Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea)

Ansoumane Conde; Mohamed Saliou Bangoura; Djiba Camara; Fode Cisse; Aminata Fofana; Ibrahima Sory Camara; Labile Togba Soumaoro; Aboubacar Toure

doi:doi:10.11648/j.js.20231104.14

Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea)

Ansoumane Conde, Mohamed Saliou Bangoura, Djiba Camara, Fode Cisse, Aminata Fofana, Ibrahima Sory Camara, Labile Togba Soumaoro, Aboubacar Toure

Published in Journal of Surgery (Volume 11, Issue 4)

Received: 28 July 2023 Accepted: 15 August 2023 Published: 28 August 2023

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Abstract

Introduction: the aim of this study was to report our experience in the management of abdominal wounds in the general surgery department of the Ignace Deen national hospital of Conakry (Guinea). Patients and Methods: This was a retrospective, descriptive study covering a 3-year period (January 2020 to December 2022) of consecutive records of patients admitted and managed for abdominal wounds in our department. Results: We collected 50 cases representing 33.1% of all traumatic abdominal emergencies (n=151). The mean age was 25.8 ±12 years. We noted a male predominance (78%). Criminal assault was the most frequent circumstance of occurrence (76%). The causal agent was a knife (44%) or a firearm (32%). Wounds were penetrating in 84% of cases. Clinical presentation was parietal wound (n=8; 16%), hemoperitoneum syndrome (n= 20; 40%), evisceration (n=10; 20%) and peritonitis (n=12; 24%). Lesions of the small intestine (38%) and omentum (28%) were the most common. Simple excision-suture (24%) was the most common procedure. Follow-up was uneventful in 82% of cases; however we recorded a morbidity of 6% and an overall mortality of 12%. Conclusion: Wounds of the abdomen are frequent, concern a young population and are often the result of a criminal assault in our context. They cause visceral lesions that can be life-threatening.

Published in	Journal of Surgery (Volume 11, Issue 4)
DOI	10.11648/j.js.20231104.14
Page(s)	91-93
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

Abdominal Wounds, Management, Conakry, Guinea

References

[1]	Raherinantenaina F, Rakotomena S. D, Rajaonarivony T et al. Traumatismes fermés et pénétrants de l’abdomen: analyse rétrospective sur 175 cas et revue de la littérature [Closed and penetrating abdominal trauma: retrospective analysis on 175 cases and review of litterature]. Pan Afr Med J. 2015; 20: 129-139.
[2]	Hama Y, Mohamed AA, James Didier L, Sani R. Prise en charge des plaies pénétrantes de l’abdomen à l’hôpital national de Niamey [Management of penetrating abdominal wounds in the Niamey national hospital]. European Scientific Journal, 2020; 16 (36): 212-22.
[3]	Bombah F, Biwolé D, Ekani B, Ngo NB, Essomba A. Prise en charge chirurgicale des plaies pénétrantes abdominales à l’hôpital Laquintine de Douala [Surgical management of penetrating abdominal wound in Laquintine hospital of Douala]. Heath sciences and diseases 2020; 211 (4): 55-61.
[4]	Hoffmann C, Goudard Y, Falzone E et al. Prise en charge des traumatismes pénétrants de l’abdomen: spécificités à connaitre [Management of abdominal penetrating trauma: specific points to know]. Annales françaises d’Anesthésie et de réanimation 2013; 32: 104-111.
[5]	Belemlilga GLH, Zare C, Yabré N et al. Traumatisme de l’abdomen en milieu Africain: Aspects épidémiologiques, diagnostiques et thérapeutiques [Abdominal trauma in african environnent]. European Scientific Journal 2020; 16 (21): 132-141.
[6]	Fofana N, Soumaoro LT, Fofana H et al. Plaies traumatiques de l'abdomen: fréquence et prise en charge au service de chirurgie générale, hôpital national Ignace Deen, CHU de Conakry [Abdominal traumatic wound: frequency and management at Ignace Deen national hospital, university hospital of Conakry].
[7]	J. AFR CHIR DIGEST 2019; 19 (1): 2653 – 2657. Traoré A, Dembélé BT, Diakité I et al. Traumatic Perforation of the Small Intestine in General Surgery of the CHU Gabriel Touré. Surgical Science 2017; 8: 414-421.
[8]	Ngaroua A, Fotio Fokeng H, Djibrilla J et al. Plaie abdominale par arme blanche: aspects épidémiologiques, cliniques et gestion des urgences à l’Hôpital de Ngaoundere [Abdominal wound by knife: epidemiological, clinical and emergency management at the Ngaoudere hospital]. Ramur 2019; 2 (1): 30-36.
[9]	Diallo FK, Nguélé N, Dyatta MK et al. Les plaies pénétrantes de l’abdomen au centre hospitalier universitaire de Libreville: aspects épidémiologiques, cliniques et thérapeutiques [Abdominal penetrating wound in university hospital center of Libreville: epidemiological, clinical and therapeutic aspects]. RECAC 2020; 18 (3): 18-22.
[10]	Kanté L, Togo A, Diakité I et al. Plaies pénétrantes abdominales par arme dans le service de chirurgie générale du CHU Gabriel Touré [Abdominal penetrating wound by weapons in the general surgical department of Gabriel Toure university hospital]. Mali Médical 2013; 28 (3): 28-31.
[11]	Raj Siddharth B, Keerthi MSS, Subrahmaneswara BN et al. Penetrating injuries to the abdomen: a single institutional experience with review of literature. Indian J Surg 2017; 79 (3): 196-200.
[12]	Sani R, Ngo Bissemb NM, Illo A et al. La plaie abdominale. Revue de 316 dossiers à l'hôpital National de Niamey-Niger [Abdominal wound: review of 316 files in the Niamey national hospital, Niger]. Médecine d'Afrique Noire 2004; 51 (7): 399-402.
[13]	Maha Yassin O, AamirAbdullahi H, Mohamed Toun M. Penetrating abdominal injuries: Pattern and outcome of management in Khartoum. Int J Clin Med 2014; 5 (1): 18-22.
[14]	Bahebeck J, Masso-Misse P, Essomba A et al. La plaie abdominale par balle: à propos de 86 observations au Cameroun [Abdominal wound by gun: a report of 86 observations in Cameroun]. Med Trop 2005; 65: 554-8.
[15]	Mapouka PAI, Ngatchoukpo VN, Mirotiga PAN et al. Les plaies pénétrantes de l’abdomen par arme à feu: Aspects épidémiologiques, cliniques, lésionnels et thérapeutiques au CHU Communautaire de Bangui, Centrafrique [Abdominal penetrating wound by gun: epidemiological, clinical, and therapeutic aspects at Bangui university hospital, Centrafrique]. European scientific Journal 2019; 15 (36): 475-488.
[16]	Choua O, Rimtebaye K, Adami M et al. Les plaies pénétrantes par armes blanches et à feu à N’djamena, Tchad: une épidémie silencieuse? [The penetrating wound by arms in N’djamena, Tchad: a silent epidemic]. European scientific Journal 2016; 12 (9): 180-191.

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APA Style

Ansoumane Conde, Mohamed Saliou Bangoura, Djiba Camara, Fode Cisse, Aminata Fofana, et al. (2023). Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea). Journal of Surgery, 11(4), 91-93. https://doi.org/10.11648/j.js.20231104.14

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ACS Style

Ansoumane Conde; Mohamed Saliou Bangoura; Djiba Camara; Fode Cisse; Aminata Fofana, et al. Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea). J. Surg. 2023, 11(4), 91-93. doi: 10.11648/j.js.20231104.14

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AMA Style

Ansoumane Conde, Mohamed Saliou Bangoura, Djiba Camara, Fode Cisse, Aminata Fofana, et al. Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea). J Surg. 2023;11(4):91-93. doi: 10.11648/j.js.20231104.14

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@article{10.11648/j.js.20231104.14,
  author = {Ansoumane Conde and Mohamed Saliou Bangoura and Djiba Camara and Fode Cisse and Aminata Fofana and Ibrahima Sory Camara and Labile Togba Soumaoro and Aboubacar Toure},
  title = {Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea)},
  journal = {Journal of Surgery},
  volume = {11},
  number = {4},
  pages = {91-93},
  doi = {10.11648/j.js.20231104.14},
  url = {https://doi.org/10.11648/j.js.20231104.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231104.14},
  abstract = {Introduction: the aim of this study was to report our experience in the management of abdominal wounds in the general surgery department of the Ignace Deen national hospital of Conakry (Guinea). Patients and Methods: This was a retrospective, descriptive study covering a 3-year period (January 2020 to December 2022) of consecutive records of patients admitted and managed for abdominal wounds in our department. Results: We collected 50 cases representing 33.1% of all traumatic abdominal emergencies (n=151). The mean age was 25.8 ±12 years. We noted a male predominance (78%). Criminal assault was the most frequent circumstance of occurrence (76%). The causal agent was a knife (44%) or a firearm (32%). Wounds were penetrating in 84% of cases. Clinical presentation was parietal wound (n=8; 16%), hemoperitoneum syndrome (n= 20; 40%), evisceration (n=10; 20%) and peritonitis (n=12; 24%). Lesions of the small intestine (38%) and omentum (28%) were the most common. Simple excision-suture (24%) was the most common procedure. Follow-up was uneventful in 82% of cases; however we recorded a morbidity of 6% and an overall mortality of 12%. Conclusion: Wounds of the abdomen are frequent, concern a young population and are often the result of a criminal assault in our context. They cause visceral lesions that can be life-threatening.},
 year = {2023}
}

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TY  - JOUR
T1  - Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea)
AU  - Ansoumane Conde
AU  - Mohamed Saliou Bangoura
AU  - Djiba Camara
AU  - Fode Cisse
AU  - Aminata Fofana
AU  - Ibrahima Sory Camara
AU  - Labile Togba Soumaoro
AU  - Aboubacar Toure
Y1  - 2023/08/28
PY  - 2023
N1  - https://doi.org/10.11648/j.js.20231104.14
DO  - 10.11648/j.js.20231104.14
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 91
EP  - 93
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20231104.14
AB  - Introduction: the aim of this study was to report our experience in the management of abdominal wounds in the general surgery department of the Ignace Deen national hospital of Conakry (Guinea). Patients and Methods: This was a retrospective, descriptive study covering a 3-year period (January 2020 to December 2022) of consecutive records of patients admitted and managed for abdominal wounds in our department. Results: We collected 50 cases representing 33.1% of all traumatic abdominal emergencies (n=151). The mean age was 25.8 ±12 years. We noted a male predominance (78%). Criminal assault was the most frequent circumstance of occurrence (76%). The causal agent was a knife (44%) or a firearm (32%). Wounds were penetrating in 84% of cases. Clinical presentation was parietal wound (n=8; 16%), hemoperitoneum syndrome (n= 20; 40%), evisceration (n=10; 20%) and peritonitis (n=12; 24%). Lesions of the small intestine (38%) and omentum (28%) were the most common. Simple excision-suture (24%) was the most common procedure. Follow-up was uneventful in 82% of cases; however we recorded a morbidity of 6% and an overall mortality of 12%. Conclusion: Wounds of the abdomen are frequent, concern a young population and are often the result of a criminal assault in our context. They cause visceral lesions that can be life-threatening.
VL  - 11
IS  - 4
ER  -

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Author Information

Ansoumane Conde

Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea
Mohamed Saliou Bangoura

Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea
Djiba Camara

Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea
Fode Cisse

Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea
Aminata Fofana

Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea
Ibrahima Sory Camara

Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea
Labile Togba Soumaoro

Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea
Aboubacar Toure

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

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APA Style

Ansoumane Conde, Mohamed Saliou Bangoura, Djiba Camara, Fode Cisse, Aminata Fofana, et al. (2023). Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea). Journal of Surgery, 11(4), 91-93. https://doi.org/10.11648/j.js.20231104.14

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ACS Style

Ansoumane Conde; Mohamed Saliou Bangoura; Djiba Camara; Fode Cisse; Aminata Fofana, et al. Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea). J. Surg. 2023, 11(4), 91-93. doi: 10.11648/j.js.20231104.14

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AMA Style

Ansoumane Conde, Mohamed Saliou Bangoura, Djiba Camara, Fode Cisse, Aminata Fofana, et al. Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea). J Surg. 2023;11(4):91-93. doi: 10.11648/j.js.20231104.14

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@article{10.11648/j.js.20231104.14,
  author = {Ansoumane Conde and Mohamed Saliou Bangoura and Djiba Camara and Fode Cisse and Aminata Fofana and Ibrahima Sory Camara and Labile Togba Soumaoro and Aboubacar Toure},
  title = {Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea)},
  journal = {Journal of Surgery},
  volume = {11},
  number = {4},
  pages = {91-93},
  doi = {10.11648/j.js.20231104.14},
  url = {https://doi.org/10.11648/j.js.20231104.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231104.14},
  abstract = {Introduction: the aim of this study was to report our experience in the management of abdominal wounds in the general surgery department of the Ignace Deen national hospital of Conakry (Guinea). Patients and Methods: This was a retrospective, descriptive study covering a 3-year period (January 2020 to December 2022) of consecutive records of patients admitted and managed for abdominal wounds in our department. Results: We collected 50 cases representing 33.1% of all traumatic abdominal emergencies (n=151). The mean age was 25.8 ±12 years. We noted a male predominance (78%). Criminal assault was the most frequent circumstance of occurrence (76%). The causal agent was a knife (44%) or a firearm (32%). Wounds were penetrating in 84% of cases. Clinical presentation was parietal wound (n=8; 16%), hemoperitoneum syndrome (n= 20; 40%), evisceration (n=10; 20%) and peritonitis (n=12; 24%). Lesions of the small intestine (38%) and omentum (28%) were the most common. Simple excision-suture (24%) was the most common procedure. Follow-up was uneventful in 82% of cases; however we recorded a morbidity of 6% and an overall mortality of 12%. Conclusion: Wounds of the abdomen are frequent, concern a young population and are often the result of a criminal assault in our context. They cause visceral lesions that can be life-threatening.},
 year = {2023}
}

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TY  - JOUR
T1  - Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea)
AU  - Ansoumane Conde
AU  - Mohamed Saliou Bangoura
AU  - Djiba Camara
AU  - Fode Cisse
AU  - Aminata Fofana
AU  - Ibrahima Sory Camara
AU  - Labile Togba Soumaoro
AU  - Aboubacar Toure
Y1  - 2023/08/28
PY  - 2023
N1  - https://doi.org/10.11648/j.js.20231104.14
DO  - 10.11648/j.js.20231104.14
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 91
EP  - 93
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20231104.14
AB  - Introduction: the aim of this study was to report our experience in the management of abdominal wounds in the general surgery department of the Ignace Deen national hospital of Conakry (Guinea). Patients and Methods: This was a retrospective, descriptive study covering a 3-year period (January 2020 to December 2022) of consecutive records of patients admitted and managed for abdominal wounds in our department. Results: We collected 50 cases representing 33.1% of all traumatic abdominal emergencies (n=151). The mean age was 25.8 ±12 years. We noted a male predominance (78%). Criminal assault was the most frequent circumstance of occurrence (76%). The causal agent was a knife (44%) or a firearm (32%). Wounds were penetrating in 84% of cases. Clinical presentation was parietal wound (n=8; 16%), hemoperitoneum syndrome (n= 20; 40%), evisceration (n=10; 20%) and peritonitis (n=12; 24%). Lesions of the small intestine (38%) and omentum (28%) were the most common. Simple excision-suture (24%) was the most common procedure. Follow-up was uneventful in 82% of cases; however we recorded a morbidity of 6% and an overall mortality of 12%. Conclusion: Wounds of the abdomen are frequent, concern a young population and are often the result of a criminal assault in our context. They cause visceral lesions that can be life-threatening.
VL  - 11
IS  - 4
ER  -

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