Acute Appendicitis Seen at Analankininina University Hospital during the Covid-19 Pandemic

Acute appendicitis was often diagnosed at the complication stage during the Covid19 pandemic at CHU Analankininina Toamasina. Our objective was to discuss the particularity of the management of appendicitis during the pandemic. Our study was prospective, descriptive for 6 months and took place in the general surgery department of the Analankininina Toamasina University Hospital Center, Madagascar from March 2020 to August 2020. We had collected 28 patients. The sex ratio was 3.66. The average age was 27.57 years. Appendicular abscess represented 64.29% (n=18) of the appendicular patients operated in emergency. Appendicular plastron occupied 14.29% (n=2) and generalized acute peritonitis was 7.14% (n=2). Post-operative follow-up was simple in 71.43% (n=20). The average length of hospitalization was 4 days. Acute appendicitis is often complicated during the Covid 19 pandemic in our hospital center. Surgery was systematic in our hospital, contrary to some literature which advocated antibiotic therapy at an early stage in front of the health emergency

Post-traumatic Hemothorax: Management in a Limited-medium Structure

Post-traumatic hemothorax is common in young adults in the context of road accidents. Explorations of the lesions may be limited by the technical platform. The objective of our study is to discuss the difficulty of managing post-traumatic hemothorax in a limited-medium structure. This was a 20-month retrospective study (01 May 2018-31 December 2019), involving 38 patients treated for post-traumatic hemothorax, whether or not associated with pneumothorax, in the general surgery department of the CHU Analankinina Toamasina. The hospital frequency was 1.66%, with a mean age of the patients of 31.89 years, and a male predominance (73.68%). The main provider of hemothorax was the civil liability accident (52.63%). Chest X-rays were performed in almost all patients (94.74%). Complications had been found in 4 patients with secondary surgery, with favorable outcomes. The frequency of hemothorax is constantly increasing in Madagascar, where the civil liability accident is the main cause. Chest X-ray remains the most accessible examination to be carried out in emergency. An early and efficient thoracic drainage generally ensures a favorable evolution without after-effects

Digestive Surgical Emergencies at Analankininina Toamasina Madagascar University Hospital during the Covid-19 Pandemic

During the period of total containment during the Covid-19 pandemic; our department became the sole treatment center for all surgical emergencies. The influx of many patients made the task very difficult for the surgeon. This is a 3-month descriptive prospective study in the visceral surgery department at the Analankininina Toamasina University Hospital Center. Of the 81 patients hospitalized during the study, 32 patients were admitted for digestive surgery emergency, i.e. 39.50%. The mean age was 34.87 years with a sex ratio of 1.66, predominantly male. Abdominal pain occupied 43.75% of the reason for consultation, the most frequent pathologies were acute intestinal obstruction (18.75%) and acute appendicitis (18.75%). An exploratory laparotomy is performed on 40.62% of patients. Many patients were operated on for proctologic emergency (18.75%). The average length of hospitalization is 4.18 days. The visceral emergencies are present despite the presence of the Covid-19 pandemic and the activities of the health personnel are uninterrupted

Acute Appendicitis Seen at Analankininina University Hospital During the Covid-19 Pandemic

Acute appendicitis was often diagnosed at the complication stage during the Covid19 pandemic at CHU Analankininina Toamasina. Our objective was to discuss the particularity of the management of appendicitis during the pandemic. Our study was prospective, descriptive for 6 months and took place in the general surgery department of the Analankininina Toamasina University Hospital Center, Madagascar from March 2020 to August 2020. We had collected 28 patients. The sex ratio was 3.66. The average age was 27.57 years. Appendicular abscess represented 64.29% (n=18) of the appendicular patients operated in emergency. Appendicular plastron occupied 14.29% (n=2) and generalized acute peritonitis was 7.14% (n=2). Post-operative follow-up was simple in 71.43% (n=20). The average length of hospitalization was 4 days. Acute appendicitis is often complicated during the Covid 19 pandemic in our hospital center. Surgery was systematic in our hospital, contrary to some literature which advocated antibiotic therapy at an early stage in front of the health emergency