[Non urgents surgical digestive affections in 300 patients at the University Teaching Hospital of Lome].

AIMS: To establish the epidemiology of non traumatic gastrointestinal and non urgent affections managed in the department of abdominal surgery service of the University Teaching Hospital of Lomé and to report their post operative period.

PATIENTS AND

METHODS

It was a retrospective study carried out over 5 years. Were included patients aged 15 years and above presenting a non traumatic digestive affection hospitalised in the department of abdominal surgery for elective surgery. Parameters studies were: the age, the sex, the diagnosis the treatment received and post operative period.

RESULTS

Non urgent digestive affections accounted for 52.3% of non traumatic digestive affection and occurred in relatively young patients with an average of 43 years. Parietal pathologies namely inguinal hernia (52%), benign ano-rectal affections with first anal fistula (18.3%) and cancers with first gastric cancers (16%) were the most frequents. Ninety two per cent (92%) of our patients have been operated. Post operative period were uneventful in 86.3% of cases. The rate of complications was 11.7% and registered 8.1% of death.

CONCLUSION

Inguinal hernias are majority of affections managed in the department of visceral surgery of Lomé University Teaching Hospital. Malignant affections came in third position after benign anorectal pathologies and have heavy morbidity and mortality.