Research Article | | Peer-Reviewed

Precose Post-Operative Complications of Abdominal Surgery at the Communal Medical Center of Ratoma (CMC Ratoma)

Received: 23 June 2023     Accepted: 8 August 2023     Published: 20 September 2024
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Abstract

Introduction: Postoperative complications are incidents or accidents that may occur after any surgical intervention. They lead to the aggravation of the previous situation by their morbidity and even their mortality. The objective of this work was to study the early postoperative evolution in the digestive surgery and Maternity departments at the CMC of Ratoma. Methodology: This was a descriptive prospective study over a period of (6) months from July 01, 2021 to December 31, 2021 carried out in the surgery and maternity departments of the Ratoma municipal center. Results: we operated on 403 patients in the surgery and maternity departments of the CMC in Ratoma, of which 50 cases, or 12%, developed early postoperative complications. The age group of 20-30 years was the most affected 22 cases or 44% with an average age of 29.5 years, extremes of 3 years and 85. The female sex was dominant 36 cases or 78% of cases with a sex ratio of 3.5. The majority of patients 26 or 56% were operated on in the maternity ward, where caesarean section was the most performed surgical procedure. Emergencies were represented in 26 cases or 56% of surgical interventions, infection of the surgical site was the most common postoperative complication in 40 cases or 80%. All our suppurated patients benefited from a pus sample for cytobacteriological examination and were treated according to the result of the antibiogram plus local care. 72% of our patients were followed on an outpatient basis. The evolution was favorable in 44 of our patients, i e. 88%, and unfavorable in 6 of our patients, i e. 12%, including ISO, evisceration and death each in 2 cases, i e. a common rate of 4%. Conclusion: Early postoperative complications were frequent at CMC Ratoma. Surgical site infections were the main early OCC presented by the patients. The management was medical and surgical. The evolution was favorable in most cases, however we recorded a few cases of death.

Published in Journal of Surgery (Volume 12, Issue 5)
DOI 10.11648/j.js.20241205.11
Page(s) 105-109
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), 2024. Published by Science Publishing Group

Keywords

Ratoma, CMC, Surgery, Early Postoperative Complications

References
[1] Tonye TA, Essi MJ, Handy E D, Ankouane A, Minka Ngom E, Ngo Nonga B, et al. Early Postoperative Complications in District Hospitals of the City of Yaoundé: Epidemiology and Clinic. Health Sci Dis. 2015; 16(1): 5-6.
[2] Assouto P, Tchaou B, Kangni N, Padonou JL, Lokossou J, Djiconkpodé I, et al. Early post-operative evolution in digestive surgery in a tropical environment. Med Too. 2009; 69(1): 477 9.
[3] COULIBALY Y, KEITA S, DIAKITE I, KANTE L, OUATTARA Y, DIALLO G. EARLY POSTOPERATIVE COMPLICATIONS IN PEDIATRIC SURGERY AT GABRIEL TOURE CHU. 2008, MALI MEDICAL vol. 23. No. 4, 57-59.
[4] Ouangré E, Zida M, Sawadogo YE, Zaré C, Bazongo M, Sam A, et al. Early postoperative complications of acute surgical abdomens in the general and digestive surgery department of Yalgado Ouédraogo University Hospital in Burkina Faso: about 98 cases. Rev Afr Chir Spec 2017; 11: 19–24.
[5] Ahmedou Moulaye Idriss, Yahya Tfeil, Jiddou Sidi Baba, Sid'Ahmed Md Boukhary, Mohamed Abdallahi Deddah. Applicability of the Clavien-Dindo classification in the evaluation of postoperative complications in the surgical clinic of the National Hospital Center of Nouakchott: observational analysis of 834 cases. Pan African Medical Journal. 2019; 33: 254.
[6] Jean Dupont Kemfang Ngowa, Anny Ngassam, Jovanny Tsuala Fouogue, Junie Metogo, Alexis Medou, Jean Marie Kasia. Early maternal complications of caesarean section: about 460 cases in two university hospitals in Yaoundé, Cameroon. Pan African Medical Journal. 2015; 21: 265
[7] Serge Ngoie Yumba, Trésor Kibangula Kasanga, Stéphane Ilunga Arung Kalau Augustin Kibonge Mukakala, David Mutombo Mwembo, Iteke Féfé Rivain, Mukakangala et al. Early postoperative complications in abdominal surgery at the university clinics of Lubumbashi: Frequency, diagnosis and prognosis. International Journal of Surgical Sciences 2021; 5(1): 136-142.
[8] Yobi Alexis Sawadogo, Evelyne Komboigo, Sibraogo Kiemtore, Hyacinthe Zamane, Issa Ouedraogo, Dantola Paul Kain et al. Post-cesarean parietal suppuration at the Yalgado Ouedraogo University Hospital Center, Burkina-Faso: epidemiological, clinical, therapeutic and prognostic aspects. Pan African Medical Journal. 2019; 32: 35.
[9] Traore O et al., Infections of the Operating Site at the Reference Health Center of Commune V of the District of Bamako.: Comparison between Systematic and Iterative Cesareans. Health Sci. Dis: Vol 23 (2). February 2022. pp. 138-142.
[10] Berthé B, Traoré SO, Konaté I, Sogoba D, Tall S, Samake A. Comparative study of infections of the operating site: systematic cesarean versus iterative cesarean at the reference health center of commune V in the district of Bamako/Mali. Rev Mali Infect Microbiol 2019, vol 14. 27-31.
[11] Ngaroua, Joseph Eloundou Ngah, Thomas Bénet, Yaouba Djibrilla. Incidence of surgical site infections in sub-Saharan Africa: systematic review and meta-analysis. Pan African Medical Journal. 2016; 24: 171
[12] L. Mer zougui, N. Marwen, H. Hannachi, et al. Incidence and risk factors of surgical site infection after caesarean section in a maternity hospital in Tunisia. Public Health 2018/3 (Vol. 30), pages 339 to 347.
[13] Traore A et al. Postoperative complications in abdominal surgery at the CHU Gabriel Touré: Medicine from Black Africa. 5801. 2011. 31-35.
[14] JL Kambiré, Souleymane Ouédraogo, Salam Ouédraogo, B Béré, M Zida. Epidemiological and clinical profile of early postoperative complications in abdominal surgery. Jaccr Africa 2021; 5(3): 21-26.
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  • APA Style

    Albert, D. M., Mariame, K. D., II, G. M., Naby, F., Naby, C. S., et al. (2024). Precose Post-Operative Complications of Abdominal Surgery at the Communal Medical Center of Ratoma (CMC Ratoma). Journal of Surgery, 12(5), 105-109. https://doi.org/10.11648/j.js.20241205.11

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    ACS Style

    Albert, D. M.; Mariame, K. D.; II, G. M.; Naby, F.; Naby, C. S., et al. Precose Post-Operative Complications of Abdominal Surgery at the Communal Medical Center of Ratoma (CMC Ratoma). J. Surg. 2024, 12(5), 105-109. doi: 10.11648/j.js.20241205.11

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    AMA Style

    Albert DM, Mariame KD, II GM, Naby F, Naby CS, et al. Precose Post-Operative Complications of Abdominal Surgery at the Communal Medical Center of Ratoma (CMC Ratoma). J Surg. 2024;12(5):105-109. doi: 10.11648/j.js.20241205.11

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  • @article{10.11648/j.js.20241205.11,
      author = {Diawara Mohamed Albert and Keita Doubany Mariame and Guirassy Mariama II and Fofana Naby and Camara Soriba Naby and Fofana Houssein and Toure Aboubacar},
      title = {Precose Post-Operative Complications of Abdominal Surgery at the Communal Medical Center of Ratoma (CMC Ratoma)
    },
      journal = {Journal of Surgery},
      volume = {12},
      number = {5},
      pages = {105-109},
      doi = {10.11648/j.js.20241205.11},
      url = {https://doi.org/10.11648/j.js.20241205.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20241205.11},
      abstract = {Introduction: Postoperative complications are incidents or accidents that may occur after any surgical intervention. They lead to the aggravation of the previous situation by their morbidity and even their mortality. The objective of this work was to study the early postoperative evolution in the digestive surgery and Maternity departments at the CMC of Ratoma. Methodology: This was a descriptive prospective study over a period of (6) months from July 01, 2021 to December 31, 2021 carried out in the surgery and maternity departments of the Ratoma municipal center. Results: we operated on 403 patients in the surgery and maternity departments of the CMC in Ratoma, of which 50 cases, or 12%, developed early postoperative complications. The age group of 20-30 years was the most affected 22 cases or 44% with an average age of 29.5 years, extremes of 3 years and 85. The female sex was dominant 36 cases or 78% of cases with a sex ratio of 3.5. The majority of patients 26 or 56% were operated on in the maternity ward, where caesarean section was the most performed surgical procedure. Emergencies were represented in 26 cases or 56% of surgical interventions, infection of the surgical site was the most common postoperative complication in 40 cases or 80%. All our suppurated patients benefited from a pus sample for cytobacteriological examination and were treated according to the result of the antibiogram plus local care. 72% of our patients were followed on an outpatient basis. The evolution was favorable in 44 of our patients, i e. 88%, and unfavorable in 6 of our patients, i e. 12%, including ISO, evisceration and death each in 2 cases, i e. a common rate of 4%. Conclusion: Early postoperative complications were frequent at CMC Ratoma. Surgical site infections were the main early OCC presented by the patients. The management was medical and surgical. The evolution was favorable in most cases, however we recorded a few cases of death.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Precose Post-Operative Complications of Abdominal Surgery at the Communal Medical Center of Ratoma (CMC Ratoma)
    
    AU  - Diawara Mohamed Albert
    AU  - Keita Doubany Mariame
    AU  - Guirassy Mariama II
    AU  - Fofana Naby
    AU  - Camara Soriba Naby
    AU  - Fofana Houssein
    AU  - Toure Aboubacar
    Y1  - 2024/09/20
    PY  - 2024
    N1  - https://doi.org/10.11648/j.js.20241205.11
    DO  - 10.11648/j.js.20241205.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 105
    EP  - 109
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20241205.11
    AB  - Introduction: Postoperative complications are incidents or accidents that may occur after any surgical intervention. They lead to the aggravation of the previous situation by their morbidity and even their mortality. The objective of this work was to study the early postoperative evolution in the digestive surgery and Maternity departments at the CMC of Ratoma. Methodology: This was a descriptive prospective study over a period of (6) months from July 01, 2021 to December 31, 2021 carried out in the surgery and maternity departments of the Ratoma municipal center. Results: we operated on 403 patients in the surgery and maternity departments of the CMC in Ratoma, of which 50 cases, or 12%, developed early postoperative complications. The age group of 20-30 years was the most affected 22 cases or 44% with an average age of 29.5 years, extremes of 3 years and 85. The female sex was dominant 36 cases or 78% of cases with a sex ratio of 3.5. The majority of patients 26 or 56% were operated on in the maternity ward, where caesarean section was the most performed surgical procedure. Emergencies were represented in 26 cases or 56% of surgical interventions, infection of the surgical site was the most common postoperative complication in 40 cases or 80%. All our suppurated patients benefited from a pus sample for cytobacteriological examination and were treated according to the result of the antibiogram plus local care. 72% of our patients were followed on an outpatient basis. The evolution was favorable in 44 of our patients, i e. 88%, and unfavorable in 6 of our patients, i e. 12%, including ISO, evisceration and death each in 2 cases, i e. a common rate of 4%. Conclusion: Early postoperative complications were frequent at CMC Ratoma. Surgical site infections were the main early OCC presented by the patients. The management was medical and surgical. The evolution was favorable in most cases, however we recorded a few cases of death.
    
    VL  - 12
    IS  - 5
    ER  - 

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Author Information
  • Surgery Department of the Ratoma Communal Medical Center, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • General Surgery Department Ignace Deen, National Hospital, Faculty of Health Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • General Surgery Department Ignace Deen, National Hospital, Faculty of Health Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • General Surgery Department Ignace Deen, National Hospital, Faculty of Health Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery, Friendship Hospital Sino Guinean, Faculty of Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • General Surgery Department Ignace Deen, National Hospital, Faculty of Health Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • General Surgery Department Ignace Deen, National Hospital, Faculty of Health Sciences and Health Technic, Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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