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Epidemiological, clinical and therapeutic aspects of post-traumatic hemoperitoines operated at Jason Sendwe Hospital in Lubumbashi

2020; Volume: 6; Issue: 4 Linguagem: Inglês

10.31254/jmr.2020.6413

2395-7565

Catherine Saleh Ugumba, Augustin Kibonge Mukakala, Papy Mukimba Ngambunda, Vincent De Paul Kaoma Cabala, Eric Mbuya Musapud,

Trauma and Emergency Care Studies

Introduction: post-traumatic hemoperitoines is one of the most worrying medical and surgical emergencies for the surgeon, and remains a reality that we often face in our daily practice.Material and method: This is a cross-sectional descriptive study with retrospective data collection, which was carried out within the surgery department of the provincial general reference hospital Jason Sendwe over a period of two years, from January 2011 to December 2012.We collected the files of 37 patients operated on for post traumatic hemoperitoines.Data analysis and processing was done using Microsoft Word 2013 and PPE software.INFO 7.1.3. Results:The frequency of hemoperitoines was 6.01%.The average age was 29.48 ± 12.87 years (Extremes: 5 to 50 years).The sex ratio M / F was 2.36.Road traffic accidents (ATR) were the main cause (64.86%) and drivers of motorized vehicles were more concerned (35.13%).No patient benefited from pre-hospital care and the trauma was picked up by a non-medical entourage.In 75.67% of the cases, the abdominal trauma was closed.In 40.54% of cases, the patients were hemodynamically unstable.The average time for surgical management was 8.31 ± 1.23 hours (Extremes: 2 to 12 hours).Peritoneal irritation syndrome was observed in 70.27% of cases, and isolated abdominal pain in 29.72% of cases.Exploratory laparotomy with hemostasis and repair of visceral lesions had been performed at one time in 100% of the cases.The source organs of hemoperitoneum were mainly the spleen (43.24%) and the liver (18.91%).The course was good in 62.16% of cases, and complications represented 37.83% with a mortality rate of 27.02% of cases. Conclusion:Post-traumatic hemoperitoneum is a real public health problem in our country and particularly in our city of Lubumbashi.The increase in road traffic accidents coupled with the delay in taking charge exacerbate this problem.However, the absence of a medical system for collecting the wounded, the insufficiency of qualified personnel, a long duration of surgical intervention, and the low socio-economic level of the population, are also associated with this high mortality.