Anatomo-clinical Aspects and Management in the General Surgery Department of the Siguiri Prefectural Hospital

Introduction : The aim of this study was to describe abdominal wounds managed in the general surgery department of the Siguiri Prefecture Hospital. Methodology : This was a descriptive, mixed-method (retrospective and prospective) cross-sectional study spanning five years, from January 1, 2021, to December 31, 2025, covering all patients admitted to and treated in the department for abdominal wounds during the study period. Results : Abdominal wounds accounted for 7.50% of admissions to the department; penetrating wounds represented 82 cases (82.60%). The mean patient age was 31.5 years, ranging from 12 to 51 years. Men were the most represented group, with a male-to-female sex ratio of 3.18. Assaults were the leading cause of these injuries (48.91%), followed by fights (26.08%) and workplace accidents (10.86%); bladed weapons were the most commonly used by assailants (60.86%). Treatment was non-operative in 26 cases (28%) and operative in 66 cases (72%). The small intestine was the most frequently injured organ (40.90%). The most common surgical procedure was excision and suture (28.78%). Postoperative recovery was uncomplicated in 72.82% of cases, with a mortality rate of 8.69%. The average length of hospital stay was 8.5 days. Conclusion : Abdominal wounds are common and primarily affect young men. Challenges in patient management are linked to delayed presentation and a lack of medical and paramedical equipment.