پیوندهای مفید
آمار
| تعداد نشریات | 20 |
| تعداد شماره‌ها | 1,089 |
| تعداد مقالات | 9,995 |
| تعداد مشاهده مقاله | 26,195,983 |
| تعداد دریافت فایل اصل مقاله | 7,237,374 |
Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon | ||
| Iranian Journal of Colorectal Research | ||
| مقاله 3، دوره 7، شماره 2، شهریور 2019، صفحه 1-7 اصل مقاله (223.04 K) | ||
| نوع مقاله: Research/Original Article | ||
| شناسه دیجیتال (DOI): 10.5812/acr.90905. | ||
| نویسندگان | ||
| Bang Guy Aristide1؛ Nana Oumarou Blondel2؛ Savom Eric Patrick1؛ Bwelle Moto Georges3؛ Essomba Arthur Georges3 | ||
| 1Visceral and Laparoscopic Department, National Social Insurance Health Center of Yaounde, Yaounde, Cameroon | ||
| 2Visceral and Laparoscopic Unit, National Social Insurance Fund Health Center of Essos, Yaounde, Cameroon | ||
| 3Department of Surgery and Specialities, Faculty of Medicine and Biomedical Sciences of the University of Yaounde I, Yaounde, Cameroon | ||
| چکیده | ||
| surgery is associated with lower morbidity and mortality. However, the laparoscopic approach to the management of peritonitis remains marginalized in low and middle-income countries (LMICs) due to financial and technical limitations. Methods: We conducted a seven-year prospective study on patients with acute generalized peritonitis in Yaoundé, Cameroon. Inclusion criteria were an age range of between 5 to 55 years, admission within 48 hours after the onset of symptoms, hemodynamic stability, and no major comorbidities. Excluded from this study were patients with colonic perforation, prior history of abdominal surgery, or primary and localized peritonitis after proper resuscitation. The patients included were managed via laparoscopy; operative and postoperative data were collected and analyzed. Some technical artifices were used to circumvent the lack of standard equipment. Results: The study involved twenty-five patients with a mean age of 32.1 years. The etiology of peritonitis was identified as appendicitis in 20 cases, perforated duodenal ulcer in 2 cases, gastric ulcer perforation in 2 cases, and jejunal perforation in 1 case. In two cases (8%), the operation was onverted to laparotomy. The postoperative course was uneventful in 21 cases (84%), whereas morbidity was seen in 4 cases (16%); no mortality was recorded. The mean length of hospital stay was 5.5 days. Conclusions: This study demonstrates that the laparoscopic management of acute generalized peritonitis in African LMICs is afeasible, safe, and effective surgical option in properly selected patients. | ||
| کلیدواژه‌ها | ||
| Acute Generalized Peritonitis؛ Laparoscopy؛ Africa؛ Morbidity؛ Low and Middle-Income Country | ||
| مراجع | ||
|
1. Chichom-Mefire A, Fon TA, Ngowe-Ngowe M. Which cause of diffuse peritonitis is the deadliest in the tropics? A retrospective analysis of 305 cases from the South-West Region of Cameroon. World J Emerg Surg. 2016;11:14. doi: 10.1186/s13017-016-0070-9. [PubMed: 27069503]. [PubMed Central: PMC4827245].
2. van Ruler O, Boermeester MA. Surgical treatment of secondary peritonitis : A continuing problem. Chirurg. 2017;88(Suppl 1):1–6. doi: 10.1007/s00104-015-0121-x. [PubMed: 26746213]. [PubMed Central: PMC5233781].
3. Sauerland S, Agresta F, Bergamaschi R, Borzellino G, Budzynski A, Champault G, et al. Laparoscopy for abdominal emergencies: Evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc. 2006;20(1):14–29. doi: 10.1007/s00464- 005-0564-0. [PubMed: 16247571].
4. Chang HK, Han SJ, Choi SH, Oh JT. Feasibility of a laparoscopic approach for generalized peritonitis from perforated appendicitis in children. Yonsei Med J. 2013;54(6):1478–83. doi: 10.3349/ymj.2013.54.6.1478. [PubMed: 24142654]. [PubMed Central: PMC3809857].
5. Di Saverio S, Bassi M, Smerieri N, Masetti M, Ferrara F, Fabbri C, et al. Diagnosis and treatment of perforated or bleeding peptic ulcers: 2013 WSES position paper. World J Emerg Surg. 2014;9:45. doi: 10.1186/1749- 7922-9-45. [PubMed: 25114715]. [PubMed Central: PMC4127969].
6. Jimenez Rodriguez RM, Segura-Sampedro JJ, Flores-Cortes M, LopezBernal F, Martin C, Diaz VP, et al. Laparoscopic approach in gastrointestinal emergencies. World J Gastroenterol. 2016;22(9):2701–10. doi: 10.3748/wjg.v22.i9.2701. [PubMed: 26973409]. [PubMed Central: PMC4777993].
7. Chung KT, Shelat VG. Perforated peptic ulcer - an update. World J Gastrointest Surg. 2017;9(1):1–12. doi: 10.4240/wjgs.v9.i1.1. [PubMed: 28138363]. [PubMed Central: PMC5237817].
8. Wadaani HA. Emergent laparoscopy in treatment of perforated peptic ulcer: A local experience from a tertiary centre in Saudi Arabia. World J Emerg Surg. 2013;8(1):10. doi: 10.1186/1749-7922-8-10. [PubMed: 23497473]. [PubMed Central: PMC3614460].
9. Sangrasi AK, Talpu KA, Kella N, Laghari AA, Rehman Abbasi M, Naeem Qureshi J. Role of laparoscopy in peritonitis. Pak J Med Sci. 2013;29(4):1028–32. doi: 10.12669/pjms.294.3624. [PubMed: 24353681]. [PubMed Central: PMC3817755].
10. Oumarou Nana B, Bang GA, Ousmana O, Ekani YMB, Essomba A, Takongmo S, et al. Laparoscopic segmental colectomy as management of a delayed post colonoscopic polypectomy bleeding: A case report in Yaounde (Cameroon)—A third world country. World J Lap Surg. 2014;7(2):98–100. doi: 10.5005/jp-journals-10007-1225.
11. Nana Oumarou B, Takongmo S, Essomba A, Nocca D, Sosso MA. Hémicolectomie droite par voie laparoscopique pour cancer du colon ascendant: Expérience préliminaire à Yaoundé (Cameroun). Journal de coelio-chirurgie. 2010;76:56–9.
12. Blondel NO, Aristide BG, Leroy GM, Bernadette NN, Arthur E, Aurélien SM. Laparoscopic surgery for groin hernia in a third world country: A report of 9 cases of transabdominal pre-peritoneal (TAPP) repair in Yaoundé, Cameroon. Pan Afr Med J. 2016;23:246. doi: 10.11604/pamj.2016.23.246.8281.
13. Blondel NO, Aristide BG, Leroy GM, Bernadette NN, Arthur E, Aurélien SM. Is laparoscopy feasible and effective for acute postoperative small bowel obstruction in Africa ? A case report in Yaoundé, Cameroon. Pan Afr Med J. 2016;23:178. doi: 10.11604/pamj.2016.23.178.8279.
14. Oumarou BN, Bang GA, le Roy Guifo M, Noah DN, Savom EP, Essomba A. Cardiomyotomie de heller laparoscopique: À propos d’un cas opéré au centre hospitalier d’essos. Health Sci Dis. 2016;17(3):110–3.
15. Lee DJ, Ye M, Sun KH, Shelat VG, Koura A. Laparoscopic versus open omental patch repair for early presentation of perforated peptic ulcer: Matched retrospective cohort study. Surg Res Pract. 2016;2016:8605039. doi: 10.1155/2016/8605039. [PubMed: 27722200]. [PubMed Central: PMC5046012].
16. Shih HC, Wen YS, Ko TJ, Wu JK, Su CH, Lee CH. Noninvasive evaluation of blunt abdominal trauma: Prospective study using diagnostic algorithms to minimize nontherapeutic laparotomy. World J Surg. 1999;23(3):265–70. doi: 10.1007/pl00013178.
17. Ayandipo OO, Afuwape OO, Irabor DO, Abdurrazzaaq AI, Nwafulume NA. Outcome of laparotomy for peritonitis in 302 consecutive patients in Ibadan, Nigeria. Ann Ib Postgrad Med. 2016;14(1):30–4. [PubMed: 27721683]. [PubMed Central: PMC5049599].
18. Ugochukwu AI, Amu OC, Nzegwu MA. Ileal perforation due to typhoid fever - review of operative management and outcome in an urban centre in Nigeria. Int J Surg. 2013;11(3):218–22. doi: 10.1016/j.ijsu.2013.01.014. [PubMed: 23403212].
19. Sanogo ZZ, Camara M, Doumbia MM, Soumare L, Koumare S, Keita S, et al. [Digestive tract perforations at Point G Teaching Hospital in Bamako, Mali]. Mali Med. 2012;27(1):19–22. French. [PubMed: 22947296].
20. Kirshtein B, Roy-Shapira A, Lantsberg L, Mandel S, Avinoach E, Mizrahi S. The use of laparoscopy in abdominal emergencies. Surg Endosc. 2003;17(7):1118–24. doi: 10.1007/s00464-002-9114-1. [PubMed: 12728376].
21. Navez B, d’Udekem Y, Cambier E, Richir C, de Pierpont B, Guiot P. Laparoscopy for management of nontraumatic acute abdomen. World J Surg. 1995;19(3):382–6. doi: 10.1007/bf00299164.
22. Agresta F, Ciardo LF, Mazzarolo G, Michelet I, Orsi G, Trentin G, et al. Peritonitis: Laparoscopic approach. World J Emerg Surg. 2006;1:9. doi: 10.1186/1749-7922-1-9. [PubMed: 16759400]. [PubMed Central: PMC1459264].
23. Ngo Nonga B, Oumarou Nana B, Assiga Ahanda YM, Farikou I, Sosso MA. [Preliminary study of laparoscopic cholecystectomy in Cameroon]. Med Sante Trop. 2012;22(2):162–5. French. doi: 10.1684/mst.2012.0063. [PubMed: 22995374].
24. Bertleff MJ, Halm JA, Bemelman WA, van der Ham AC, van der Harst E, Oei HI, et al. Randomized clinical trial of laparoscopic versus open repair of the perforated peptic ulcer: The LAMA Trial. World J Surg. 2009;33(7):1368–73. doi: 10.1007/s00268-009-0054-y. [PubMed: 19430829]. [PubMed Central: PMC2691927].
25. Lunevicius R, Morkevicius M. Comparison of laparoscopic versus open repair for perforated duodenal ulcers. Surg Endosc. 2005;19(12):1565–71. doi: 10.1007/s00464-005-0146-1. [PubMed: 16211440].
26. Lunevicius R, Morkevicius M. Management strategies, early results, benefits, and risk factors of laparoscopic repair of perforated peptic ulcer. World J Surg. 2005;29(10):1299–310. doi: 10.1007/s00268-005- 7705-4. [PubMed: 16132404].
27. Sanabria A, Villegas MI, Morales Uribe CH. Laparoscopic repair for perforated peptic ulcer disease. Cochrane Database Syst Rev. 2013;(2). CD004778. doi: 10.1002/14651858.CD004778.pub3. [PubMed: 23450555]. | ||
|
آمار تعداد مشاهده مقاله: 239 تعداد دریافت فایل اصل مقاله: 203 |
||