Complicated Post Operative in Abdominal Surgery. Study About 123 Cases Treated At University Hospital Center of Sino-Central African Friendship of Bangui

Doui Doumgba Antoine¹*, Ngboko Mirotiga Pétula Annicette² and Ndira Hubert Jonathan³

¹Professeur, Hospital Surgeons, Head of General and Digestive Surgery, University Hospital Center of Sino-Central African Friendship, Bangui, Central African Republic
²Hospital Surgeons, Assistant of Head of General and Digestive Surgery Department, University Hospital Center of the Sino-Central African Friendship, Bangui, Central African Republic
³General Practitioner, General and Digestive Surgery Department, University Hospital Center of the Sino-Central African Friendship, Bangui, Central African Republic

*Corresponding Author: Doui Doumgba Antoine, Professeur, Hospital Surgeons, Head of General and Digestive Surgery, University Hospital Center of Sino-Central African Friendship, Bangui, Central African Republic.

Received: September 16, 2025; Published: October 20, 2025

Abstract

Objective: To determine the frequency of postoperative complications (POCs) in hospital and identify the risk factors for POCs in the department.

Patients and Methods: This was a retrospective study covering the period from 1 January 2021 to 31 December 2023. It included patients aged 18 and over who underwent emergency or elective surgery and presented with a postoperative complication.

Results: A total of 123 (7.6%) of the 1,615 patients who underwent surgery during the period presented with a CPO. The mean age of the patients was 37.3 years (extremes: 18 and 80 years). Of the complicated patients, 51.2% were women. The main CPOs recorded were surgical site infection (32.6%), peritonitis (19.6%), occlusion (13%), ventration (11.3%) and enterocutaneous fistula (10.6%). The complication rate was high among patients classified as ASA II (65%) and Altémeier II (56.9%). Surgical site infection predominated after appendectomies, and other complications after intestinal anastomosis resections. Patients undergoing emergency surgery were at greater risk than those undergoing controlled surgery (P = 0.00000001 OR = 3.3). The mean time to onset of CPO was 10.7 days. In surgical site infections (N = 40), the germs identified were staphylococcus aureus (37.1%), Enterococcus faecalis (22.2%) and Klebsiella pneumoniae (12.9%). Re-operation was necessary in 65% of cases. The mortality rate was 9% and the average length of hospital stay was 25.5 days.

Conclusion: The CPO observed could be avoided by applying hygiene and asepsis measures and rigorously observing the principles of emergency surgery in order to improve the quality of surgical care.

Keywords: Postoperative complications (POC); Anesthesiologists (ASA); Patients; Surgery

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Citation

Citation: Doui Doumgba Antoine., et al. “Complicated Post Operative in Abdominal Surgery. Study About 123 Cases Treated At University Hospital Center of Sino-Central African Friendship of Bangui". Acta Scientific Paediatrics 8.11 (2025): 12-19.

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Copyright: © 2025 Doui Doumgba Antoine., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.