TITLE:
The Epidemiological Profile of Acute Appendicitis, about 124 Cases, in the General Surgery Department of the Amissa Bongo Regional Hospital Center in Franceville, Gabon
AUTHORS:
Silvère Ngakani Offobo, Hilaire Nyamatsiengui, Kundulunga J. Albert Aseke, Ouchiemi Choua
KEYWORDS:
Appendicitis, Emergency, Surgery, Franceville
JOURNAL NAME:
Surgical Science,
Vol.13 No.6,
June
30,
2022
ABSTRACT: Acute appendicitis is an acute inflammation of the
appendix. It is a surgical emergency. It was a
prospective, descriptive and analytical study, between September 2015 and
October 2021, focusing on acute appendicitis. It is seen mainly in young
subjects and in children, but not exclusively. Its diagnosis is essentially
clinical. These were 124 patients operated on for acute appendicitis, with a
male predominance: 78 men (62.90%) against 46 women (37.10%). The majority of patients came from Franceville (n = 66) 53.22%. The average age was 29.4 years (extremes
4 years and 54 years). The average admission time was +5.16
or -5.58 hours. Abdominal pain was
the main reason for consultation. Physical signs were dominated by MAC
Burney sign positivity in 91.1% of cases. Faced with certain doubtful cases, we
requested an abdominal ultrasound.
Phlegmonous appendicitis was the most frequent (n = 47) 45.96%. The ileocecal localization represented
(n = 82) 66.12%, and other particularities in particular:
Claudius AMIAND (n = 6), an appendicular duplication, appendicitis and
pregnancy a case of crural appendicitis. Conventional
appendectomy with burial by Mac Burney was the most used technique (n = 119) 95.42%. Anatomy pathology was rarely performed.
The postoperative course was simple in 95.4%
of cases. The average stay in inpatient surgery was 4.8 days. Isolated or
combined antibiotic therapy was the rule. Postoperative follow-up at 1 month
was systematic. Parietal suppuration was the main complication.