[Digestive surgical emergencies in Sub-Saharan Africa: a prospective study of a series of 622 patients at the National Hospital of Zinder, Niger].
The purpose of this study was to describe the epidemiologic, therapeutic, and prognostic aspects of surgical acute abdomen at the National Hospital of Zinder (HNZ). This was a prospective study of patients undergoing digestive surgical emergencies in HNZ over 24 months (January 2013-December 2014). During the study period, 622 digestive surgical emergencies were operated. The mean age was 22.91 ± 18.14 years old, with a sex-ratio of 3:1. The average admission time was 64.31 ± 57.90 h. Abdominal pain was the main reason for admission in 61.90% (N = 385) of the cases, with or without fever throughout the course in 26.05% (N = 162) of the cases. The average time before surgery was 9.13 ± 5.97 h. Acute peritonitis accounted for 51.61% (N = 321) of cases, led by ileal perforation maybe from typhoid (N = 175). The acute intestinal obstruction and acute appendicitis accounted for 27.49% (N = 171) and 9.65% (N = 60) of the cases, respectively. Abdominal trauma had affected 53 patients (8.52%). The average length of hospital stay was 8.71 ± 5.29 days. Postoperative morbidity was 38.10% (N = 237). Septic complications (N = 187) were predominant. Overall lethality of 13.67% (N = 85), was associated with the delay of diagnosis and treatment (P < 0.001). The incidence and the high morbidity and lethality of digestive surgical emergencies in the Sub-Saharan context, could be avoided through prevention, early consultation, and adequate intra-hospital management.
Hôpital national de Zinder, BP 155, Zinder, Niger. imagagi@gmail.com.
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Magagi
Hôpital national de Zinder, BP 155, Zinder, Niger.
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Adamou
Hôpital national de Zinder, BP 155, Zinder, Niger.
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Habou
Hôpital national de Zinder, BP 155, Zinder, Niger.
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Magagi
Hôpital national de Zinder, BP 155, Zinder, Niger.
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Halidou
Hôpital national de Zinder, BP 155, Zinder, Niger.
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Ganiou
D000006:Abdomen, Acute / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D017954:Africa South of the Sahara / Q000453:epidemiology; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004066:Digestive System Diseases / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D004630:Emergencies; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009548:Niger / Q000453:epidemiology; D012189:Retrospective Studies; D055815:Young Adult
Diagnosis delay; Digestive surgery; Emergency; Etiologies; Hospital; Mortality; Niger; Sub-Saharan Africa; Zinder