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SAS Journal of Surgery | Volume-3 | Issue-08
Epidemiological and Diagnostic Aspects of Abdominal Surgical Emergencies in a Developing Country
Allodé SA, Hodonou MA, Tamou-Sambo BE, Séto DM, Houéto GR, Aloukoutou YK, Mensah E
Published: Aug. 30, 2017 |
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DOI: 10.36347/sasjs
Pages: 229-232
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Abstract
Abdominal surgical emergencies are a public health problem. This study aimed to investigate the
epidemiological aspects of abdominal surgical emergencies, the different types and their causes. It has been achieved in
northern Benin in the general surgery departments of the teaching hospital of Parakou and Boko district hospital. It was a
transversal and descriptive study with a prospective data collection from April 20th to September 20th 2015. All patients
whose diagnosis was confirmed at laparotomy were included in the study. In five months, 96 patients were admitted for
abdominal surgical emergencies out of a total of 394 patients who had a surgical emergency, so 24.4%. The mean age of
the patients was 29 ± 16.4 years and the sex ratio was 2.4. The mean elapsed time from the onset of the emergency to the
arrival of the patient to the consultation was 5 days ± 6. Non-traumatic abdominal surgical emergencies accounted for
89.6% and the traumatic ones 10.4%. The most common disorders of Non-traumatic abdominal surgical emergencies
were peritonitis (33.3%), incarcerated hernia (22.9%) and appendicitis (21.9%). For traumatic abdominal surgical
emergencies, it was peritonitis due to intestinal perforation in 4 patients followed by hemoperitoneum due to hepatic
wound or splenic rupture in 3 patients each one. Abdominal surgical emergencies are common in the surgery departments
of the teaching hospital of Parakou and Boko district hospital dominated by non-traumatic ones, with peritonitis in the
forefront.