Management of Postoperative Eviscerations in the General Surgery Department of CHU Ignace Deen/Conakry (Guinea)

Introduction: The aim of the study was to evaluate the management of eviscerations in the general surgery department. Materials and methods: retrospective, descriptive study over one year (January to December 2024), conducted in the general surgery department of CHU Ignace Deen. All patient records admitted and operated on in the department who experienced postoperative evisceration and those received for postoperative evisceration were included in the study. The variables were sociodemographic, clinical, therapeutic, and evolutionary. Results: during the study, post-operative eviscerations accounted for 3.9% of all service activities (N= 1424). The average age was 36.3 years, with extremes of 12 and 75 years. There was a female predominance (78.57%), with a sex ratio (M/F) of 0.27. The coverage of care-related expenses was provided by the family (75%). The initial diagnosis was dominated by cesarean sections (42.86%), followed by generalized acute peritonitis (25%). The average time to evisceration occurrence was 8.2 ±23 days, with extremes of 3 and 18 days. The postoperative complication that occurred before the onset of evisceration was infection of the surgical site (39.29%) and fistula (12.5%). Abdominal pain was the main reason for consultation (100%). The site of evisceration was median supra and infraumbilical (21.43%). The most eviscerated organ was the small intestine (64.29%). All patients were operated on (100%). Patients were operated on urgently in 64.29% of cases. An intestinal suture was performed in 7 patients (12.5%), intestinal resection in one patient (1.78%), a layer-by-layer wall repair was performed in 53 patients (94.64%), and the Paletot technique was used in 3 patients (5.36%). The postoperative outcomes were uncomplicated in 41 patients (73.21%), we noted an infection at the surgical site in 9 patients (16.07%) and a re-evisceration in one patient (1.79%). We recorded 3 deaths (5.36%). The average length of hospital stay was 18±3.2 days. The postoperative outcomes were uncomplicated in 41 patients (73.21%), we noted an infection at the surgical site in 9 patients (16.07%) and a re-evisceration in one patient (1.79%). We recorded 3 deaths (5.36%). The average length of hospital stay was 18±3.2 days. Conclusion: eviscerations are quite common and most often occur in an emergency context.