Management of post caesarean section complications in the general surgery department of the Ignace Deen National Hospital

Abstract

Introduction: Despite scientific progress in the fields of anesthesia and surgery, caesarean section is still not a harmless procedure. The aim of this study was to report the post caesarean section complications received in the general surgery department of the Ignace Deen National Hospital at the University Hospital of Conakry.Materials and Methods: It this was an observational, cross-sectional and descriptive study of six (6) months (January 1, 2021 to June 30, 2021) in the general surgery department of the Ignace Deen National Hospital, CHU of Conakry. The socio-demographic and therapeutic variables were studied.Results: We collected 31 cases of postoperative complications among women in the department, of which 19 cases were post cesarean sections (61.29%). The age group from 20 to 39 years most affected (63.2%, n=12). The average age was 28.79 years. Most caesarean sections were performed in peripheral structures (private health centers, municipal centers and prefectural hospitals (73.7%, n=14) and 26.3% of cases, n=5) took place at the maternity hospital of the CHU. Operators - were residents in gynecology-obstetrics (42.1% n=8) and general practitioners acting as obstetrician-gynaecologists (36.8% n=7). Generalized acute peritonitis and surgical site infections were the most observed complications with 42.1% (n=8) and 26.3% (n=5). Iatrogenic colonic and bladder wounds were noted. The surgical procedures performed were visceral trimmings and sutures followed by peritoneal cleansing with drainage (53.8% (n=7). The outcome was 100% favorable (n=19) with an average hospital stay of 14 days.Conclusion: Post cesarean complications were frequent among the surgical complications referred to our department. Acute generalized peritonitis and surgical site infections ranked first. The care was medical surgical. The follow-up was favourable. Hope lies in prevention through appropriate pregnancy monitoring measures and planning for a safe caesarean section.