Author(s)

Cheickna Tounkara^1*, Yacouba Fane¹, Oumar Amadou Malle¹, Siaka Diarra¹, Modibo Sanogo¹, Modibo Togola¹, Bakary Keita¹, Hamidou Samake², Bakary Tientigui Dembele³, Alhassane Traore³, Adégné Pierre Togo³, Lassana Kante³, Zimogo Zié Sanogo⁴, Djibril Sangare⁴

¹Department of General Surgery and Anesthesia-Resuscitation of the Reference Health Center of Commune I, Bamako, Mali.
²Directorate of the Social Health Service of the Armed Forces of Mali, Bamako, Mali.
³Department of General Surgery of CHU Gabriel TOURE, Bamako, Mali.
⁴Department of General Surgery “A” of Point G Hospital, Bamako, Mali.

Digestive surgical emergencies concern all patients admitted urgently and for whom a decision for surgical intervention may be necessary within 24 hours. They are on guard duty day and night. To carry out this work we have set ourselves the following objectives: Study digestive surgical emergencies in the general surgery department of the Cs ref CI of Bamako; Determine the frequency of digestive surgical emergencies; Describe the clinical and therapeutic aspects, and Analyze the results of treatment. From January 2016 to December 2016, the general surgery department of the Cs ref CI of Bamako carried out 200 digestive surgical emergencies whose files were usable; 119 men and 81 women, a sex ratio of 1.5. The average age was 32.67 years; 66% medical evacuation. Abdominal pain was the main reason for consultation. In the majority of cases, the physical examination made it possible to make the diagnosis. Faced with certain doubtful cases, we requested paraclinical examinations (ultrasound, ASP and the rhesus group). The main etiology was acute appendicitis with 59% of cases. The frequency of digestive surgical emergencies was 35.1% of all activities of the general surgery department of the Cs ref CI of Bamako. The postoperative course was complicated in 4% of cases. Surgical site infections were the most common postoperative complications, accounting for 3% of our patients. One death was noted, i.e. 0.5% of our sample. Acute peritonitis was the cause of death in 100% of cases.

Emergency, Digestive Surgery, Post-Operative Complication

Tounkara, C. , Fane, Y. , Malle, O. , Diarra, S. , Sanogo, M. , Togola, M. , Keita, B. , Samake, H. , Dembele, B. , Traore, A. , Togo, A. , Kante, L. , Sanogo, Z. and Sangare, D. (2023) Digestive Surgical Emergencies in the General Surgery Department of the Reference Health Center in Commune I of the District of Bamako in Mali. Surgical Science, 14, 646-657. doi: 10.4236/ss.2023.1410070.