Epidemiological, Clinical, and Therapeutic Characteristics of Acute Appendicitis at the Reference Health Center in Commune I of the District of Bamako Mali
- 1 Department of General Surgery of Cs Ref CI, Bamako, Mali
- 2 Directorate of the Social Health Service of Arms of Mali, Bamako, Mali
- 3 Directorate of the Social Health Service of Arms of Mali, Bamako, Mali
- 4 Department of General Surgery of Cs Ref CI, Bamako, Mali
- 5 Department of General Surgery of Cs Ref CI, Bamako, Mali
- 6 Department of General Surgery, CHU Point-G, Bamako, Mali
- 7 Department of General Surgery of CHU Gabriel Touré, Bamako, Mali
- 8 Department of General Surgery of CHU Gabriel Touré, Bamako, Mali
- 9 Department of General Surgery of CHU Gabriel Touré, Bamako, Mali
- 10 Department of General Surgery of CHU Gabriel Touré, Bamako, Mali
- 11 Department of General Surgery, CHU Point-G, Bamako, Mali
Abstract
Acute appendicitis is the most common abdominal surgical emergency. This work is a prospective study from January 2012 to December to analyze the epidemiological, clinical and therapeutic aspects of acute appendicitis in the Cs ref of commune I of the district of Bamako and the results obtained were then compared with those reported in other countries. Our study included 72 patients. The appendectomy surgical specimens were the subject of an anatomical pathology study at Point G University Hospital in Bamako in Mali, 1.4% of cases of which were healthy. All our operated patients received antibiotics (mono or dual antibiotics) with a post-operative hospitalization duration of 1.5 (36 hours) days on average. We recorded 6 complications such as parietal suppuration, i.e . 8.33% of cases. No 5th day syndrome or late complications were noted. The average length of hospitalization was 36 hours. Abdominal ultrasound; used as an additional examination was carried out in 55 of our patients or 76.39% of cases. We have not recorded any deaths. Raising awareness among patients about the dangers of complications motivated patients to undergo surgery as soon as possible.
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