Abdominal Trauma Management: About 62 Cases at the Department of General Surgery of Hôpital SominéDOLO de Mopti, Mali

作     者：Djibril Traoré Bréhima Traoré Fodé Mory Keita Dramane Cissé Modibo Coulibaly Mory Koné Abdoul Karim Djimdé Kiffery Ibrahim Korotimi Mallé Abdoulaye Traoré Oumar Guindo Mathias Diassana Pierre M. Coulibaly Bakary T. Dembélé Pierre A. Togo Djibril Traoré;Bréhima Traoré;Fodé Mory Keita;Dramane Cissé;Modibo Coulibaly;Mory Koné;Abdoul Karim Djimdé;Kiffery Ibrahim;Korotimi Mallé;Abdoulaye Traoré;Oumar Guindo;Mathias Diassana;Pierre M. Coulibaly;Bakary T. Dembélé;Pierre A. Togo

作者机构：Department of General Surgery Hô pital Sominé DOLO de Mopti Mopti Mali Department of Surgery Polyclinique des armées Kati Mali Department of Biomedical Laboratory Hô pital Sominé DOLO de Mopti Mopti Mali Department of Anesthesia and Resuscitation Hô pital Sominé DOLO de Mopti Mopti Mali Department of Public Health Hô pital Sominé DOLO de Mopti Mopti Mali Department of Gynecology and Obstetrics Hô pital Sominé DOLO de Mopti Mopti Mali Department of General Surgery CHU Gabriel Touré Bamako Mali 

出 版 物：《Surgical Science》 (外科学（英文）)

年 卷 期：2021年第12卷第6期

页      面：204-210页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Trauma-Abdomen-Emergency-Hôpital Sominé DOLO de Mopti 

摘      要：We undertook a prospective and descriptive observational study on abdominal trauma from February 1, 2016 to August 31, 2017. The aim of this work was to identify the typology and management of abdominal trauma cases in our surgery department. Overall, abdominal trauma represented 3.54% (62/1751) of all surgeries during the study period. Among the 62 cases, men accounted for 59 and women for 3. The sex ratio was 19.67. The mean age was 24 ± 15 years. Road accidents were the most represented with 43.5% of cases. The couple of signs, hypovolemic shock and abdominal pain and decrease on blood pressure were the prominent clinical symptoms with 100.0%, and 50.0% of cases, respectively. Abdominal ultrasound and abdominal x-ray without contrast were performed in 67.0% and 18.0% of cases, respectively. Abdominal trauma was divided into two entities: contusion 68% and wounds 32%. Medical treatment was sufficient in 23.00% of cases. Laparotomy as a surgical approach was performed in 77.0% of cases. Local hemostasis plus drainage (27.08%), splenectomy (25.00%), suture (14.58%), hemostasis by tamponade (8.33%) and colostomy (2.08%) were undertaken as surgical procedures when it came to deal with contusions. Debridement of wounds plus suture and hemostasis by tamponade was performed in 18.73% and 4.16 cases, respectively. The most observed lesions were those of the spleen with 27.42% and those of the small bowel with 24.19%. The postoperative follow-up was straightforward in 83.33% of cases. The overall mortality was 4.17%.