Purpose: Postoperative peritonitis is a peritoneal infection that complicates an intraperitoneal surgical procedure within one month. The purpose of this study was to determine the frequency, describe the clinical and therapeutic aspects of postoperative peritonitis. Patients and methods: This was a prospective study of descriptive type, lasting two years (January 1, 2020 to December 31, 2021) carried out in the general surgery department of the Ignace Deen National Hospital of Conakry. It included all patients received and operated on in the department for postoperative peritonitis, regardless of the origin of the initial operation. Results: We collected 32 cases of postoperative peritonitis with an average age of our patients of 33.75 years. Fifty-seven point fourteen percent of our patients were diabetic. Appendectomy was the most performed initial procedure with a rate of 40.62% followed by acute intestinal obstruction (18.75%). Clinical signs were dominated by abdominal pain (100%), abdominal contracture (100%), fever (100%) and painful douglas (84.38%). The average time to management of our patients was 12.53 days. The management was medico-surgical and we performed median laparotomy above and below the umbilical in all our patients. The etiologies were dominated by anastomotic leakage (56.25%), subphrenic abcess (25%), digestive fistulas (18.75%). The surgical gesture consist temporary stoma (n=11) followed by a refection of anastomosis (n=7) and intestinal resection/anastomosis (n=4). Peritoneal washing and drainage were performed in all cases. The average duration of hospitalization was 18 days. We recorded 9 cases of death (28.13%). Conclusion: Post-operative peritonitis is a condition with a high mortality rate. Management must be multidisciplinary to improve the prognosis.
| Published in | Journal of Surgery (Volume 10, Issue 3) |
| DOI | 10.11648/j.js.20221003.12 |
| Page(s) | 104-106 |
| 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), 2022. Published by Science Publishing Group |
Peritonitis, Postoperative, Digestive Fistula, Anastomoses
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APA Style
Naby Laye Youssouf Camara, Naby Fofana, Labile Togba Soumaoro, Saa Yawo Kondano, Djouma Bailo Kante, et al. (2022). Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. Journal of Surgery, 10(3), 104-106. https://doi.org/10.11648/j.js.20221003.12
ACS Style
Naby Laye Youssouf Camara; Naby Fofana; Labile Togba Soumaoro; Saa Yawo Kondano; Djouma Bailo Kante, et al. Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. J. Surg. 2022, 10(3), 104-106. doi: 10.11648/j.js.20221003.12
AMA Style
Naby Laye Youssouf Camara, Naby Fofana, Labile Togba Soumaoro, Saa Yawo Kondano, Djouma Bailo Kante, et al. Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. J Surg. 2022;10(3):104-106. doi: 10.11648/j.js.20221003.12
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Download@article{10.11648/j.js.20221003.12,
author = {Naby Laye Youssouf Camara and Naby Fofana and Labile Togba Soumaoro and Saa Yawo Kondano and Djouma Bailo Kante and Boubacar Barry and Alseny Diallo and Aboubacar Toure and Aissatou Taran Diallo},
title = {Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea},
journal = {Journal of Surgery},
volume = {10},
number = {3},
pages = {104-106},
doi = {10.11648/j.js.20221003.12},
url = {https://doi.org/10.11648/j.js.20221003.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221003.12},
abstract = {Purpose: Postoperative peritonitis is a peritoneal infection that complicates an intraperitoneal surgical procedure within one month. The purpose of this study was to determine the frequency, describe the clinical and therapeutic aspects of postoperative peritonitis. Patients and methods: This was a prospective study of descriptive type, lasting two years (January 1, 2020 to December 31, 2021) carried out in the general surgery department of the Ignace Deen National Hospital of Conakry. It included all patients received and operated on in the department for postoperative peritonitis, regardless of the origin of the initial operation. Results: We collected 32 cases of postoperative peritonitis with an average age of our patients of 33.75 years. Fifty-seven point fourteen percent of our patients were diabetic. Appendectomy was the most performed initial procedure with a rate of 40.62% followed by acute intestinal obstruction (18.75%). Clinical signs were dominated by abdominal pain (100%), abdominal contracture (100%), fever (100%) and painful douglas (84.38%). The average time to management of our patients was 12.53 days. The management was medico-surgical and we performed median laparotomy above and below the umbilical in all our patients. The etiologies were dominated by anastomotic leakage (56.25%), subphrenic abcess (25%), digestive fistulas (18.75%). The surgical gesture consist temporary stoma (n=11) followed by a refection of anastomosis (n=7) and intestinal resection/anastomosis (n=4). Peritoneal washing and drainage were performed in all cases. The average duration of hospitalization was 18 days. We recorded 9 cases of death (28.13%). Conclusion: Post-operative peritonitis is a condition with a high mortality rate. Management must be multidisciplinary to improve the prognosis.},
year = {2022}
}
TY - JOUR T1 - Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea AU - Naby Laye Youssouf Camara AU - Naby Fofana AU - Labile Togba Soumaoro AU - Saa Yawo Kondano AU - Djouma Bailo Kante AU - Boubacar Barry AU - Alseny Diallo AU - Aboubacar Toure AU - Aissatou Taran Diallo Y1 - 2022/05/12 PY - 2022 N1 - https://doi.org/10.11648/j.js.20221003.12 DO - 10.11648/j.js.20221003.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 104 EP - 106 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20221003.12 AB - Purpose: Postoperative peritonitis is a peritoneal infection that complicates an intraperitoneal surgical procedure within one month. The purpose of this study was to determine the frequency, describe the clinical and therapeutic aspects of postoperative peritonitis. Patients and methods: This was a prospective study of descriptive type, lasting two years (January 1, 2020 to December 31, 2021) carried out in the general surgery department of the Ignace Deen National Hospital of Conakry. It included all patients received and operated on in the department for postoperative peritonitis, regardless of the origin of the initial operation. Results: We collected 32 cases of postoperative peritonitis with an average age of our patients of 33.75 years. Fifty-seven point fourteen percent of our patients were diabetic. Appendectomy was the most performed initial procedure with a rate of 40.62% followed by acute intestinal obstruction (18.75%). Clinical signs were dominated by abdominal pain (100%), abdominal contracture (100%), fever (100%) and painful douglas (84.38%). The average time to management of our patients was 12.53 days. The management was medico-surgical and we performed median laparotomy above and below the umbilical in all our patients. The etiologies were dominated by anastomotic leakage (56.25%), subphrenic abcess (25%), digestive fistulas (18.75%). The surgical gesture consist temporary stoma (n=11) followed by a refection of anastomosis (n=7) and intestinal resection/anastomosis (n=4). Peritoneal washing and drainage were performed in all cases. The average duration of hospitalization was 18 days. We recorded 9 cases of death (28.13%). Conclusion: Post-operative peritonitis is a condition with a high mortality rate. Management must be multidisciplinary to improve the prognosis. VL - 10 IS - 3 ER -
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