[Results of emergengy colectomy in the management of the XXXX in Dakar hospital].

@entity1 @entity254 @entity694
PURPOSE: The aim of this study was to evaluate the results of emergency colectomies for the management of @entity694 . @entity1 AND METHODS: This retrospective study was undertaken on 50 cases of @entity694 in the Surgical Department of the Aristide Le Dantec teaching hospital of Dakar from January 1994 to December 2000. It concerned 42 @entity1 and 8 @entity1 with an mean age of 42 years. All @entity1 presented an occlusive syndrome suggestive of @entity694 , which required a laparotomy, through a xypho-pubic incision. The @entity1 were divided into two groups. Group I concerned 13 @entity1 who underwent an ideal colectomy and group II, 37 @entity1 in whom we performed a colectomy associated with a temporary colostomy with either Bouilly-Volkman procedure (n = 23) or Hartman procedure (n = 14) followed one month later by intestinal continuity restoration. Mortality and morbidity were compared in the two groups. RESULTS: The overall mortality rate was 12% (6/50). The mortality rate was 31% (4/13) in group I and 5 % (2/37) in group II. The overall morbidity rate was 14%. In group I, the morbidity rate was 15 % (2/13) and 13,5% (5/37) in group II. CONCLUSION: In our study the mortality rate was higher after colectomy with primary @entity254 than after colectomy with temporary colostomy followed by secondary @entity254 . We recommend colectomy without @entity254 for the emergency management of the @entity694 in Africa.
