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

Résumé

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.

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