{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T14:22:54Z","timestamp":1789827774502,"version":"4.0.1"},"reference-count":19,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surgery Research and Practice"],"published-print":{"date-parts":[[2021,4,19]]},"abstract":"<jats:p>Background. Acute generalized peritonitis in resource-poor countries is still a health challenge due to late diagnosis, surgical delay, and specialists\u2019 unavailability. These are the foremost determinants of surgical morbidity and mortality. We report the experience of a peripheral hospital in Benin not equipped with specialized surgeons. Methods. This is an observational, retrospective, and descriptive study including patients operated for acute generalized peritonitis at the Atacora Departmental Hospital Centre, Benin, where unfortunately CT scan and intensive care unit are still not available. Most of surgical activities were performed by a general practitioner with previous surgical training (but no surgical specialization). Age, gender, cause of peritonitis, surgical procedures, and postoperative outcome were evaluated. Results. Sixty-three patients were included. The mean age was 23.2 years and sex ratio M\/F 1.5. The mean surgical delay was 26 hours (range: 6\u201392 hours). An ileal typhoid perforation was found in 40 patients (63.5%), and 35 of them (87.5%) underwent a primary perforation repair without bowel resection. 73% of surgical procedures were performed by the general practitioner. Morbidity was 34.9% and mortality was 14.3%. The average postoperative hospital stay was 12 days (range: 11\u201382 days). These results were comparable to those observed in the subgroup of patients (17 cases) operated by the general surgeons (morbidity 32.6%, mortality 13.0%, and average postoperative hospital stay 11 days, range: 1\u201358 days). Conclusion. Acute generalized peritonitis requires urgent management, and it can be effectively carried out, in a context of limited resources, by a general practitioner with surgical skills.<\/jats:p>","DOI":"10.1155\/2021\/5543869","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T20:26:47Z","timestamp":1618864007000},"page":"1-6","source":"Crossref","is-referenced-by-count":4,"title":["Acute Generalized Peritonitis in a Peripheral Hospital Centre in Benin: Can It Be Managed by a Local General Practitioner?"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8969-937X","authenticated-orcid":true,"given":"Semevo Romaric","family":"Tobome","sequence":"first","affiliation":[{"name":"Atacora Departmental Hospital Center, Atacora, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrien Montcho","family":"Hodonou","sequence":"additional","affiliation":[{"name":"General Surgery Department, Centre Hospitalier D\u00e9partemental Universitaire de Parakou, Parakou, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anifa","family":"Wahide","sequence":"additional","affiliation":[{"name":"Atacora Departmental Hospital Center, Atacora, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kadiri Alassan","family":"Boukari","sequence":"additional","affiliation":[{"name":"Atacora Departmental Hospital Center, Atacora, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mo\u00efse","family":"Kponou","sequence":"additional","affiliation":[{"name":"Atacora Departmental Hospital Center, Atacora, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christelle Hermione Elvire","family":"Bankole","sequence":"additional","affiliation":[{"name":"Centre de Sant\u00e9 Communal de Natitingou, Zone Office Natitingou, Boukoumb\u00e9 Toucountouna, Natitingou, Benin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4683-2756","authenticated-orcid":true,"given":"Roberto","family":"Caronna","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Sapienza University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"issue":"1","key":"1","first-page":"27","article-title":"Mannheim Peritonitis Index and APACHE II-prediction of outcome in patients with peritonitis","volume":"16","author":"A. 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Cas des Urgences en chirurgie digestive \u00e0 l\u2019H\u00f4pital National de Zinder, Niger","volume":"11","author":"A. Harissou","year":"2015","journal-title":"European Scientific Journal"},{"issue":"3","key":"9","first-page":"18","article-title":"Aspects diagnostiques et th\u00e9rapeutiques des p\u00e9ritonites aigu\u00ebs g\u00e9n\u00e9ralis\u00e9es \u00e0 propos de 214 cas \u00e0 Bangui","volume":"9","author":"D. A. Doumgba","year":"2015","journal-title":"Revue Africaine de Chirurgie et Sp\u00e9cialit\u00e9s"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-003-0064-0"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.4103\/1596-3519.87040"},{"issue":"3","key":"12","first-page":"395","article-title":"Aspects \u00e9tiologiques et th\u00e9rapeutiques des p\u00e9ritonites aigu\u00ebs diffuses non traumatiques au CHU Sylvanus Olympio","volume":"19","author":"F. Alassani","year":"2017","journal-title":"Journal de la Recherche Scientifique de l\u2019Universit\u00e9 de Lom\u00e9"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s12157-011-0355-2"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.18203\/2349-2902.isj20171145"},{"issue":"4","key":"15","first-page":"305","article-title":"Abdominal tuberculosis","volume":"120","author":"M. P. S\u00e9to","year":"2004","journal-title":"The Indian Journal of Medical Research"},{"issue":"4","key":"16","first-page":"301","article-title":"Difficulties in diagnosis and treatement of Crohn disease","volume":"16","author":"J. P. 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