Early Interventions in Visceral Surgery: Indications and Results at the Kankan Regional Hospital

Koundouno Aly Mampan¹*, Soumaoro LT², Diallo AA³, Camara Fl³, Diakite SY⁴, Dansoko S¹, Koundouno S¹, Sano L¹, Doumbouya M¹, Cherf M¹, Sacko M¹, Koundouno SA¹, Camara ST¹ and Thiam M^1
1Surgery Department, Kankan Regional Hospital
²General Surgery Department, Ignace Deen National Hospital, Conakry University Hospital
³Visceral Surgery Department, Donka National Hospital, Conakry University Hospital
⁴Surgery Department, Entag Matoto Regional Hospital
*Corresponding Author: Koundouno Aly Mampan, Visceral Surgeon, Assistant Clinical Head of Kankan Regional Hospital.

Published: September 04, 2024

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Abstract  

Introduction: The aim of this study was to investigate the indications and results of early reinterventions in individuals of the abdomen in the general surgery department of HRK.

Material and Methods: This was a one-year prospective study, carried out in the Surgery department of the Kankan Regional Hospital, focusing on early re-interventions regardless of the location of the intervention.

Results: During this period, we operated on 1075 patients, among whom 38 cases required re-laparotomies, representing 3.53%. The average age of our patients was 29.68 years, with extremes of 7 and 75 years, mainly affecting individuals aged between 16-25 years, with a predominance of males. The majority of these patients were initially operated on in private clinics (60.53%) by unqualified personnel (76.32%). Appendicitis was the most involved condition, accounting for 44.73%. Peritonitis (68.42%) followed by digestive fistulas (18.42%) were the main postoperative indications. Clinical signs were dominated by abdominal pain. The main re-intervention procedures were peritoneal lavage (92.11%), drainage (81.58%), release of adhesions or bands (31.58%), and resection + anastomosis (26.32%). We recorded a mortality rate of 23.68%.

Conclusion: Better management of initial pathologies through the strengthening of surgical teams' skills, raising awareness and banning unqualified personnel from health centers, and improving technical facilities could contribute to a better prognosis.

Keywords: Early re-interventions; visceral surgery; indications; results; regional hospital; Kankan

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