Introduction: Obstetric complications are defined as the appearance of new pathological phenomena involving the digestive system following surgical procedures on the uterus carried out for preventive, diagnostic or therapeutic purposes. the aim of the study was to describe the surgical management of obstetric complications in the general surgery department of the Ignace Deen National Hospital, University Hospital Centre of Conakry. Material and methods: This was a 4-year retrospective descriptive study (January 2018 to December 2021) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients with one or more obstetric complications who received surgical management during the study period were included. Sociodemographic, clinical, therapeutic and evolutionary variables were studied. Results: Out of 1664 patient files, we recorded 105 cases of obstetric complications, i.e. a frequency of 6.31%. The mean age was 27.52 ± 5 years, with extremes of 16 and 45 years. Housewives were the most common (57.1%). The main obstetric complications were acute generalised post-caesarean peritonitis (34.3%) followed by acute intestinal obstruction (24.8%). Management consisted of excision-suturing of breaches, resection of flanges and peritoneal cleansing with drainage. Conclusion: Obstetric complications are fairly frequent in our practice and are dominated by peritonitis and intestinal obstruction. Early and multidisciplinary management can improve the vital prognosis.
| Published in | Journal of Gynecology and Obstetrics (Volume 11, Issue 6) |
| DOI | 10.11648/j.jgo.20231106.16 |
| Page(s) | 160-163 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
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Copyright © The Author(s), 2024. Published by Science Publishing Group |
Obstetric Complications, Surgical Management, Conakry University Hospital, Guinea
| [1] | Harouna Y, Saidou B, Seibou A, Abarchi H, Abdou I, Madougou M Postoperative peritonitis. Médecine d'Afrique Noire 2000; 47(6): 269-275. |
| [2] | Ouattara K, Traore ML, Cisse C. Some statistical aspects of vesico-vaginal fistula in the Republic of Mali. À propos de 134 cas. Med Afr Noire 1991; 38(12): 856-60. |
| [3] | Hilton P. Vesico-vaginal fistulas in developing countries. International Journal of Gynecology and Obstetrics 2003; 82: 285-95. |
| [4] | Ouedraogo C, Testa J, Sondo B, Kone B. Analyse des facteurs de risqué de morbidité maternelle sévère à Ouagadougou, Burkina Faso: application à la fiche de consultation prénatale. Médecine d'Afrique Noire. 2001; 48 (10): 403-410. |
| [5] | Balde IS, Diallo A, Diallo MH, Sylla I, Keita M, Barry AB. Determinants of obstetric complications on arrival of parturients at Conakry University Hospital: 645 observations. RevintscmédAbj -RISM 2019; 21(3): 175-179. |
| [6] | KC Vignon, NH Natta'ntcha, MNA Mehinto, DK Mehinto, F Hodonou Urogenitodigestive surgical complications of gynaeco-ioobstetric procedures: Management in visceral and urological surgery at the CNHU-HKM of Cotonou. J AFR CHIR DIGEST 2016; 16(2): 2070-2076. |
| [7] | Institut National de la Statistique Ministère du Plan et du Développement Economique Conakry, Guiné Demographic and Health Survey (EDSV) 2018. Conakry, Guinea, and Rockville, Maryland, USA: INS and ICF 530.1-450P. https://dhsprogram.com/pubs/pdf/FR353/FR353.pdf |
| [8] | Owono E P, Metogo M AJ, Tchokam L, Danwang C, Kago TL, Afane E A et Coll. Obstetric Complications Admitted to Intensive Care: Epidemiology, Diagnosis and Prognosis. Health Sci Dis: 2017; 18 (1): 48-52. |
| [9] | Soumaoro LT, Fofana N, Kondano SY, Fofana H, Théa K, Touré A, Diallo AT. Post cesarean Surgical Complications: A Report of 149 Cases from the Department of General Surgery at Ignace Deen National Hospital of Conakry (Guinea). Journal of Surgery. 2021; 9(5): 226-229. |
| [10] | Benkirane S, Saadi H, Mimouni A. The epidemiological profile of maternal complications of caesarean section at CHR EL Farabi Oujda. Pan African Medical Journal 2017; 27: 108–113. DOI: 10.11604/pamj.2017.27.108.10036. |
| [11] | Aneela Mumtaz, Atikka Masud et al: Incidence of Gynaecological and Obstetric Complications Immediately After Surgical Procedure; A Retrospective Study. J Soc Obstet Gynaecol Pak. 2023; Vol 13. No. 2. |
| [12] | Bailey et al. Referral patterns through the lens of health facility readiness to manage obstetric complications: nationalfacility-based results from Ghana. Reproductive Health (2019) https://doi.org/10.1186/s12978-019-0684-y |
| [13] | Jilaveanu Anca, Bogdan Socea et al: uterovesical fistulas as obstetric complication: Diagnosis, management and prognosis (review). Experimental and therapeutic medicine 25: 105, 2023. DOI: 10.3892/etm.2023.11804. |
| [14] | Umberto Leone Roberti Maggiore, Annalisa Inversetti, and al: Obstetrical complications of endometriosis, particularly deep endometriosis. Fertility and Sterility Vol. 108, No. 6, December 2017 American Society for Reproductive Medicine, https://doi.org/10.1016/j.fertnstert.2017.10.035 |
| [15] | Rui Hou, Caixia Liu, Na Li, Tian Yang. Obstetric complications and outcomes of singleton pregnancy with previous caesarean section according to maternal age. Volume 128, October 2022, Pages 62-68 https://doi.org/10.1016/j.placenta.2022.08.060 |
APA Style
Tamba Julien, T., Salematou, B., Kadiatou, K., Pascal, T., Telly, S., et al. (2023). Surgical Management of Obstetrical Complications in the General Surgery Department of the Hospital National Ignace Deen, University Hospital Centre of Conakry January 2018 December 2021, Guinea. Journal of Gynecology and Obstetrics, 11(6), 160-163. https://doi.org/10.11648/j.jgo.20231106.16
ACS Style
Tamba Julien, T.; Salematou, B.; Kadiatou, K.; Pascal, T.; Telly, S., et al. Surgical Management of Obstetrical Complications in the General Surgery Department of the Hospital National Ignace Deen, University Hospital Centre of Conakry January 2018 December 2021, Guinea. J. Gynecol. Obstet. 2023, 11(6), 160-163. doi: 10.11648/j.jgo.20231106.16
AMA Style
Tamba Julien T, Salematou B, Kadiatou K, Pascal T, Telly S, et al. Surgical Management of Obstetrical Complications in the General Surgery Department of the Hospital National Ignace Deen, University Hospital Centre of Conakry January 2018 December 2021, Guinea. J Gynecol Obstet. 2023;11(6):160-163. doi: 10.11648/j.jgo.20231106.16
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Download@article{10.11648/j.jgo.20231106.16,
author = {Tolno Tamba Julien and Bangoura Salematou and Kourouma Kadiatou and Tolno Pascal and Sy Telly and Toure Aboubacar},
title = {Surgical Management of Obstetrical Complications in the General Surgery Department of the Hospital National Ignace Deen, University Hospital Centre of Conakry January 2018 December 2021, Guinea},
journal = {Journal of Gynecology and Obstetrics},
volume = {11},
number = {6},
pages = {160-163},
doi = {10.11648/j.jgo.20231106.16},
url = {https://doi.org/10.11648/j.jgo.20231106.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231106.16},
abstract = {Introduction: Obstetric complications are defined as the appearance of new pathological phenomena involving the digestive system following surgical procedures on the uterus carried out for preventive, diagnostic or therapeutic purposes. the aim of the study was to describe the surgical management of obstetric complications in the general surgery department of the Ignace Deen National Hospital, University Hospital Centre of Conakry. Material and methods: This was a 4-year retrospective descriptive study (January 2018 to December 2021) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients with one or more obstetric complications who received surgical management during the study period were included. Sociodemographic, clinical, therapeutic and evolutionary variables were studied. Results: Out of 1664 patient files, we recorded 105 cases of obstetric complications, i.e. a frequency of 6.31%. The mean age was 27.52 ± 5 years, with extremes of 16 and 45 years. Housewives were the most common (57.1%). The main obstetric complications were acute generalised post-caesarean peritonitis (34.3%) followed by acute intestinal obstruction (24.8%). Management consisted of excision-suturing of breaches, resection of flanges and peritoneal cleansing with drainage. Conclusion: Obstetric complications are fairly frequent in our practice and are dominated by peritonitis and intestinal obstruction. Early and multidisciplinary management can improve the vital prognosis.
},
year = {2023}
}
TY - JOUR T1 - Surgical Management of Obstetrical Complications in the General Surgery Department of the Hospital National Ignace Deen, University Hospital Centre of Conakry January 2018 December 2021, Guinea AU - Tolno Tamba Julien AU - Bangoura Salematou AU - Kourouma Kadiatou AU - Tolno Pascal AU - Sy Telly AU - Toure Aboubacar Y1 - 2023/12/11 PY - 2023 N1 - https://doi.org/10.11648/j.jgo.20231106.16 DO - 10.11648/j.jgo.20231106.16 T2 - Journal of Gynecology and Obstetrics JF - Journal of Gynecology and Obstetrics JO - Journal of Gynecology and Obstetrics SP - 160 EP - 163 PB - Science Publishing Group SN - 2376-7820 UR - https://doi.org/10.11648/j.jgo.20231106.16 AB - Introduction: Obstetric complications are defined as the appearance of new pathological phenomena involving the digestive system following surgical procedures on the uterus carried out for preventive, diagnostic or therapeutic purposes. the aim of the study was to describe the surgical management of obstetric complications in the general surgery department of the Ignace Deen National Hospital, University Hospital Centre of Conakry. Material and methods: This was a 4-year retrospective descriptive study (January 2018 to December 2021) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients with one or more obstetric complications who received surgical management during the study period were included. Sociodemographic, clinical, therapeutic and evolutionary variables were studied. Results: Out of 1664 patient files, we recorded 105 cases of obstetric complications, i.e. a frequency of 6.31%. The mean age was 27.52 ± 5 years, with extremes of 16 and 45 years. Housewives were the most common (57.1%). The main obstetric complications were acute generalised post-caesarean peritonitis (34.3%) followed by acute intestinal obstruction (24.8%). Management consisted of excision-suturing of breaches, resection of flanges and peritoneal cleansing with drainage. Conclusion: Obstetric complications are fairly frequent in our practice and are dominated by peritonitis and intestinal obstruction. Early and multidisciplinary management can improve the vital prognosis. VL - 11 IS - 6 ER -
Gynaecology and Obstetrics Department, Ignace DEEN National Hospital, University Hospital Centre of Conakry, Gamal Abdel Nasser University, Conakry, Rep. of Guinea
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