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Profile and Management of Surgical Emergencies at the Anaim Hospital in Kamsar (Guinea)

Received: 10 August 2023     Accepted: 28 August 2023     Published: 13 September 2023
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Abstract

Introduction: In most African public hospitals, emergencies remain a frequent mode of admission. The aim of this study was to describe the epidemiological profile and management of surgical emergencies at ANAIM hospital in Kamsar (Guinea). Patients and methods: this was a prospective descriptive study lasting six months (October 2021 to April 2022) in the general surgery department at ANAIM hospital in Kamsar, covering all patients admitted for emergency surgery in the surgery department during the study period. Results: During the six-month study period, surgical emergencies accounted for 16.92% (n=203) of all admissions (N=1200). The mean age of patients was 29.87%, with extremes of 1 and 85 years. The sex ratio was 2.38, with males predominating (70%). Housewives were the most affected (27.10%). Acute appendicitis (24.1%), limb fractures (16.3%), acute bowel obstruction (13.3%) and acute peritonitis (11.8%) were the more frequent emergencies. The morbidity consisted mainly of surgical site infection (14.3%) and incisional hernia (3.4%). The overall mortality was 8.9%. Conclusion: Surgical emergencies, dominated by infectious diseases and fractures, are a major concern at ANAIM hospital in Kamsar. Our data showed that show clearly that late management because of lack of emergency kits and experienced surgeons increases the risk of postoperative complications and death. Thus, supplying the hospital with emergency kits and resuscitation means could considerably improve the quality of care for these patients.

Published in Journal of Surgery (Volume 11, Issue 5)
DOI 10.11648/j.js.20231105.13
Page(s) 103-106
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), 2023. Published by Science Publishing Group

Keywords

Surgical Emergencies, Epidemiology, Management, Anaim Hospital, Kamsar, Guinea

References
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[4] Soumaoro LT, Touré A, Diersou L, Diallo AT. Physionomie des urgences chirurgicales abdominales à l’hôpital régional de N`zérékoré [Profil of abdominal surgical emergencies at the regional hospital of N’Zerekore]. Guinée Médicale 2015; 87 (3): 19-22.
[5] Seyes IL Les traumatismes récents du rachis à propos de 496 cas au CHU de Dakar. [Early trauma of the rachis: report of 496 cases from the university hospital of Dakar]. Médecine tropicale 1996: 47 (2): 1- 477.
[6] Magagi IA, Adamou H, Habou O, Magagi A, Halidou M, Ganiou K. Urgences chirurgicales digestives en Afrique subsaharienne: étude prospective d’une série de 622 patients à l’hôpital national de Zinder Niger. [Digestive surgical emergencies in subsaharian Africa: a prospective study of a series of 622 patients at Zinder national hospital] Bull. Soc. Pathol. Exot. 2017; 110: 191-197.
[7] Sima Zué A, Josseaume A, Ngaka Nsafu D, Galoisy-Guibal L, Carpentier J. P. Les urgences chirurgicales au Centre Hospitalier de Libreville. [Surgical emergencies in the hospital center of Libreville] Annales Françaises d’Anesthésie et de Réanimation. 2003; 3 (1): 189–195.
[8] Abdou- Raouf O, Guikoumbi JR, Ndinga JP. Les urgences pédiatriques au Centre hospitalier de Libreville. [Pediatric emergencies of the hospital center of Libreville]. Med Trop 2002; 62: 281.
[9] Camara M, Kone AC, Camara T, Diawara Y, Dembele BT, Traore D, Sidibe S. Aspects épidémiologiques, cliniques et thérapeutiques des urgences abdominales chirurgicales à l’hôpital préfectoral de Siguiri (Guinée). [Epidemiologic, clinical and therapeutic aspects of surgical abdominal emergencies at the prefectural hospital of Siguiri (Guinea)]. The Journal of Medicine and biomedical Sciences, 2021: 81-84.
[10] Gaye I, Leye PA, Traoré MM, Pape Ndiaye I, Ba B, Bah MD et all. Prise en charge péri opératoire des urgences chirurgicales abdominales chez l’adulte au CHU Aristide Le Dantec. [Perioperative management of surgical abdominal emergencies of adult in the university hospital of Aristide Le Dantec]. Pan African Medical Journal, 2016; 24: 190.
[11] Gbessia DG, Doussou FM, Ezin EFM, Hadomou A, Imorou-Souaibou Y, Lawani I, al. Prise en charge des urgences chirurgicales abdominales à l’hôpital de la zone de Comé au Benin: à propos de 169 cas. [Management of abdominal surgical emergencies at Come Zone hospital in Benin]. Revue Afr Anesthésol Med Urgence. 2015; 20 (2): 50-56.
[12] Diop PS, Ba PA, Ka I, Ndoye JM, Fall B. Prise en charge diagnostique des abdomens aigues non traumatiques au service des urgences de l’hôpital général de Grand-Yoff: à propos de 504 cas. [Diagnosis management of non traumatic acute abdomen in the department of emergencies in the general hospital of the Grand Yoff: report of 504 cases]. Bull Med Owento. 2011; 13 (37): 42-46.
[13] Rakotomavo FA, Riel AM, Rakotoarison RCN, Randrianambinina H, Randrianambinina T, Randriamiarana MJ. Péritonite aigüe: aspects épidémio-clinique et étiologique dans un service des urgences chirurgicales malgache. A propos de 60 cas [Acute peritonitis: epidemio-clinical aspect and etiologies in the department of Malgache surgical emergencies: report of 60 cases]. J. Afr. Hépatol. Gastroentérol. 2012; 6: 33-37.
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Cite This Article
  • APA Style

    Alsény Diallo, Naby Laye Youssouf Camara, Boubacar Barry, Mohamed Albert Diawara, Ansoumane Conde, et al. (2023). Profile and Management of Surgical Emergencies at the Anaim Hospital in Kamsar (Guinea). Journal of Surgery, 11(5), 103-106. https://doi.org/10.11648/j.js.20231105.13

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    ACS Style

    Alsény Diallo; Naby Laye Youssouf Camara; Boubacar Barry; Mohamed Albert Diawara; Ansoumane Conde, et al. Profile and Management of Surgical Emergencies at the Anaim Hospital in Kamsar (Guinea). J. Surg. 2023, 11(5), 103-106. doi: 10.11648/j.js.20231105.13

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    AMA Style

    Alsény Diallo, Naby Laye Youssouf Camara, Boubacar Barry, Mohamed Albert Diawara, Ansoumane Conde, et al. Profile and Management of Surgical Emergencies at the Anaim Hospital in Kamsar (Guinea). J Surg. 2023;11(5):103-106. doi: 10.11648/j.js.20231105.13

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  • @article{10.11648/j.js.20231105.13,
      author = {Alsény Diallo and Naby Laye Youssouf Camara and Boubacar Barry and Mohamed Albert Diawara and Ansoumane Conde and Facely Conde and Naby Fofana and Labile Togba Soumaoro and Houssein Fofana and Aboubacar Toure},
      title = {Profile and Management of Surgical Emergencies at the Anaim Hospital in Kamsar (Guinea)},
      journal = {Journal of Surgery},
      volume = {11},
      number = {5},
      pages = {103-106},
      doi = {10.11648/j.js.20231105.13},
      url = {https://doi.org/10.11648/j.js.20231105.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231105.13},
      abstract = {Introduction: In most African public hospitals, emergencies remain a frequent mode of admission. The aim of this study was to describe the epidemiological profile and management of surgical emergencies at ANAIM hospital in Kamsar (Guinea). Patients and methods: this was a prospective descriptive study lasting six months (October 2021 to April 2022) in the general surgery department at ANAIM hospital in Kamsar, covering all patients admitted for emergency surgery in the surgery department during the study period. Results: During the six-month study period, surgical emergencies accounted for 16.92% (n=203) of all admissions (N=1200). The mean age of patients was 29.87%, with extremes of 1 and 85 years. The sex ratio was 2.38, with males predominating (70%). Housewives were the most affected (27.10%). Acute appendicitis (24.1%), limb fractures (16.3%), acute bowel obstruction (13.3%) and acute peritonitis (11.8%) were the more frequent emergencies. The morbidity consisted mainly of surgical site infection (14.3%) and incisional hernia (3.4%). The overall mortality was 8.9%. Conclusion: Surgical emergencies, dominated by infectious diseases and fractures, are a major concern at ANAIM hospital in Kamsar. Our data showed that show clearly that late management because of lack of emergency kits and experienced surgeons increases the risk of postoperative complications and death. Thus, supplying the hospital with emergency kits and resuscitation means could considerably improve the quality of care for these patients.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Profile and Management of Surgical Emergencies at the Anaim Hospital in Kamsar (Guinea)
    AU  - Alsény Diallo
    AU  - Naby Laye Youssouf Camara
    AU  - Boubacar Barry
    AU  - Mohamed Albert Diawara
    AU  - Ansoumane Conde
    AU  - Facely Conde
    AU  - Naby Fofana
    AU  - Labile Togba Soumaoro
    AU  - Houssein Fofana
    AU  - Aboubacar Toure
    Y1  - 2023/09/13
    PY  - 2023
    N1  - https://doi.org/10.11648/j.js.20231105.13
    DO  - 10.11648/j.js.20231105.13
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 103
    EP  - 106
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20231105.13
    AB  - Introduction: In most African public hospitals, emergencies remain a frequent mode of admission. The aim of this study was to describe the epidemiological profile and management of surgical emergencies at ANAIM hospital in Kamsar (Guinea). Patients and methods: this was a prospective descriptive study lasting six months (October 2021 to April 2022) in the general surgery department at ANAIM hospital in Kamsar, covering all patients admitted for emergency surgery in the surgery department during the study period. Results: During the six-month study period, surgical emergencies accounted for 16.92% (n=203) of all admissions (N=1200). The mean age of patients was 29.87%, with extremes of 1 and 85 years. The sex ratio was 2.38, with males predominating (70%). Housewives were the most affected (27.10%). Acute appendicitis (24.1%), limb fractures (16.3%), acute bowel obstruction (13.3%) and acute peritonitis (11.8%) were the more frequent emergencies. The morbidity consisted mainly of surgical site infection (14.3%) and incisional hernia (3.4%). The overall mortality was 8.9%. Conclusion: Surgical emergencies, dominated by infectious diseases and fractures, are a major concern at ANAIM hospital in Kamsar. Our data showed that show clearly that late management because of lack of emergency kits and experienced surgeons increases the risk of postoperative complications and death. Thus, supplying the hospital with emergency kits and resuscitation means could considerably improve the quality of care for these patients.
    VL  - 11
    IS  - 5
    ER  - 

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Author Information
  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of Surgical Emergency, The ANAIM Hospital, Kamsar, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

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