HYBRID EVENT: You can participate in person at London, UK or Virtually from your home or work.

6th Edition of Global Conference on Surgery and Anaesthesia

September 15-17, 2025 | Hybrid Event

September 15 -17, 2025 | London, UK
GCSA 2025

Anesthesic morbi-mortality of immediate post-operative newborn in a country with limited resources: "The case of the Democratic Republic of Congo

Gibency Mfulani, Speaker at Surgery Conference
University of Kinshasa, Congo
Title : Anesthesic morbi-mortality of immediate post-operative newborn in a country with limited resources: "The case of the Democratic Republic of Congo

Abstract:

Background : Anesthetic morbidity and mortality in neonates in the immediate postoperative period refers to the medical complications and deaths that can occur in neonates in the period following surgery. It remains a major concern in developing countries where the technical platform is precarious. Most of the associated factors have been identified worldwide. The overall objective is to identify the factors associated with anesthetic morbimortality in neonates undergoing surgery in Kinshasa, the capital of D.R. Congo.

Methods : Through a cross-sectional approach from January 2023 to January 2024, including newborns operated on for all causes at the Cliniques Universitaires de Kinshasa. We described the epidemiological, therapeutic and evolutionary data in order to identify the various control factors for improving management. The data collected were analyzed using SPSS 26.0 software.

Results : A total of 73 neonates were collected from all patients operated on during the one-year period of our study. Male sex predominated, with 71.2% of cases, and the median age was 8 days of life. The youngest newborn was a few hours old and the oldest 30 days old. Indications for surgery were anorectal malformations (19.1%), peritonitis (12.3%) and hydrocephalus (10.9%). Neonatal complications in the immediate postoperative period were dominated by desaturation (30%), bradycardia (12.5%), hemorrhage (12.5%) and delayed recovery (12.5%). In terms of vital outcome49.3% survived, while half (50.7%) died. Of these, 32.9% died 24 hours after surgery and 17.8% died within 24 hours of surgery. Factors associated with morbidity and mortality were : age of the newborn, intubation difficulties, delay between diagnosis and surgery, qualifications of the staff involved, duration of the operation and occurrence of intraoperative complications.

Conclusion : Pediatric anaesthetic morbidity and mortality in the first 24 hours in our environment remains a cause for concern, due to the many constraints, particularly organizational and socio-economic. Prematurity, intubation difficulties and intraoperative complications are the factors associated with fatal outcomes.

Keywords : morbimortality, postoperative, newborn, immediate and anesthetic

Biography:

Gibency Mfulani MPENDA studied at the University of Kinshasa, in the Democratic Republic of Congo, where he obtained his doctorate in Medicine, Surgery and Childbirth in 2017. He is continuing his specialty studies in Anesthesia and Intensive Care, where he works as an intern in the team of Professor Berthe BARHAYIGA at the same university. He is the author and co-author of several scientific publications and reviewer in Global Emergency and Critical Care-Global Emergency and Critical Care.

 

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