Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon

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 wi...

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Autores principales:	Bang Guy Aristide, Nana Blondel, Savom Eric Patrick, Bwelle Moto Georges, Essomba Georges
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2019
Materias:	acute generalized peritonitis laparoscopy africa morbidity low and middle-income country Medicine R
Acceso en línea:	https://doaj.org/article/3ec1d9b13e714f809e6ee2f2eea9edf5
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spelling	oai:doaj.org-article:3ec1d9b13e714f809e6ee2f2eea9edf52021-11-14T08:42:16ZFeasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon2783-243010.5812/acr.90905.https://doaj.org/article/3ec1d9b13e714f809e6ee2f2eea9edf52019-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_46309_d55b671db829c2ea0449d264189858d1.pdfhttps://doaj.org/toc/2783-2430surgery 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 standardequipment. 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.Bang Guy AristideNana BlondelSavom Eric PatrickBwelle Moto GeorgesEssomba GeorgesShiraz University of Medical Sciencesarticleacute generalized peritonitislaparoscopyafricamorbiditylow and middle-income countryMedicineRENIranian Journal of Colorectal Research, Vol 7, Iss 2, Pp 1-7 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute generalized peritonitis laparoscopy africa morbidity low and middle-income country Medicine R
spellingShingle	acute generalized peritonitis laparoscopy africa morbidity low and middle-income country Medicine R Bang Guy Aristide Nana Blondel Savom Eric Patrick Bwelle Moto Georges Essomba Georges Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon
description	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 standardequipment. 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.
format	article
author	Bang Guy Aristide Nana Blondel Savom Eric Patrick Bwelle Moto Georges Essomba Georges
author_facet	Bang Guy Aristide Nana Blondel Savom Eric Patrick Bwelle Moto Georges Essomba Georges
author_sort	Bang Guy Aristide
title	Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon
title_short	Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon
title_full	Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon
title_fullStr	Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon
title_full_unstemmed	Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon
title_sort	feasibility and outcome of laparoscopic approach for acute generalized peritonitis in africa: single low-center results after 25 consecutive cases in cameroon
publisher	Shiraz University of Medical Sciences
publishDate	2019
url	https://doaj.org/article/3ec1d9b13e714f809e6ee2f2eea9edf5
work_keys_str_mv	AT bangguyaristide feasibilityandoutcomeoflaparoscopicapproachforacutegeneralizedperitonitisinafricasinglelowcenterresultsafter25consecutivecasesincameroon AT nanablondel feasibilityandoutcomeoflaparoscopicapproachforacutegeneralizedperitonitisinafricasinglelowcenterresultsafter25consecutivecasesincameroon AT savomericpatrick feasibilityandoutcomeoflaparoscopicapproachforacutegeneralizedperitonitisinafricasinglelowcenterresultsafter25consecutivecasesincameroon AT bwellemotogeorges feasibilityandoutcomeoflaparoscopicapproachforacutegeneralizedperitonitisinafricasinglelowcenterresultsafter25consecutivecasesincameroon AT essombageorges feasibilityandoutcomeoflaparoscopicapproachforacutegeneralizedperitonitisinafricasinglelowcenterresultsafter25consecutivecasesincameroon
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Feasibility and Outcome of Laparoscopic Approach for Acute Generalized Peritonitis in Africa: Single Low-Center Results After 25 Consecutive Cases in Cameroon

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