Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré.
Introduction: To identify complications requiring early reoperation and to determine associated risk factors in the pediatric surgery of the teaching hospital Gabriel Toure. Materials and Methods: A retrospective study of children 0-15 years old during 4 years (January 2014 to December 2017) present...
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| Format: | Article |
| Language: | English |
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Pediatric Surgery Research Center of Shahid Beheshti University of Medical Sciences
2019-06-01
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| Series: | Iranian Journal of Pediatric Surgery |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/irjps/article/view/23594 |
| _version_ | 1818609729353547776 |
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| author | Coulibaly Yacaria Amadou Issa Doumbia Aliou Coulibaly Oumar Kamate Benoît Djiré Mamadou Kassoum Coulibaly Mamadou Bernard Diaby Souleymane |
| author_facet | Coulibaly Yacaria Amadou Issa Doumbia Aliou Coulibaly Oumar Kamate Benoît Djiré Mamadou Kassoum Coulibaly Mamadou Bernard Diaby Souleymane |
| author_sort | Coulibaly Yacaria |
| collection | DOAJ |
| description | Introduction: To identify complications requiring early reoperation and to determine associated risk factors in the pediatric surgery of the teaching hospital Gabriel Toure.
Materials and Methods: A retrospective study of children 0-15 years old during 4 years (January 2014 to December 2017) presenting with a postoperative complication requiring a reoperation and taken care of during the period of study. Observation of bowels or the liquid stools through the opened wound, the presence of air-fluid levels on an abdominal plain X-ray and the absence of resumption of intestinal transit allowed us to make a decision to re-operate.
Results: We have re-intervened on 103 patients because of early postoperative complication out of 4730 cases of pediatric surgery carried out in this hospital during these 4 years. This represented 1.54 % of our total surgical activities. The average age of our patients was a 5.2±2.3 year ranging from 2 months to 15 years. The sex ratio was 0.94. Eighty four (81.55 %) of our patients were admitted and operated on emergently. Peritonitis due to digestive system perforation represented 45.28 % of the indications for reoperation followed by the acute intestinal intussusceptions (10.7 %) and traumatic eviscerations (9.7 %). The average duration before the first intervention was 80±13.6mn. The postoperative evisceration was the 1st cause of reoperation followed by the post-operative peritonitis and then post-operative intestinal obstruction. The average time to reoperation was 6.9 ± 4.2 days.
Conclusion: In our hospital risk of reoperation has an association with: indication of first surgery, operating technique, experience of the surgeon, malnutrition and anemia (p<0.05). On the other hand sex, age and the duration of surgery have no effect on early reoperation (p > 0.05). |
| first_indexed | 2024-12-16T15:03:10Z |
| format | Article |
| id | doaj.art-89c41b7fc156495a937d6672c9e6837c |
| institution | Directory Open Access Journal |
| issn | 2423-7612 |
| language | English |
| last_indexed | 2024-12-16T15:03:10Z |
| publishDate | 2019-06-01 |
| publisher | Pediatric Surgery Research Center of Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Pediatric Surgery |
| spelling | doaj.art-89c41b7fc156495a937d6672c9e6837c2022-12-21T22:27:13ZengPediatric Surgery Research Center of Shahid Beheshti University of Medical SciencesIranian Journal of Pediatric Surgery2423-76122019-06-0151212610.22037/irjps.v5i1.2359423594Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré.Coulibaly Yacariahttps://orcid.org/0000-0002-0604-3883Amadou IssaDoumbia AliouCoulibaly OumarKamate BenoîtDjiré Mamadou KassoumCoulibaly Mamadou BernardDiaby SouleymaneIntroduction: To identify complications requiring early reoperation and to determine associated risk factors in the pediatric surgery of the teaching hospital Gabriel Toure. Materials and Methods: A retrospective study of children 0-15 years old during 4 years (January 2014 to December 2017) presenting with a postoperative complication requiring a reoperation and taken care of during the period of study. Observation of bowels or the liquid stools through the opened wound, the presence of air-fluid levels on an abdominal plain X-ray and the absence of resumption of intestinal transit allowed us to make a decision to re-operate. Results: We have re-intervened on 103 patients because of early postoperative complication out of 4730 cases of pediatric surgery carried out in this hospital during these 4 years. This represented 1.54 % of our total surgical activities. The average age of our patients was a 5.2±2.3 year ranging from 2 months to 15 years. The sex ratio was 0.94. Eighty four (81.55 %) of our patients were admitted and operated on emergently. Peritonitis due to digestive system perforation represented 45.28 % of the indications for reoperation followed by the acute intestinal intussusceptions (10.7 %) and traumatic eviscerations (9.7 %). The average duration before the first intervention was 80±13.6mn. The postoperative evisceration was the 1st cause of reoperation followed by the post-operative peritonitis and then post-operative intestinal obstruction. The average time to reoperation was 6.9 ± 4.2 days. Conclusion: In our hospital risk of reoperation has an association with: indication of first surgery, operating technique, experience of the surgeon, malnutrition and anemia (p<0.05). On the other hand sex, age and the duration of surgery have no effect on early reoperation (p > 0.05).https://journals.sbmu.ac.ir/irjps/article/view/23594earlyreinterventionrisk factorschildmalibamako |
| spellingShingle | Coulibaly Yacaria Amadou Issa Doumbia Aliou Coulibaly Oumar Kamate Benoît Djiré Mamadou Kassoum Coulibaly Mamadou Bernard Diaby Souleymane Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré. Iranian Journal of Pediatric Surgery early reintervention risk factors child mali bamako |
| title | Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré. |
| title_full | Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré. |
| title_fullStr | Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré. |
| title_full_unstemmed | Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré. |
| title_short | Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré. |
| title_sort | early reoperation in pediatric surgery at the teaching hospital gabriel toure |
| topic | early reintervention risk factors child mali bamako |
| url | https://journals.sbmu.ac.ir/irjps/article/view/23594 |
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