Management of penetrant abdominal wounds at the teaching university hospital of Brazzaville, Congo
Massamba Miabaou D, Bhodheo M, Note Madzele M, Motoula Latou N, Nzaka Moukala C, Tsouassa Wangono G
The objectives are to evaluate the management of abdominal penetrating wounds, describe the epidemiological, diagnostic, therapeutic and evolutionary aspects. A retrospective study carried out from 1 January 2013 to 31 December 2016 in the digestive surgery department of the Brazzaville hospital and university center. All patients operated for a penetrating abdominal wound were identified. The variables studied were epidemiological, diagnostic, therapeutic and evolutionary. The results obtained that 34 cases were identified during the study period, including 32 men (94%) and 02 women (6%) with a sex ratio of 1/16. The mean age was 27.9 ± 10.23 years with extremes of 15 to 59 years. Students were the occupational category (23.5%). The majority of our patients (32.4%) came from the 6th arrondissement of Brazzaville, a growing crime area. The average time of consultation was 11.7 ± 22.39 hours with extremes from 30 minutes to 96 hours. Criminal assault was the most common occurrence (38.2%). The blade was the predominant vulnerable agent (82%). The left flank was the most represented seat (21%). The predominant eviscerated organ was hail (50%). The mean time to surgical management was 9.1 hours with extremes of 1 hour to 96 hours. Systematic laparotomy was therapeutic use in 88% of cases. The rate of white laparotomy was 21%. Hail was the most injured organ (38.2%). Excision-suture was the most successful gesture (61.8%). The results were simple in 76% of the cases and complicated in 24% of the cases. Parietal suppuration is the most common complication (63%). The average hospital stay was 8.38 ± 4.83 days with extremes of 3 and 29 days. In conclusion, penetrating abdominal wounds are unfrequent at the Teaching University Hospital of Brazzaville. Their care is still difficult in our context. The inadequacy of the means of emergency paraclinical investigations makes laparotomy, the therapeutic attitude of reference explaining the high rate of white laparotomy.
Massamba Miabaou D, Bhodheo M, Note Madzele M, Motoula Latou N, Nzaka Moukala C, Tsouassa Wangono G. Management of penetrant abdominal wounds at the teaching university hospital of Brazzaville, Congo. International Journal of Medicine Research, Volume 2, Issue 5, 2017, Pages 08-12