Review of Surgical Activities in the Tominian Health District

Objective: To establish an assessment of surgical activities at the Tominian Reference Health Center. Method: This was a prospective descriptive study covering all patients received and operated on at the Tominian Reference Health Center over a period of 8 months from October 1, 2022 to May 2023; Results: We operated on 247 patients, including 64% (157 patients) in emergencies. The mean age was 35.6 ± 2.8 years with extremes of 2 and 57 years. Emergency cesarean section represented 49% (121 patients). Genital prolapse represented 13% (31 patients), hernias represented 11% (28 cases); acute peritonitis represented 5% (13 cases), intestinal obstruction 3% (7 cases). Benign prostatic hypertrophy (11 cases), uterine myomas (8 cases), uterine rupture (11 cases), splenectomy (2 cases), TAF (3 cases) and VVF (2 cases). We recorded 4 cases of death. Conclusion: Surgical pathologies remain frequent and diversified in rural areas, the need for qualified personnel in general and in surgical specialties in particular remains necessary to improve health coverage, especially for obstetric emergencies.