Early reoperation in pediatric surgery at the Teaching Hospital Gabriel Touré.

Introduction: To identify complications requiring early reoperation and to determine associated risk factors in the pediatric surgery of the teaching hospital Gabriel Toure.Materials and Methods: A retrospective study of children 015 years old during 4 years (January 2014 to December 2017) presenting with a postoperative complication requiring a reoperation and taken care of during the period of study. Observation of bowels or the liquid stools through the opened wound, the presence of airfluid levels on an abdominal plain Xray and the absence of resumption of intestinal transit allowed us to make a decision to reoperate.Results: We have reintervened on 103 patients because of early postoperative complication out of 4730 cases of pediatric surgery carried out in this hospital during these 4 years. This represented 1.54 % of our total surgical activities. The average age of our patients was a 5.2±2.3 year ranging from 2 months to 15 years. The sex ratio was 0.94. Eighty four (81.55 %) of our patients were admitted and operated on emergently. Peritonitis due to digestive system perforation represented 45.28 % of the indications for reoperation followed by the acute intestinal intussusceptions (10.7 %) and traumatic eviscerations (9.7 %). The average duration before the first intervention was 80±13.6mn. The postoperative evisceration was the 1st cause of reoperation followed by the postoperative peritonitis and then postoperative intestinal obstruction. The average time to reoperation was 6.9 ± 4.2 days.Conclusion: In our hospital risk of reoperation has an association with: indication of first surgery, operating technique, experience of the surgeon, malnutrition and anemia (p lt;0.05). On the other hand sex, age and the duration of surgery have no effect on early reoperation (p gt; 0.05).