Acute Intestinal Occlusions at the Cs Ref of Commune I of Bamako  

作　　者：Tounkara Cheickna Samake Hamidou Diarra Issaka Sanogo Modibo Traore Fousseyni Togola Modibo Traore Alhassane Dembele Bakary Tientigui Togo Pierre Adégné Kante Lassana Tounkara Cheickna;Samake Hamidou;Diarra Issaka;Sanogo Modibo;Traore Fousseyni;Togola Modibo;Traore Alhassane;Dembele Bakary Tientigui;Togo Pierre Adégné;Kante Lassana(Department of General Surgery, Cs Ref of Commune I, Bamako, Mali;Directorate of the Social Health Service, Armed Forces of Mali, Mali;Department of General Surgery, Gabriel Toure University Hospital, Bamako, Mali)

机构地区：[1]Department of General Surgery, Cs Ref of Commune I, Bamako, Mali [2]Directorate of the Social Health Service, Armed Forces of Mali, Mali [3]Department of General Surgery, Gabriel Toure University Hospital, Bamako, Mali

出　　处：《Surgical Science》2023年第12期748-757,共10页外科学（英文）

摘　　要：Acute intestinal obstructions are defined as a complete and persistent cessation of materials and gases in a segment of the digestive tract. They constitute a medical-surgical emergency. Our work aimed to study acute intestinal obstructions, to determine the hospital frequency, to describe the aspects (epidemiological, clinical and therapeutic), to analyze the surgical consequences and to evaluate the cost of the management of obstructions. acute intestinal infections in the general surgery department of the reference health center of commune I of Bamako in Mali. Our retrospective, longitudinal and descriptive study took place from January 1, 2015 to December 31, 2019 in the general surgery department of the reference health center in commune I of Bamako. The average age was 47.72 years with extremes of 15 and 78 years and a standard deviation of 16.07. Our sex ratio (56 men/15 women) was 3.38. The clinical signs were dominated by abdominal pain (100%), vomiting (52.9%), cessation of materials and gases (25.4%) and meteorism (35.3%). The main etiologies found intraoperatively were strangulated hernia (54.9%), bands and/or adhesions (21.1%), sigmoid volvulus (12.7%), colorectal tumor (7%), small bowel volvulus (2.8%) and acute intestinal intussusception (1.4%). Hernia repair was the most performed surgical procedure, i.e. 54.9%. The overall mortality rate was 1.4%.Acute intestinal obstructions are defined as a complete and persistent cessation of materials and gases in a segment of the digestive tract. They constitute a medical-surgical emergency. Our work aimed to study acute intestinal obstructions, to determine the hospital frequency, to describe the aspects (epidemiological, clinical and therapeutic), to analyze the surgical consequences and to evaluate the cost of the management of obstructions. acute intestinal infections in the general surgery department of the reference health center of commune I of Bamako in Mali. Our retrospective, longitudinal and descriptive study took place from January 1, 2015 to December 31, 2019 in the general surgery department of the reference health center in commune I of Bamako. The average age was 47.72 years with extremes of 15 and 78 years and a standard deviation of 16.07. Our sex ratio (56 men/15 women) was 3.38. The clinical signs were dominated by abdominal pain (100%), vomiting (52.9%), cessation of materials and gases (25.4%) and meteorism (35.3%). The main etiologies found intraoperatively were strangulated hernia (54.9%), bands and/or adhesions (21.1%), sigmoid volvulus (12.7%), colorectal tumor (7%), small bowel volvulus (2.8%) and acute intestinal intussusception (1.4%). Hernia repair was the most performed surgical procedure, i.e. 54.9%. The overall mortality rate was 1.4%.

关 键 词：Acute Intestinal Obstructions Surgery Cs Ref CI BAMAKO MALI 

分 类 号：R57[医药卫生—消化系统]