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Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital

Received: 29 October 2020    Accepted: 11 November 2020    Published: 8 December 2020
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Abstract

The aim of this work was to eassess the contribution of imaging in the management of non-traumatic abdominal surgical emergencies at the General Surgery Department of the Ignace Deen National Hospital. Material and methods: This was a prospective, descriptive study that included for 6 months all patients admitted and operated for a non-traumatic abdominal surgical emergency and having performed at least one imaging test. Results: During our study period, Non-traumatic abdominal surgical emergencies accounted for 25.27% of admissions. The average age was37.58 years old with a male predominance (65.3%) and a sex ratio of 1.88. The mean consultation time was 66.92h±40.15. PSA was the most performed imaging test (86.44%) followed by abdominal ultrasound (8.47%). The main non-traumatic abdominal surgical emergencies observed were acute generalized peritonitis (45.8%), followed by acute intestinal obstruction (44.1%). The agreement between imaging and operative diagnosis was 93.46% on PSA, 92.86% on abdominal ultrasound and 100% on abdominal CT. Conclusion: Non-traumatic abdominal surgical emergencies are frequent, imaging examinations (ASP, ultrasound) allow a good appreciation of all non-traumatic abdominal emergencies when they are judiciously used. In addition, CT, although essential, remains inaccessible due to its cost, thus limiting its emergency use.

Published in Journal of Surgery (Volume 8, Issue 6)
DOI 10.11648/j.js.20200806.18
Page(s) 217-221
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.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Contribution, Non-traumatic Abdominal Surgical Emergencies, Imaging, Ignace Deen

References
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[2] Dubuisson V, Voïglio EJ, Grenier N, Le Bras Y, Thomad M, Launay-Savary MV. Imaging of non-traumatic abdominal emergencies in adults. Journal of Visceral Surgery 2015; 575: 1-9.
[3] http://dx.doi.org/10.1016/j.jviscsurg.2015.09.019.
[4] Kassegne I, Kanassoua K, Sewa EV, Tchangaï B, Sambiani J, Ayité AE et al. Management of surgical abdominal emergencies at the university hospital of Kara (Togo): retrospective study of 594 cases over a period of ten years. Med Sante Trop 2015; 25: 39-43.
[5] Harouna Y, Ali L, Seibou A, Abdou I, Gamatie Y, Rakotomalala J, et al. Two years of emergency digestive surgery at the Niamey National Hospital (Niger): Analytical and prognostic study. Med Afr Noire 2001; 48: 49-54.
[6] Dieth AG, Kouamé N, Soumma A, Manewa FS, Ngoan-Domoua AM, Ngbesso RD. Management of Non-Traumatic Acute Abdominal Pain in Children: The Couple Standard Radiography / Ultrasound, Is It Still Relevant? Open Access Library Journal 2016; 3: e2084.http://dx.doi.org/10.4236/oalib.1102084.
[7] Joffre F, Chemla P, Otal PH Acute Non-Traumatic Abdominal Pain: What Place For Imaging. Seminar S. F. M. U 2001, Francophone Society of Emergency Medicine. 2001; 1-14.
[8] Kassegne I, Sewa EV, Alassani F, Kanassoua KK, Adabra K, Tchangai B et al. Management of abdominal surgical emergencies at the regional hospital of Dapaong (Togo). J. Afr. Hepatol. Gastroenterol. 2016; 10: 85-88.
[9] Dembele Y. Place of imaging in non-traumatic abdominal emergencies. Thesis Med. University of Bamako2007.
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[12] Rosen MP, Daniel ZS, Esterbrook Longmaid III H, Reynolds KF, Wagner M, Raptopoulos V. Impact of abdominal CT on the management ofpatients presenting to the emergency department with acute abdominal pain. AJR 2000; 174: 1391–1396.
[13] Bienyame J. Abdominal pain in children: the surgeon's point of view. Pediatric Rev 1999; 3: 115-20.
[14] Ouologuem MO. Non-traumatic digestive surgical emergencies At the hospital of sikasso in connection with 380 cases. Thesis Med. University of Bamako2009.
[15] Harissou A, Amadou M, Ibrahim M, Oumarou H, Mansour A, Ousseni EA et al. Diagnostic delay and prognostic implication in an African environment. Case of digestive surgery emergencies at the Zinder National Hospital, Niger. European Scientific Journal 2015; 11 (12): 251-262.
[16] Kassegne I, Sewa EV, Kanassoua KK, Alassani F, Adabra K, Amavi AK et al. Diagnostic, therapeutic and prognostic aspects of typhoid perforations of the small intestine in Dapaong, Togo. Méd Sante Trop 2016; 26: 71-74.
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[18] Amadou A, Agbangba KA, Watara G, Sonhaye L, Tchangai B, Tchaou M et al. Knowledge and Motivations of Doctors in Prescribing Imaging Examinations in a Non-Traumatic Abdominal Emergency in Togo: Regarding a Survey of Doctors. European Scientific Journal 2017; 13 (6) ISSN: 1857-7881 (Print) e-ISSN 1857-7431.
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  • APA Style

    Diakite Sandaly, Mamy Gnan Francis, Camara Soriba Naby, Soumaoro Labile Togba, Dabo Mamoudou, et al. (2020). Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital. Journal of Surgery, 8(6), 217-221. https://doi.org/10.11648/j.js.20200806.18

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    ACS Style

    Diakite Sandaly; Mamy Gnan Francis; Camara Soriba Naby; Soumaoro Labile Togba; Dabo Mamoudou, et al. Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital. J. Surg. 2020, 8(6), 217-221. doi: 10.11648/j.js.20200806.18

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    AMA Style

    Diakite Sandaly, Mamy Gnan Francis, Camara Soriba Naby, Soumaoro Labile Togba, Dabo Mamoudou, et al. Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital. J Surg. 2020;8(6):217-221. doi: 10.11648/j.js.20200806.18

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  • @article{10.11648/j.js.20200806.18,
      author = {Diakite Sandaly and Mamy Gnan Francis and Camara Soriba Naby and Soumaoro Labile Togba and Dabo Mamoudou and Fofana Houssein and Fofana Naby and Camara Mariame and Camara Fode Lansana and Diakite Saikou Yaya and Touré Aboubacar and Diallo Aissatou Taran},
      title = {Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital},
      journal = {Journal of Surgery},
      volume = {8},
      number = {6},
      pages = {217-221},
      doi = {10.11648/j.js.20200806.18},
      url = {https://doi.org/10.11648/j.js.20200806.18},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20200806.18},
      abstract = {The aim of this work was to eassess the contribution of imaging in the management of non-traumatic abdominal surgical emergencies at the General Surgery Department of the Ignace Deen National Hospital. Material and methods: This was a prospective, descriptive study that included for 6 months all patients admitted and operated for a non-traumatic abdominal surgical emergency and having performed at least one imaging test. Results: During our study period, Non-traumatic abdominal surgical emergencies accounted for 25.27% of admissions. The average age was37.58 years old with a male predominance (65.3%) and a sex ratio of 1.88. The mean consultation time was 66.92h±40.15. PSA was the most performed imaging test (86.44%) followed by abdominal ultrasound (8.47%). The main non-traumatic abdominal surgical emergencies observed were acute generalized peritonitis (45.8%), followed by acute intestinal obstruction (44.1%). The agreement between imaging and operative diagnosis was 93.46% on PSA, 92.86% on abdominal ultrasound and 100% on abdominal CT. Conclusion: Non-traumatic abdominal surgical emergencies are frequent, imaging examinations (ASP, ultrasound) allow a good appreciation of all non-traumatic abdominal emergencies when they are judiciously used. In addition, CT, although essential, remains inaccessible due to its cost, thus limiting its emergency use.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Contribution of Imaging to the Management of Surgical Emergencies in the General Surgery Department of the Ignace Deen National Hospital
    AU  - Diakite Sandaly
    AU  - Mamy Gnan Francis
    AU  - Camara Soriba Naby
    AU  - Soumaoro Labile Togba
    AU  - Dabo Mamoudou
    AU  - Fofana Houssein
    AU  - Fofana Naby
    AU  - Camara Mariame
    AU  - Camara Fode Lansana
    AU  - Diakite Saikou Yaya
    AU  - Touré Aboubacar
    AU  - Diallo Aissatou Taran
    Y1  - 2020/12/08
    PY  - 2020
    N1  - https://doi.org/10.11648/j.js.20200806.18
    DO  - 10.11648/j.js.20200806.18
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 217
    EP  - 221
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20200806.18
    AB  - The aim of this work was to eassess the contribution of imaging in the management of non-traumatic abdominal surgical emergencies at the General Surgery Department of the Ignace Deen National Hospital. Material and methods: This was a prospective, descriptive study that included for 6 months all patients admitted and operated for a non-traumatic abdominal surgical emergency and having performed at least one imaging test. Results: During our study period, Non-traumatic abdominal surgical emergencies accounted for 25.27% of admissions. The average age was37.58 years old with a male predominance (65.3%) and a sex ratio of 1.88. The mean consultation time was 66.92h±40.15. PSA was the most performed imaging test (86.44%) followed by abdominal ultrasound (8.47%). The main non-traumatic abdominal surgical emergencies observed were acute generalized peritonitis (45.8%), followed by acute intestinal obstruction (44.1%). The agreement between imaging and operative diagnosis was 93.46% on PSA, 92.86% on abdominal ultrasound and 100% on abdominal CT. Conclusion: Non-traumatic abdominal surgical emergencies are frequent, imaging examinations (ASP, ultrasound) allow a good appreciation of all non-traumatic abdominal emergencies when they are judiciously used. In addition, CT, although essential, remains inaccessible due to its cost, thus limiting its emergency use.
    VL  - 8
    IS  - 6
    ER  - 

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Author Information
  • Department of General Surgery Ignace Den National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery Ignace Den National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Friendship Hospital Sino Guinean of Kipe Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery Ignace Den National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery Ignace Den National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery Ignace Den National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery Ignace Den National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Anesthesiology Ignace Den National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of Visceral Surgery Donka National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery Ignace Den National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

  • Department of General Surgery Ignace Den National Hospital Faculty of Sciences and Technic of Health Gamal Abdel Nasser University of Conakry, Conakry, Guinea

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