CHIRURGIE PROCTOLOGIQUE EN URGENCE

CHIRURGIE PROCTOLOGIQUE EN URGENCE

Mohamed Hajri

65,68 €
IVA incluido
Disponible
Editorial:
KS OmniScriptum Publishing
Año de edición:
2025
ISBN:
9786209399633
65,68 €
IVA incluido
Disponible

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Introduction : La chirurgie proctologique en urgence est fréquente en Tunisie, mais ses résultats restent peu documentés. Nous avons décrit les caractéristiques épidémiologiques, cliniques, thérapeutiques et évolutives des urgences proctologiques bénignes. Méthodes : Étude descriptive prospective monocentrique menée au service de chirurgie générale de l’hôpital Mongi Slim, du 1er décembre 2018 au 30 novembre 2019, incluant abcès péri-anaux, fistules en rétention et fissures anales hyperalgiques opérés en urgence. Résultats :Au total, 93 patients : 75 abcès, 13 fistules en rétention et 5 fissures hyperalgiques. Âge médian 44 ans, sex-ratio 2,2. Délai opératoire médian 3,7 h. Tous les abcès ont été mis à plat ; un cas de gangrène de Fournier a nécessité une excision élargie. Pour les fistules, neuf sétons ont été posés. Toutes les fissures ont été traitées par sphinctérotomie. Suites simples dans 92 cas ; un patient admis en réanimation. Aucune réadmission à 15 jours, aucune complication en consultation. Conclusion : La prise en charge doit être rapide et coordonnée, impliquant l’ensemble du système de santé.

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