Post-Operative Peritonitis in the General Surgery Department at the Ignace Deen National Hospital : A Descriptive Study of 67 Cases
Kaba Mohamed, Diawara Mohamed Albert, Konaté Adama, Diallo Mamadou Habib, Keita Doubany Mariame, Konaté Lancinet, Camara Soryba, Fofana Housseine, Touré Aboubacar
Aim : To study the epidemiological, clinical, therapeutic and prognostic aspects of PPO in the General
Surgery Department of the Ignace Deen National Hospital, Conakry, Guinea.
Methods: We conducted a retrospective study over a 5-year period from January 1, 2015 to December
31, 2019. It included all patients admitted to the General Surgery Department for postoperative
peritonitis or who developed it during their hospitalization.
Results: Out of a total of 4,244 laparotomies, we collected 67 cases of postoperative peritonitis, or
1.57%. They represented 13% of all peritonitis treated in the General Surgery Department of the Ignace
Deen National Hospital. There was a female predominance, or 54%. The average age of the patients
was 28 years. The clinical picture was dominated by abdominal pain, abdominal defense, and fever,
which were present in all patients, or 100%. Abdominal ultrasound contributed to the diagnosis in
89.6% of cases. The etiologies were dominated by ileal perforation 43.3%. The procedures performed
during surgery were peritoneal toilet 100%, excision + suture 44.7%. The postoperative course was
simple in more than half of the cases, i.e. 56.7%. The mortality rate was 19.4%. The prognostic factor
was the prolonged time of evolution of PPO P-value = 0.014.
Conclusion: Postoperative peritonitis is rare in our department. When it occurs, its morbidity and
mortality rates are high.
