Post-operative Peritonitis: Etiological Aspects and Management at the Kankan Regional Hospital

Koundouno Aly Mampan¹*, Soumaoro LT³, Diallo AA², Keita I¹, Diakite SY², Sylla A², Bucket TM², Doumbouya M¹, Cherif M¹, Sacko M¹, Koundouno S¹, Koundouno SA¹, Camara ST¹, Toure I², Dansoko S¹ and Toure A^3
1General and Visceral Surgery of the Kankan Regional Hospital
²General Surgery of the Donka National Hospital, Conakry University Hospital
³General Surgery of the Ignace Deen National Hospital, Conakry University 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: this study aimed to investigate the aetiological aspects and management of postoperative peritonitis in the surgical department of the Kankan Regional Hospital.

Methodology: this was a 12-month prospective, analytical study of postoperative peritonitis regardless of the location of the initial operation.

Results: out of 737 operations, 50 cases were postoperative peritonitis accounting of 6.78%. The average age was 20.42 years. Women were the most affected (54%). Housewives accounted for 38% and rural women 54%. The initial operation was conducted in private clinics (46%) and health centers (30%). Appendicitis was the initial pathology in 56% of cases, and general practitioners and nurses were the first operators in 64% and 26% of cases respectively. Removal of the appendicular stump was performed by 56% of patients. The operation lasted an average of 95.74 minutes. Follow-up was straightforward in 78% of cases. The average length of stay was 16.4 days. The case fatality rate was 16%.

Conclusion: postoperative peritonitis was frequent and serious. A multicentre study would be necessary to collect data on the aetiological aspects and management.

Keywords: Peritonitis; Post-operative; Hospital; Regional; Kankan

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