Appendicular Abscess in the Service of General Surgery at the Teaching Hospital Gabriel Toure, Bamako, Mali

Autor:	Traoré Amadou, Diakité Ibrahim, Mangane Moustaphissa, Samake Moussa, Karembe Boubacar, Mounimezié Diarra, Dembélé Bakary Tientigui, Amadou Issa, Madiassa Konaté, Almeimoune Abdoul Hamidou, Kante Lassana, Sidibe Boubacaryoro, Togo Adégné Pierre, Maiga Amadou, Diop Thierno Madani, Bah Amadou, Diamoutene Kolo, Coulibaly Yacaria, Traoré Alhassane, Tolo Maimouna, Diallo Gangaly, Keita Soumaila
Rok vydání:	2018
Předmět:	medicine.medical_specialty Abdominal pain business.industry General surgery Mortality rate Iliac fossa Retrospective cohort study Abdominal cavity medicine.disease medicine.anatomical_structure Effusion medicine medicine.symptom Contracture Abscess business
Zdroj:	Surgical Science. :281-285
ISSN:	2157-9415 2157-9407
DOI:	10.4236/ss.2018.98033
Popis:	Objectives: To determine hospital frequency and to write the diagnostic and therapeutic aspects of appendicular abscess in adults in the General Surgery Department of teaching Hospital Gabriel Toure from 2005 to 2017. Material and Methods: This was a retrospective study conducted from January 1, 2005 to December 31, 2017 in the General Surgery De-partment of Gabriel Toure University Hospital in all patients with appen-dicular abscess. Results: In 13 years, 1420 cases of acute appendicitis have been reported, including 105 cases of appendicular abscess (7.4%). Mean age of the patients was 32 years with extremes of 16 years and 70 years. Abdominal pain and fever were present in all patients. Pain sat in the right iliac fossa in 73.3% and was epigastric in 11.4%. In almost all cases abdominal defense was present (97.1%). There was generalized abdominal contracture in 2.8% of cases. Average duration of evolution was 27 days with extremes of 1 day and 60 days. Ultrasonography was performed in 42.6% of cases and found peri-appendicular effusion in 29 cases (27.6%). 90 incisions were made by incision of Mac Burney, 8 by median umbilical, 7 by midline above and below umbilical. The amount of fluid aspirated was greater than 100 cc in 47 patients. We performed an appendectomy with appendicular stump burying followed by washing plus drainage of the abdominal cavity in 65 patients. Morbidity rate was 14.3%. No deaths were recorded. Average duration of hospitalization was 6.5 days with extremes of 2 days and 26 days.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::fa6d0fd807d3ce0bd04d64d9c62bd428 https://doi.org/10.4236/ss.2018.98033 Zobrazit plný text záznamu