Management over Penetrating Wound of the Chest in University Hospital of Conakry
Journal of Surgery
Volume 4, Issue 6, December 2016, Pages: 130-133
Received: Oct. 1, 2016;
Accepted: Oct. 22, 2016;
Published: Nov. 23, 2016
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Aissatou Taran Diallo, Department of Generale Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Alpha Kabinet Camara, Department of Thoracic Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Soriba Naby Camara, Sservice de Chirurgie Viscérale, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Essaga Ayissi Alphonsine Martine, Department of Generale Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Diallo Sara Boubacar, Department of Thoracic Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Ismael Kaba, Department of Thoracic Surgery, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Boubacar Djello Diallo, Department of Pneumology, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Mariame Béavogui, Department of Cardiology, University Gamal Abdel Nasser of Conakry, Conakry, Guinea.
Mohamed Kaba Touré, Department of Anesthesia University Gamal Abdel Nasser of Conakry, Conakry, Guinea
Diallo Biro, Sservice de Chirurgie Viscérale, University Gamal Abdel Nasser of Conakry, Conakry, Guinea
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Penetrating injuries to the chest present a frequent and challenging problem. The majority of these injuries can be managed non-operatively. The aim of this study were to determine the frequency of penetrating wounds of the chest, identifying wounding agents and circumstances of the trauma occurred, describe the diagnostic and therapeutic care at the University Hospital of Conakry. Methods As part of this study was the thoracic surgery department of the National Hospital Donka Hospital in Conakry. This was a retrospective descriptive study of a type of 4 years and 8 months, from 1 January 2010 to 30 August 2015 inclusive. It involved a chart review of patients admitted consecutively in the service for penetrating trauma of Thorax. The variables studied were epidemiological, diagnostic, and therapeutic. Results: We collected 98 cases of penetrating wounds of the chest during the study period, representing 21.16% of all thoracic pathologies treated in the service during the same period (n = 463). The male occupied 87% of cases (n = 85) and the female gender was 13% (13). The average age of patients of patients was 25 years with extremes of 04 and 60 years. The age between 21 and30 years is the most represented with 59.19% (n = 58). Pupils and students were most concerned with 31.63% (n = 31), followed by workers (23.46%, n = 23), street vendors (20.40%, n = 20) and drivers (15.30%, n = 30). The wounding agents were represented by stabbing with 67% (n = 66), firearms with 26% (n = 25), and impalement on perforating agents in 7% (n = 7%). The circumstances of occurrence recorded were armed criminal assault in 87.75% (n = 86), hunting accidents with 5.10% (n = 5), brawls with 4.08% (n = 4) and falls from height with 3.06% (n = 3). Conclusion Penetrating wounds of the chest are a current pathology by increased violence, insecurity and the misuse of firearms in major cities. The vital importance of intra thoracic organs is a medical and surgical emergency.
Penetrating, Wounds, Chest, Management
To cite this article
Aissatou Taran Diallo,
Alpha Kabinet Camara,
Soriba Naby Camara,
Essaga Ayissi Alphonsine Martine,
Diallo Sara Boubacar,
Boubacar Djello Diallo,
Mohamed Kaba Touré,
Management over Penetrating Wound of the Chest in University Hospital of Conakry, Journal of Surgery.
Vol. 4, No. 6,
2016, pp. 130-133.
Copyright © 2016 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.
Pons F.; Arigon J.-P.; Boddaert G. Traitement chirurgical des traumatismes pénétrants du thorax. EMC paris 2011; (42): 1-26.
D. Demetriades, G. C. Velmahos Penetrating injuries of the chest indication for operation. Scandinavian Journal of Surgery 91: 41–45, 2002.
Asensio JA, Berne JD, Chan L, Murray J, Falabella A, Gomez H, Chahwan S, Velmahos G, Cornwell EE, Belzberg H, Shoemaker W, Berne TV: One hundred five penetrating car-diac injuries: a 2-year prospective evaluation. J Trauma, 1998; 44: 1073–1082.
Renz BM, Cara RA, Feliciano DV, Rozycky GS: Transmedias- tinal gunshot wounds: A prospective study. J Trauma 2000; 48: 416–422.
Hanpeter DE, Demetriades D, Asensio JA, Berne TV, Velma-hos G, Murray J: Helical computed tomographic scan in the evaluation of mediastinal gunshot wounds. J Trauma 2000; 49: 689–695.
Murray JA, Demetriades D, Cornwell EE III, Asensio JA, Vel-mahos G, Belzberg H, Berne TV: Penetrating left thoracoab-dominal trauma: The incidence and clinical presentation of diaphragmatic injuries. J Trauma 1997;43:624–626
Murray JA, Demetriades D, Asensio JA, Cornwell EE III, Vel-mahos G, Belzberg H, Berne TV: Occult injuries to the dia-phragm: prospective evaluation of laparoscopy in penetrat-ing injuries to the left lower chest. J Am Coll Surg 1998;187:626–630
Mandal Ak. ; Sanusi M. Penetrating chest wounds: 24 years’ experience. World J Surg. 2001; 25 (9):1145-9.
GUIVARCH E. Stratégie de prise en charge des plaies thoraciques par armes blanche dans un décochage. (Une série consécutive de 153patients). Mémoire d’anesthésie - réanimation à l’institution d’anesthésie et réanimation de paris 2013; 6-40.
Choua O; Rimtebaye K; Adam A. M; Bekoutou G, Anour M. A. Plaies pénétrantes par arme blanche et arme à feu à N’Djamena Tchad : une épidémie silencieuse? European Scientific Journal February 2016; 12(9): 180-188.
Randriamananjara. H; Ratovoson. A. Plaies pénétrantes du thorax: Bilan d notre prise en charge en urgence. À propos de 151 observations colligées dans le service de chirurgie générale et thoracique du Centre Hospitalier d’Ampefiloha (Madagascar) Méd. D’Afrique noire 2001; 48(6): 1-4.
Debien B; Lenoir B. Traumatismes pénétrants du thorax. Urgences- 2004; (1): 297-312.
Yaqini K.; Guartite A.; M. Mouhaou. Prise en charge des plaies thoraciques par arme blanche au service d’accueil des urgences de Casablanca. Journal maghrébin d’anesthésie- réanimation et de médecine d’urgence 2003; 10 (43): 255-257.
Yena S.; Z Sanogo Z.; Sangared D. Les traumatismes thoraciques à l’hôpital du point “G” Mali médical 2006; 21 (1): 43-47.