired to reduce these complications.},
 year = {2021}
}

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