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Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea

Received: 13 April 2022     Accepted: 27 April 2022     Published: 12 May 2022
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Abstract

Purpose: Postoperative peritonitis is a peritoneal infection that complicates an intraperitoneal surgical procedure within one month. The purpose of this study was to determine the frequency, describe the clinical and therapeutic aspects of postoperative peritonitis. Patients and methods: This was a prospective study of descriptive type, lasting two years (January 1, 2020 to December 31, 2021) carried out in the general surgery department of the Ignace Deen National Hospital of Conakry. It included all patients received and operated on in the department for postoperative peritonitis, regardless of the origin of the initial operation. Results: We collected 32 cases of postoperative peritonitis with an average age of our patients of 33.75 years. Fifty-seven point fourteen percent of our patients were diabetic. Appendectomy was the most performed initial procedure with a rate of 40.62% followed by acute intestinal obstruction (18.75%). Clinical signs were dominated by abdominal pain (100%), abdominal contracture (100%), fever (100%) and painful douglas (84.38%). The average time to management of our patients was 12.53 days. The management was medico-surgical and we performed median laparotomy above and below the umbilical in all our patients. The etiologies were dominated by anastomotic leakage (56.25%), subphrenic abcess (25%), digestive fistulas (18.75%). The surgical gesture consist temporary stoma (n=11) followed by a refection of anastomosis (n=7) and intestinal resection/anastomosis (n=4). Peritoneal washing and drainage were performed in all cases. The average duration of hospitalization was 18 days. We recorded 9 cases of death (28.13%). Conclusion: Post-operative peritonitis is a condition with a high mortality rate. Management must be multidisciplinary to improve the prognosis.

Published in Journal of Surgery (Volume 10, Issue 3)
DOI 10.11648/j.js.20221003.12
Page(s) 104-106
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), 2022. Published by Science Publishing Group

Keywords

Peritonitis, Postoperative, Digestive Fistula, Anastomoses

References
[1] Mallebant Y, Dupont H, Mahjoub Y. Infection abdominale aigue. [Acute abdominal infection]. Médical 2007; 215.
[2] Martinez-Casas I, Sancho JJ, Nve E, Pons MJ, Membrilla E, Grande L. Preoperative risk factors for mortality after relaparotomy: analysis of 254 patients. Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie 2010: 395; 527-534.
[3] Levy E, Frileux P, Parc R, Hannoun L, Nordlinger B, Gugnenc P, Loygue J. Péritonites postopératoires. Données communes. [Postoperative peritonitis: common data]. Ann Chir 1985; 39: 603-12.
[4] Traoré A, Dembélé BT, Togo A, Kanté L, Konaté M, Diakité I et al. Post-Operative Peritonitis: Diagnostic Problems, Morbidity and Mortality in Developing Countries. Surgical Science 2014; 5: 363-367.
[5] Coulibaly B, Togola B, Traoré D, Coulibaly M, Diallo S, Sanogo S et al. Péritonites postopératoires dans le service de chirurgie B du CHU du point G. [Postoperative peritonitis in the surgical department B of Point G University hospital]. Mali Medical 2013; 3: 10-12.
[6] Mariette C. Principes de prise en charge chirurgicale des péritonites post opératoires [Principles of management of postoperative peritonitis]. Journal de Chirurgie 2006; 143: 84-87.
[7] Mulari K. and Leppäniemi A. Severe Secondary Peritonitis Following Gastrointestinal Tract Perforation. Scandinavian Journal of Surgery 2004; 93: 204-208.
[8] Nabil. T. Les critères pronostiques des péritonites postopératoires. [Prognosis criteria of postoperative peritoitis]. Maroc Médical 2019; 46: 2-144.
[9] Hutchins RR, Gunning MP, Lucas DN, Allen-Mersh TG, Soni NC. Relaparotomy for Suspected Intraperitoneal Sepsis after Abdominal Surgery. World Journal of Surgery 2004; 28: 137-141.
[10] Bader FG, Schroder M, Kujath P, Muhl E, Bruch HP, Eckmann C. Diffuse Postoperative Peritonitis. Value of Diagnostic Parameters and Impact of Early Indication for Relaparatomy. European Journal of Medical Research 2009; 14: 491-496.
[11] Augustin P, Kermarrec N, Muller-Serieys C, Muller-Serieys C, Lasocki S, Chosidow D, Marmuse JP et al. Risk Factors for Multidrug Resistant Bacteria and Optimization of Empirical Antibiotic Therapy in Postoperative Peritonitis. Critical Care 2010; 14: R20.
[12] Draghici L, Drăghici I, Ungureanu A, Copăescu C, Popescu M, and Dragomirescu C. Laparoscopic surgery complications: Post operative peritonitis. IN Journal of medicine and life 2012; (5): 288-296.
[13] Chichom A, Tchounzou R, Essomba A, et al. Ré interventions de chirurgie abdominale en milieu défavorisé: Indications et suites opératoires (238 cas). [Abdominal surgery re-intervention in resource limited setting: indications and outcome (238 cases)]. Journal de Chirurgie 2009; 146: 387-391.
[14] Hssaida R, Daali M, Seddiki R, Zoubir M, Zoubir M, Elguelaa K et al. Péritonites post opératoires chez le sujet âgé. [Postoperative peritonitis in elderly]. Médecine du Maghreb 2000; 81: 20-4.
Cite This Article
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    Naby Laye Youssouf Camara, Naby Fofana, Labile Togba Soumaoro, Saa Yawo Kondano, Djouma Bailo Kante, et al. (2022). Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. Journal of Surgery, 10(3), 104-106. https://doi.org/10.11648/j.js.20221003.12

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    ACS Style

    Naby Laye Youssouf Camara; Naby Fofana; Labile Togba Soumaoro; Saa Yawo Kondano; Djouma Bailo Kante, et al. Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. J. Surg. 2022, 10(3), 104-106. doi: 10.11648/j.js.20221003.12

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    AMA Style

    Naby Laye Youssouf Camara, Naby Fofana, Labile Togba Soumaoro, Saa Yawo Kondano, Djouma Bailo Kante, et al. Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea. J Surg. 2022;10(3):104-106. doi: 10.11648/j.js.20221003.12

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  • @article{10.11648/j.js.20221003.12,
      author = {Naby Laye Youssouf Camara and Naby Fofana and Labile Togba Soumaoro and Saa Yawo Kondano and Djouma Bailo Kante and Boubacar Barry and Alseny Diallo and Aboubacar Toure and Aissatou Taran Diallo},
      title = {Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea},
      journal = {Journal of Surgery},
      volume = {10},
      number = {3},
      pages = {104-106},
      doi = {10.11648/j.js.20221003.12},
      url = {https://doi.org/10.11648/j.js.20221003.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221003.12},
      abstract = {Purpose: Postoperative peritonitis is a peritoneal infection that complicates an intraperitoneal surgical procedure within one month. The purpose of this study was to determine the frequency, describe the clinical and therapeutic aspects of postoperative peritonitis. Patients and methods: This was a prospective study of descriptive type, lasting two years (January 1, 2020 to December 31, 2021) carried out in the general surgery department of the Ignace Deen National Hospital of Conakry. It included all patients received and operated on in the department for postoperative peritonitis, regardless of the origin of the initial operation. Results: We collected 32 cases of postoperative peritonitis with an average age of our patients of 33.75 years. Fifty-seven point fourteen percent of our patients were diabetic. Appendectomy was the most performed initial procedure with a rate of 40.62% followed by acute intestinal obstruction (18.75%). Clinical signs were dominated by abdominal pain (100%), abdominal contracture (100%), fever (100%) and painful douglas (84.38%). The average time to management of our patients was 12.53 days. The management was medico-surgical and we performed median laparotomy above and below the umbilical in all our patients. The etiologies were dominated by anastomotic leakage (56.25%), subphrenic abcess (25%), digestive fistulas (18.75%). The surgical gesture consist temporary stoma (n=11) followed by a refection of anastomosis (n=7) and intestinal resection/anastomosis (n=4). Peritoneal washing and drainage were performed in all cases. The average duration of hospitalization was 18 days. We recorded 9 cases of death (28.13%). Conclusion: Post-operative peritonitis is a condition with a high mortality rate. Management must be multidisciplinary to improve the prognosis.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Postoperative Peritonitis: Frequency, Clinical and Therapeutic Aspect in the General Surgery Department of the Ignace Deen National Hospital of Conakry, Guinea
    AU  - Naby Laye Youssouf Camara
    AU  - Naby Fofana
    AU  - Labile Togba Soumaoro
    AU  - Saa Yawo Kondano
    AU  - Djouma Bailo Kante
    AU  - Boubacar Barry
    AU  - Alseny Diallo
    AU  - Aboubacar Toure
    AU  - Aissatou Taran Diallo
    Y1  - 2022/05/12
    PY  - 2022
    N1  - https://doi.org/10.11648/j.js.20221003.12
    DO  - 10.11648/j.js.20221003.12
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 104
    EP  - 106
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20221003.12
    AB  - Purpose: Postoperative peritonitis is a peritoneal infection that complicates an intraperitoneal surgical procedure within one month. The purpose of this study was to determine the frequency, describe the clinical and therapeutic aspects of postoperative peritonitis. Patients and methods: This was a prospective study of descriptive type, lasting two years (January 1, 2020 to December 31, 2021) carried out in the general surgery department of the Ignace Deen National Hospital of Conakry. It included all patients received and operated on in the department for postoperative peritonitis, regardless of the origin of the initial operation. Results: We collected 32 cases of postoperative peritonitis with an average age of our patients of 33.75 years. Fifty-seven point fourteen percent of our patients were diabetic. Appendectomy was the most performed initial procedure with a rate of 40.62% followed by acute intestinal obstruction (18.75%). Clinical signs were dominated by abdominal pain (100%), abdominal contracture (100%), fever (100%) and painful douglas (84.38%). The average time to management of our patients was 12.53 days. The management was medico-surgical and we performed median laparotomy above and below the umbilical in all our patients. The etiologies were dominated by anastomotic leakage (56.25%), subphrenic abcess (25%), digestive fistulas (18.75%). The surgical gesture consist temporary stoma (n=11) followed by a refection of anastomosis (n=7) and intestinal resection/anastomosis (n=4). Peritoneal washing and drainage were performed in all cases. The average duration of hospitalization was 18 days. We recorded 9 cases of death (28.13%). Conclusion: Post-operative peritonitis is a condition with a high mortality rate. Management must be multidisciplinary to improve the prognosis.
    VL  - 10
    IS  - 3
    ER  - 

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Author Information
  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry, Guinea

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