Management of abdominal surgical emergencies at the Labe regional hospital (guinea)

Abstract

Aim: Was to study the frequency and management of abdominal surgical emergencies received and treated at Labé Regional Hospital.Patients and Methods: This was a prospective, descriptive study, lasting 6 months (April 2022 to September 2022), concerning patients admitted and operated on for abdominal surgical emergencies at the Regional Hospital of Labé, Guinea.Results: During the 6 months, we collected 125 patients operated on for abdominal surgical emergencies, i.e. 29% of the surgical department's activities. The mean age was 31 years (extremes: 2 and 87 years); male predominance (51.2%) with a sex ratio of 1.04. Students were predominant (32.8%). The average consultation time was 5.6 days. Acute appendicitis (55.2%) was the etiology, followed by acute peritonitis (18.4%) and acute intestinal obstruction (11.2%). Surgical approaches were dominated by the McBurney incision (55.2%). Appendectomy was the most common surgical procedure (55.92%). Morbidity was 10.4%, dominated by surgical site infection (9.2%), with an overall mortality rate of 3.2%. Average hospital stay was 7.4±6.9 days.Conclusion: Surgical abdominal emergencies are frequent and predominantly affect the young population. Early management is a determining factor in post-operative outcome.