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Intestinal Resection: Indications and Prognostic Factors at the General Surgery Department of Kankan Regional Hospital

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Surgical Science 2024年第11期15卷 588-597页

作者： Koundouno Aly Mampan Fofana Housein Bah Mamadou Foinké Koundouno Saa Amadou leno tamba Keita Lancinè Fanta Koivogui Yaraboye Camara Sékou Tiguidan Koundouno Samuel Sanoh Lamine Doumbouya Moussa Cherif Mamady Sacko Mamoudou Sano Amara Thiam Mohamed Department of Surgery Kankan Regional Hospital Kankan Guinea Department of General Surgery Ignace Deen National Hospital CHU of Conakry Conakry Guinea Department of General Surgery Conakry Military Hospital Conakry Guinea The Nelson Mandla Health School in Matoto Conakry Guinea Department of Maternity Kankan Regional Hospital Kankan Guinea

Introduction: Intestinal resection is the disconnection or removal of part of the intestine with its meso. The aim was to describe the indications and prognostic factors for intestinal resections at the surgical department of Kankan Regional Hospital. Patients and Methods: This was a retrospective descriptive study covering the files of patients who had undergone intestinal resections in the surgery department of the Kankan regional hospital over a period of 4 years from 1st January 2019 to December 31, 2022. Results: We collected 164 cases of intestinal resection representing 4.19% of all surgical procedures. (N = 3909). The average age of our patients was 37.78 years with extremes of 1 and 90 years. The male gender was predominant (64.6%) and the sex ratio was 1.8. The majority of patients consulted after 72 hours. Acute intestinal obstruction was the pathology motivating the most intestinal resection 42.90% followed by acute peritonitis 33%, digestive fistula 4.3%, tumors 3.6% and wounds 2.4%. Intestinal necrosis with 91 cases (56.5%) constituted the first indication for resection in our study followed by intestinal perforations 41 cases (24.9%). We performed an anastomotic resection of the small intestine in 70 cases (42.9%), an ileostomy in 4 cases (2.4%), a right hemi colectomy in 26 cases (15.9%), a left hemi colectomy in 2 cases (1.2%), segmental colectomy plus immediate anastomosis in 57 cases (34.2%) and 5 cases of colostomy. We recorded 48 deaths (29.3%). Conclusion: Intestinal resection is a common procedure in our context. These indications are multiple. An improvement in the prognosis should be achieved by reducing the diagnostic and treatment time associated with the training of surgical staff.

关键词： Intestinal Resection Anastomosis Indication Mortality

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