English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

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.

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