Management of Gynecological and Obstetrical Peritonitis in the General Surgery Department of the Hospital National Ignace Deen Conakry University Hospital (Guinea)

Aim: Was to highlight the methods of management of gynecological and obstetric peritonitis. Patients and Methods: This was a retrospective and descrıptive study analyzing the records of patients operated on for peritonitis of gynecological or obstetric origin in the general surgery department of the Ignace Deen National Hospital, CHU of Conakry during the period from January 2020 to December 2022. The parameters studied were epidemiological, sociodemographic, clinical and therapeutic. Results: Gynaecological and obstetric peritonitis accounted for 15.6% (n= 58) of all peritonitis. The mean age of the patients was 27.9 years, with extremes of 17 and 46 years. The majority of patients were married, with multiple gestations, and the average consultation time was 13.4 days. The etiology most frequently encountered was uterine perforation (34%), and the surgical procedure most frequently performed was drainage (all patients) and uterine suture (63.4%). We recorded 3 cases of death (5.2%). Conclusion: Gynecological and obstetric peritonitis are both medical and surgical emergencies, mainly affecting sexually active young women, with considerable mortality.