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

To identify complications requiring early reoperation and to determine associated risk factors in the pediatric surgery of the TEACHING HOSPITAL Gabriel Toure. It was about a retrospective study done in 4 years (from January, 2014 to December, 2017) of children 0-15 years old presenting with a post-operative complication requiring a reoperation and taken care of during the period of study. Observation of bowels or the liquid stools through the incisional wound, the presence of hydro-aerics levels on an abdominal plain X-ray and the absence of resumption of intestinal transit allowed us to make a decision to reoperate. in 4 years, we have re-intervened on 103 patients because of early post-operative complication out of 4730 operated on. This represented 1.54 % of our total surgical activities. The average age 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 have been received and operated on in emergency. Peritonitis of digestive system perforation represented 45.28 % of the indications followed by the acute intestinal intussusceptions (10.7 %) and traumatic eviscerations (9.7 %). During the first operation the realized procedure was the sutures in perforated cases up to 40.8 % of them, manual intestinal reduction with appendectomy in 10.7 % of the cases. The average duration before the first intervention was 80±13.6mn. The post-operative evisceration was the 1st cause of reoperation followed by the post-operative peritonitis and then post-operative occlusion. The average time to reoperation was 6.9 ± 4.2 days. The risk factors leading to reoperation depended on: indication of first surgery, the operating technique, the quality the operator, malnutrition and anaemia (p<0.05). The sex, age and the duration of surgery were not determining in the indication of early reoperation (p > 0.05).