Management of Pediatric Abdominal Surgical Emergencies in Northern Benin

• 作者: B. R. Assan B. Tamou Sambo D. M. Seto M. A. Hodonou M. G. Yassegoungbe S. A. Allode S. B. Noukpozounkou
• 来源期刊: 儿科学期刊(英文)
• 学科: 医学
• 关键词: Abdominal Surgical Emergency PEDIATRICS PERITONITIS Delay in Surgery
• 年，卷（期）: 2020,（2）
• 页码范围: 314-319
• 页数: 6页
• 分类号: R72

摘要

<strong>Background</strong>:<span style="font-family:;" "=""><span style="font-family:Verdana;"> Pediatric abdominal surgical emergencies are major causes of morbidity and mortality. The goal was to identify the main determinants of their management and access to assess their evolution. </span><b><span style="font-family:Verdana;">Patients and methods:</span></b><span style="font-family:Verdana;"> This is a prospective, descriptive and analytical study performed at Parakou teaching hospital and Tanguieta district hospital. It has been conducted from January 1st to July 31st 2016. All children were included aged 0 to 15 years and admitted for an abdominal surgical emergency with a Clinical Classification of Emergency Patients listed from 3 to 5. </span><b><span style="font-family:Verdana;">Results:</span></b><span style="font-family:Verdana;"> Pediatric abdominal surgical emergencies accounted for 42.8% of pediatric surgical emergencies. The average age was 9.3 ± 3.5 years old. The sex ratio was 1.7. The most encountered etiologies were peritonitis (36.76%), abdominal trauma (16.17%) and anorectal malformations (14.71%). The comparison of the delay in operative treatment with the World Society of Emergency Surgery shows a delay in 82.35% of cases. Mortality was high preoperatively and was related to the neonatal period (p = 0.027) and to a resuscitation length of stay higher than 36 hours (p = 0.035). </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Surgical care was delayed, mainly due to the lack of technical capacities. Morbidity and mortality were relatively low.</span></span>