1. EVALUATION DES PARAMETRES CLINIQUES ET BIOLOGIQUES ASSOCIES AUX COMPLICATIONS CHEZ LES OPERES DE L'ABDOMEN AUX CLINIQUES UNIVERSITAIRES DE KISANGANI.
- Author
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AZABALI, MAONEO, LEHUMADJA, TALONA, WOTO, OLEKO, KITOKO, AMISI, LONGOMBE, AHUKA ONA, NGANDU, NGANDU WA, and W'IFONGO, WAMI
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SURGICAL complications , *ABDOMINAL surgery , *LEUCOCYTES , *INGUINAL hernia , *POSTOPERATIVE period , *PERITONEAL dialysis , *APPENDECTOMY - Abstract
Goal: The aim of this study is to evaluate the clinical and biological parameters for detecting early complications of abdominal surgery at Kisangani University Clinics. Material and Methods This is a cross-sectional descriptive study from June 1st, 2017 to September 30th, 2018. It involved 78 patients, including 48 men and 30 women, aged 7 and 80 years. Data was analyzed with SPSS 20 software. Results The average age was 33.49 years, with 15.32 Standard Deviation. Abdominal pain and inguinal swelling were the main reasons for consulting patients. Inguinal hernia (23.5%) and appendicitis (18, 7%) were the predominant diagnoses. In the postoperative period, the persistence of fever, oliguria or pain as well as that of elevated inflammatory tests (C - reactive protein, White Cells and Sedimentation rate) were associated with the occurrence of complications dominated by parietal suppurations and postoperative peritonitis. These complications mainly concerned dirty procedures, ASA II and III and /or NNISS 2. The mortality rate was 6%, observed mainly in patients with generalized acute peritonitis (50%). Conclusion This works shows the place of clinicobiological parameters as indicators of occurrence of complications. The precariousness of patient health and the septicity of surgery favor these complications. [ABSTRACT FROM AUTHOR]
- Published
- 2019