Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin
Journal of Surgery
Volume 6, Issue 1, February 2018, Pages: 29-32
Received: Dec. 24, 2017; Accepted: Jan. 15, 2018; Published: Feb. 19, 2018
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Authors
Montcho Adrien Hodonou, Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Salako Alexandre Allode, Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Bio Tamou-Sambo, Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Djifid Morel Seto, Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Mahougnon Hermann Houegnanou, Department of Surgery and Specialities, Faculty of Medicine, University of Parakou, Teaching Hospital of Parakou, Parakou, Benin
Francis Moïse Dossou, Department of General Surgery, Faculty of Health Science, University of Abomey Calavi, Teaching Hospital of Ouémé, Porto-Novo, Benin
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Abstract
Objective: Identify the factors affecting the non-traumatic intestinal perforations peritonitis outcome. Methods: This was a retrospective study over a period of 30 months (1st January 2014 – 30th June 2016), which took place in four hospitals in northern Benin, including three district hospitals and one teaching hospital. The study population consisted of patients operated for generalized acute peritonitis. The inclusion criteria were: peroperative confirmation of the non-traumatic ileal perforation and the existence of a complete medical record in relation to the variables studied. Results: We collected 121 cases of non-traumatic ileal perforation peritonitis with a total of 447 cases of generalized acute peritonitis; the non traumatic ileal perforation peritonitis frequency was 27.1%. Ninety-nine files met the inclusion criteria. The mean age was 17 ± 12 years with extremes of 2 and 60 years. The sex ratio was 2.4. The predictive factors were: age (p 0.00), consultation time (p 0.03), surgical time (p 0.02), amount of peritoneal fluid (p 0.001), perforation number (p 0.0009), surgical technique (p 0.0003) and postoperative complications such as digestive fistula (p 0.001) and postoperative peritonitis (p 0.04). Conclusions: At the end of our study, the factors of bad prognosis identified were the age, the time of consultation, the time of surgery, the quantity of peritoneal fluid. Some postoperative complications may cause death.
Keywords
Non-Traumatic Intestinal Perforation, Prognostic Factor, Age, Multiple Perforations, Digestive Fistula
To cite this article
Montcho Adrien Hodonou, Salako Alexandre Allode, Bio Tamou-Sambo, Djifid Morel Seto, Mahougnon Hermann Houegnanou, Francis Moïse Dossou, Prognostic Factors of Non-Traumatic Small Bowel Perforation Peritonitis: A Multicenter Study in North Benin, Journal of Surgery. Vol. 6, No. 1, 2018, pp. 29-32. doi: 10.11648/j.js.20180601.16
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Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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