Peritonites by Perforation of Gastroduodenal Ulcer in the General Surgery Department of Kankan Regional Hospital (Guinea)

The aim of this study was to gather epidemiological and diagnostic data, and to evaluate the therapeutic and evolutionary modalities of peptic ulcer perforation. Material and method: From October 1, 2012 to September 31, 2013, we performed a prospective descriptive study on 30 patients admitted to the general surgery department of Kankan hospital for peritonitis due to peptic ulcer perforation. Result: During this study we treated 30 patients urgently for Peritonitis due to peptic ulcer perforation, ie 8.26% of all cases. The average age of our patients was 43.16 years with extremes of 15 and 74 years. We noted a male predominance with a sex ratio M / F equal to 14. The most affected socio-professional layer was the farmers / gold washers 20 cases, ie 66.66%. The signs in favor of peritonitis due to peptic ulcer perforation were dominated by abdominal pain, abdominal defense or contracture in 100% of cases. Simple suture was the most used surgical technique in 24 cases, ie 80%. The postoperative effects were simple in 10 patients, ie 33, 33% and complicated in 12 patients. We recorded 8 cases of death or 26.66%. The mean length of hospital stay was 12.83 days with extremes of 1 and 40 days. Conclusion: Our study shows that peritonitis due to peptic ulcer perforation is a serious condition that can be life-threatening. The improvement of this prognosis depends mainly on the early diagnosis of the condition, effective means of resuscitation and the speed of the surgical procedures.