Epidemio-Clinical and Therapeutic Aspects of Digestive Surgical Emergencies at Fousseyni Daou Hospital in Kayes

Abstract

Introduction: According to the WHO, digestive surgical emergencies are abdominal pain lasting a few hours or days (les s than three) and which are related to a surgical pathology requiring emergency treatment. Digestive surgical emergencies are pathologies which occupy an important place in surgery due to their high frequency, their difficult management, and their high mortality and morbidity rate. Objective: Study the epidemio-clinical and therapeutic aspects of digestive surgical emergencies à the Fousseyni Daou in Kayes Hospital. Patients et Method: This was a prospective and descriptive study from March 2022 to March 2023 in the general surgery department of Fousseyni Daou Hospitol in Kayes. We included in this study all patients operated on for a digestive surgical emergency without distinction of sex or age. Results: The frequency of digestive surgical emergencies was 42.53%. The 10-20 year old age group was most represented with 37%. Abdominal pain was the most fréquent reason for admission with 87%. The site of pain was the right iliac fossa in 35% of cases. Acute appendix was the most common preoperative diagnosis with 37%. In our series, 54% of patients were operated on in les s than 24 hours. Therapeutically, 47% of patients benefited from an appendectomy. In our series, 30% of patients presented with a postoperative complications. We observed 3 cases of death. Conclusion: Digestive surgical emergencies occupy an important place in digestive pathology due to their high frequency at the Fousseyni Daou Hospitol in Kayes. The etiologies are multiple and varied, hence the need for close multidisciplinary collaboration for treatment.