| Peer-Reviewed

Anesthesiological Management of Acute Generalized Peritonitis at Chu Kara

Received: 24 December 2022     Accepted: 11 January 2023     Published: 31 January 2023
Views:       Downloads:
Abstract

The aim of our work was to make an inventory of the anesthesiological management of acute generalized peritonitis at the CHU-Kara. To determine the frequency of acute generalized peritonitis; to describe their treatment in pre, per and postoperative; to analyze the postoperative follow-up. This work was a retrospective descriptive study carried out on the files of patients operated for acute generalized peritonitis from November 1, 2019 to October 31, 2020. The study was performed in the surgical resuscitation department and in the operating room. Fifty-eight cases of generalized peritonitis were selected for the study. Peritonitis represented 27.8% of abdominal surgical emergencies. The patients were male dominated with a mean age of 29.6 years. The average consultation time was 3.5 days. Fever was the predominant clinical sign on admission (72.4%). The average duration of preoperative resuscitation was 17 hours and 18 minutes. The combination of Ceftriaxone and Metronidazole was the most used antibiotic therapy. General anesthesia was standard. Spinal anaesthesia was the second technique used. Preoxygenation was systematic for general anesthesia. Pancuronium (72.2%) was the most used curare. The average duration of anesthesia was 105 minutes. Laparotomy, peritoneal cleansing and drainage were performed in all patients, followed by excision-suture of the stomach (43.1%). Peritonitis due to peptic ulcer perforation predominated (43.1%) followed by typhoid perforation of the small intestine (24.1%). The morbidity rate was 41.4%, dominated by parietal suppurations (15.5%). The mortality rate was 8.6%. The average length of stay in intensive care was 8.7 days. The anesthesiological management of acute peritonitis remains a real challenge for anesthesiologists, given the major volume disturbances, the delay in diagnosis with its corollary of septic shock, and the lack of qualified personnel with which they are faced. Peritonitis is a real public health problem because of its still very high mortality. It was carried out with insufficiencies related to the poverty of the population, the inexistence of universal health insurance, the insufficiency of the technical platform and the insufficiency of organization.

Published in International Journal of Anesthesia and Clinical Medicine (Volume 11, Issue 1)
DOI 10.11648/j.ijacm.20231101.12
Page(s) 5-13
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

Anesthesiology, Acute Generalized Peritonitis, Treatment, CHU-Kara, Togo

References
[1] Calin Lazar Constantin. Memory boarding school, Vernazobres - Gregor editions, 99 bd de l'Hôpital -75013. Paris 2006: Surgical emergencies, 2nd Edition: n° 275; peritonitis P109.
[2] Harouna YD, Abdou I., Saibou B, and Bazira L. Peritonitis in the tropics: etiological particularities and current prognostic factors: about 160 cases. Méd Afr Noire 2001; 48 (3): 103 - 106.
[3] Adamson K, Gamdy GN, James LS. The influence of thermal factors upon oxygen consumption of the newborn infant. J Pediatr 1965; 66: 495-503.
[4] Coulibaly CO. Acute generalized peritonitis in the general surgery department of the hospital of Sikasso about 101 cases. Thesis med Sikasso 2010 M408: P60.
[5] Traoré LS. Studies of acute peritonitis at the CHU of Kati. These. Thesis med Bamako 2014.
[6] Ouangré E. Les péritonites aiguës généralisées en milieu rural au Burkina Faso: A propos de 221 cas, Revue Africaine et Malgache de Recherche Scientifique/Sciences de la Santé, vol. 1, no. 2, Art. No. 2, Apr. 2014.
[7] Dissa B. Les péritonites aiguës aspects cliniques, diagnostiques et thérapeutiques à l'hôpital Fousseyni Daou de Kayes. Thesis med, Bamako 2012; n°53.
[8] Yacouba A. Acute peritonitis in the regional hospital of GAO. Thesis med, Bamako 2011; N°35.
[9] Ramachandran CS, Agarwal S. Laparoscopic Surgical management of perforative peritonitis in enteric fever: a preliminary Study. Surg New Delhi 2004; 14 (3): 122-4.
[10] Cougard P, Barrat C. Laparoscopic treatment of duodenal ulcer perforations. Results of the SFCL multicenter survey. Ann. Chir. 2000, 125: 726 - 731.
[11] Aghazadi TR, Almou, Boukind B. Anterior seromyotomy and posterior vagotomy in the treatment of perforated ulcer. Ann Chir 1992; 124 (5): 2 - 299.
[12] Dembélé B. M. Study of acute generalized peritonitis in the general and pediatric surgery departments of Gabriel Touré Hospital. Medical thesis, Bamako 2005; N°215. http://indexmedicus.afro.who.int/iah/fulltext/Thesis_Bamako/05M215.pdf.
[13] Sakhri J. Treatment of perforated duodenal ulcers. Tunisie Médicale 2000; 78 (8): 9.
[14] Sarah El A. Acute generalized peritonitis treated in the visceral surgical emergency department at IBN Sina hospital in Rabat (About 210 cases). Thesis Morocco medicine 2020.
[15] Ongoungou N and Amonkou A. Anesthesiological management of community peritonitis: limitations and difficulties in 30 cases collected at the University Hospital of Yopougon. Thesis UFR des Sciences Médicales Abidjan 2007.
[16] Gaye I, Leye PA, Traoré M, Ndiaye PI, Ba B, Diouf E. Perioperative management of abdominal surgical emergencies in adults at CHU Aristide le Dantec. Afr Med 2016; 24: 190.
[17] Timbo A. Laparoscopic cholecystectomy in sickle cell patients: evaluation of anesthesiology management at CHU point G [Thesis]. Medicine and Odostomatology: Mali; 2014. 119.
[18] Kafih M, Fekak H, El Idrissi A, Zerouali O. Perforated duodenal ulcer: laparoscopic treatment of perforation and ulcer disease. Ann chir 2000; 125: 242-6.
[19] Mbiandoun Ngatcha GS. Postoperative complications in the intensive care setting: epidemiological and clinical profile. Thesis of medicine Bamako 2013.
[20] Cissé I. Digestive perforations in the general and pediatric surgery department of Gabriel TOURE hospital. Med thesis, Bamako 2003, M 54.
[21] Sambo B, Allodé S. Prise En Charge Des Péritonites Aiguës Dans Un Hôpital De District En Afrique Sub-saharienne: Cas Du Bénin, European Scientific Journal, ESJ, vol. 13, no. 36, Art. No. 36, Dec. 2017.
[22] Gilles B. Nosocomial infections: epidemiology, diagnostic criteria, prevention, principles of treatment. Revue du praticien 1997; 47: 201-09.
[23] Kasségné I, Kanassoua KK, Sewa EV, Sambiani DM, Ayité AE. Management of acute generalized peritonitis at the University Hospital of Kara. Saranf 2013; 18 (2): 115-21.
[24] Mabewa A, Seni J, Chalya PL, Mshana SE, Gilyoma JM. (2015). Etiologies, treatment outcome and factors among patients with secondary peritonitis at Bugando Medical Centre, Mwanza, Tanzania, World J Emerg Surg 2015; 10: 47.
[25] Adesunkanmi AR, Oseni SA, Adejuyigbe O, Agbakwuru EA. Acute Generalized Peritonitis in African Children: Assessment of severity of illness using modified APACHE II Score. ANZ J surg Nigeria 2003; 73 (5): 275 - 9.
[26] Mehinto DK, Gandaho I, Adoukonou O, Bagnan OK, Padonou NA. Epidemiological, diagnostic and therapeutic aspects of small bowel perforations of typhoid origin in visceral surgery at the Centre National Hospitalier et Universitaire-Hubert Koutoucou Maga de cotonou. Méd Afr Noire 2010; 57 (11): 535-40.
Cite This Article
  • APA Style

    Essohanam Tabana Mouzou, Sarakawabalo Assenouwe, Pikabalo Tchetike, Eyram Yoan Makafui Amekoudi. (2023). Anesthesiological Management of Acute Generalized Peritonitis at Chu Kara. International Journal of Anesthesia and Clinical Medicine, 11(1), 5-13. https://doi.org/10.11648/j.ijacm.20231101.12

    Copy | Download

    ACS Style

    Essohanam Tabana Mouzou; Sarakawabalo Assenouwe; Pikabalo Tchetike; Eyram Yoan Makafui Amekoudi. Anesthesiological Management of Acute Generalized Peritonitis at Chu Kara. Int. J. Anesth. Clin. Med. 2023, 11(1), 5-13. doi: 10.11648/j.ijacm.20231101.12

    Copy | Download

    AMA Style

    Essohanam Tabana Mouzou, Sarakawabalo Assenouwe, Pikabalo Tchetike, Eyram Yoan Makafui Amekoudi. Anesthesiological Management of Acute Generalized Peritonitis at Chu Kara. Int J Anesth Clin Med. 2023;11(1):5-13. doi: 10.11648/j.ijacm.20231101.12

    Copy | Download

  • @article{10.11648/j.ijacm.20231101.12,
      author = {Essohanam Tabana Mouzou and Sarakawabalo Assenouwe and Pikabalo Tchetike and Eyram Yoan Makafui Amekoudi},
      title = {Anesthesiological Management of Acute Generalized Peritonitis at Chu Kara},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {11},
      number = {1},
      pages = {5-13},
      doi = {10.11648/j.ijacm.20231101.12},
      url = {https://doi.org/10.11648/j.ijacm.20231101.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20231101.12},
      abstract = {The aim of our work was to make an inventory of the anesthesiological management of acute generalized peritonitis at the CHU-Kara. To determine the frequency of acute generalized peritonitis; to describe their treatment in pre, per and postoperative; to analyze the postoperative follow-up. This work was a retrospective descriptive study carried out on the files of patients operated for acute generalized peritonitis from November 1, 2019 to October 31, 2020. The study was performed in the surgical resuscitation department and in the operating room. Fifty-eight cases of generalized peritonitis were selected for the study. Peritonitis represented 27.8% of abdominal surgical emergencies. The patients were male dominated with a mean age of 29.6 years. The average consultation time was 3.5 days. Fever was the predominant clinical sign on admission (72.4%). The average duration of preoperative resuscitation was 17 hours and 18 minutes. The combination of Ceftriaxone and Metronidazole was the most used antibiotic therapy. General anesthesia was standard. Spinal anaesthesia was the second technique used. Preoxygenation was systematic for general anesthesia. Pancuronium (72.2%) was the most used curare. The average duration of anesthesia was 105 minutes. Laparotomy, peritoneal cleansing and drainage were performed in all patients, followed by excision-suture of the stomach (43.1%). Peritonitis due to peptic ulcer perforation predominated (43.1%) followed by typhoid perforation of the small intestine (24.1%). The morbidity rate was 41.4%, dominated by parietal suppurations (15.5%). The mortality rate was 8.6%. The average length of stay in intensive care was 8.7 days. The anesthesiological management of acute peritonitis remains a real challenge for anesthesiologists, given the major volume disturbances, the delay in diagnosis with its corollary of septic shock, and the lack of qualified personnel with which they are faced. Peritonitis is a real public health problem because of its still very high mortality. It was carried out with insufficiencies related to the poverty of the population, the inexistence of universal health insurance, the insufficiency of the technical platform and the insufficiency of organization.},
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Anesthesiological Management of Acute Generalized Peritonitis at Chu Kara
    AU  - Essohanam Tabana Mouzou
    AU  - Sarakawabalo Assenouwe
    AU  - Pikabalo Tchetike
    AU  - Eyram Yoan Makafui Amekoudi
    Y1  - 2023/01/31
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijacm.20231101.12
    DO  - 10.11648/j.ijacm.20231101.12
    T2  - International Journal of Anesthesia and Clinical Medicine
    JF  - International Journal of Anesthesia and Clinical Medicine
    JO  - International Journal of Anesthesia and Clinical Medicine
    SP  - 5
    EP  - 13
    PB  - Science Publishing Group
    SN  - 2997-2698
    UR  - https://doi.org/10.11648/j.ijacm.20231101.12
    AB  - The aim of our work was to make an inventory of the anesthesiological management of acute generalized peritonitis at the CHU-Kara. To determine the frequency of acute generalized peritonitis; to describe their treatment in pre, per and postoperative; to analyze the postoperative follow-up. This work was a retrospective descriptive study carried out on the files of patients operated for acute generalized peritonitis from November 1, 2019 to October 31, 2020. The study was performed in the surgical resuscitation department and in the operating room. Fifty-eight cases of generalized peritonitis were selected for the study. Peritonitis represented 27.8% of abdominal surgical emergencies. The patients were male dominated with a mean age of 29.6 years. The average consultation time was 3.5 days. Fever was the predominant clinical sign on admission (72.4%). The average duration of preoperative resuscitation was 17 hours and 18 minutes. The combination of Ceftriaxone and Metronidazole was the most used antibiotic therapy. General anesthesia was standard. Spinal anaesthesia was the second technique used. Preoxygenation was systematic for general anesthesia. Pancuronium (72.2%) was the most used curare. The average duration of anesthesia was 105 minutes. Laparotomy, peritoneal cleansing and drainage were performed in all patients, followed by excision-suture of the stomach (43.1%). Peritonitis due to peptic ulcer perforation predominated (43.1%) followed by typhoid perforation of the small intestine (24.1%). The morbidity rate was 41.4%, dominated by parietal suppurations (15.5%). The mortality rate was 8.6%. The average length of stay in intensive care was 8.7 days. The anesthesiological management of acute peritonitis remains a real challenge for anesthesiologists, given the major volume disturbances, the delay in diagnosis with its corollary of septic shock, and the lack of qualified personnel with which they are faced. Peritonitis is a real public health problem because of its still very high mortality. It was carried out with insufficiencies related to the poverty of the population, the inexistence of universal health insurance, the insufficiency of the technical platform and the insufficiency of organization.
    VL  - 11
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Faculty of Health Sciences (FSS), University of Kara, Kara, Togo

  • Faculty of Health Sciences (FSS), University of Kara, Kara, Togo

  • Faculty of Health Sciences, University of Lomé, Lomé, Togo

  • Faculty of Health Sciences (FSS), University of Kara, Kara, Togo

  • Sections