La Cicatrisation des Plaies Opératoires au Service d’Urologie du CHU Gabriel Toure

RESUME But. Decrire la cicatrisation des plaies operatoires au service d’urologie du CHU GT. Patients et methodes : Il s’agissait d’une etude prospective et descriptive sur 12 mois chez des patients operes. Pour chaque patient nous avons etudie : l’âge, le sexe les aspects cliniques et paracliniques, la duree de la cicatrisation, la completude du kit de pansement et la nature des interventions. Resultats. Notre serie etait majoritaire masculine (92% d’homme et 8% de femmes) avec un âge moyen de 62 ans. La grande majorite (97,2%) a cicatrise en 21 jours et, la minorite (2,8%) ayant eu un retard de cicatrisation avait des antecedents de diabete (46,2%), de bilharzioses (7,7%), d’hypertension arterielle (7,7%) et de drepanocytose (7,7%). Tous les sujets avaient un kit complet de pansement. L’adenomectomie prostatique, la cervicotomie, la cystolithotomie ont ete les interventions les plus pratiquees. Conclusion. La cicatrisation est effective dans notre etude mis a part en dehors des rares cas de retard de cicatrisation (2,8%) notes chez des malades avec des facteurs de risque comme le diabete. ABSTRACT Introduction. To describe surgical wound healing of patients operated in the urology Department of CHU Gabriel Toure. Patients and methods. This was a cross sectional descriptive stud that involved patients operated during a twelve month period in the department. Our data of interest were: ’age, sex, clinical and laboratory data, healing duration, dressing kit completeness and type of surgery. Results. We recruited patients, of whom (92%) were male and 8% were female. Their mean age was 62 years. The healing period was less than 21 days for (97.2%). Those who had delayed wound healing suffered from diabetes (46, 2%), schistosomiasis (7.7%), high blood pressure (7.7%) or sickle cell disease (7.7%). All patients had a complete dressing kit. Prostatic adenomectomy, cervicotomy and cystolithotomy were the most common surgical procedures. Conclusion. Wound healing delays are satisfactory in our study, except in rare patients with risk factors such as diabetes.