Surgical care in the context of Covid-19 at the Maradi Regional Hospital Center Niger Republic.
PDF (French)

Keywords

COVID-19
Surgery
Consultation
emergency
Maradi, Niger

How to Cite

1.
Abdoulaye M, Adakal O, Abdoulaye O, Maikassoua M, Rouga M, Amadou Magagi I, et al. Surgical care in the context of Covid-19 at the Maradi Regional Hospital Center Niger Republic. J Sah Sci Santé [Internet]. 2023 Jun. 30 [cited 2026 Oct. 14];3(1):444-8. Available from: https://www.j3s-fss-uas.org/index.php/jsss/article/view/69

Abstract

Introduction :
COVID-19 has led to a readjustment of the surgical care offer because of the preventive measures it involves. The objective of this study was to describe the consequences of the COVID-19 pandemic on the volume of surgical activities at the regional hospital center (CHR) of Maradi.

Materials and method :
In this cross-sectional study with retrospective collection, conducted from March 20, 2019 to March 19, 2021 at the Regional Hospital Center of Maradi, we quantify and compare the volume of surgical activities one year before and one year during the COVID-19 pandemic. The variables studied are related to the number of patients seen according to the surgical specialty in outpatient clinics or in emergencies as well as the number of interventions by specialty in emergency as in scheduled surgery.

Results :
During the study period, 13,429 patients were admitted to the CHR including 3,521 cases in cold outpatient consultation and 9,908 cases admitted in emergency; i.e. 73.78% of the hospital's surgical activities. Surgical emergency admissions before the pandemic were 4,760 patients and increased to 5,148 during the pandemic, a significant increase of 8.15%. The number of scheduled surgery interventions fell by 4.27%, as did outpatient consultation activities, which fell significantly to 27.82%.

Conclusion :
The volume of surgical activities in the CHR of Maradi is decreasing in scheduled surgery. On the other hand, emergency activities during the COVID-19 pandemic are on the rise. The low rate of COVID-19 infection reported in Maradi, the classic emergency admission mode in our context as well as the resilience of health actors are elements that could explain the data of this study.

PDF (French)
References

1. Nasta AM, Goel R, Kanagavel M, Easwaramoorthy S. Impact of COVID-19 on General Surgical Practice in India. Indian J Surg. 2020; 82, 259–263 https://doi.org/10.1007/s12262-020-02443-0

2. Hübner M, Zingg T, Martin D., Eckert P, Demartines N. Surgery for Non-Covid-19 Patients During the Pandemic. PLoS One. 2020; 15(10):e0241331. DOI:10.1371/journal.pone.0241331

3. Abdoulaye MB, Maikassoua M, Adakal O, Harouna ML, Amadou O, Rouga MM. et al. Chirurgie et COVID-19 : à propos d´un cas de volvulus du colon pelvien au Centre Hospitalier Régional (CHR) de Maradi. PAMJ Clinical Medicine 2021; 5(13) : doi : 10.11604/pamj-cm.2021.5.13.26680 .

4. Søreide K, Hallet J, Matthews JB, Schnitzbauer AA, Line PD, Lai PBS et al. Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services. Br J Surg. 2020; 30: 10.1002/bjs.11670.

5. Wu KA Committee Deciding Policy on Elective Surgery during the Covid-19 Pandemic. N Engl J Med 2020;383:1787-90.

6. O'Connell RM, Khan MA, Amir M, Bucheeri M, Khan W, Khan IZ, Barry KM. The impact of COVID-19 on emergency general surgery admissions and operative volumes : A single centre experience. Surgeon. 2021 Oct;19(5): e207-e212.

7. Aviran E, Laks S, Benvenisti H, Khalilieh S, Assaf D, Aviran N, Hazzan D, Klein Y, Cohen A, Gutman M, Nissan A, Segev L. The Impact of the COVID-19 Pandemic on General Surgery Acute Admissions and Urgent Operations: A Comparative Prospective Study. Isr Med Assoc J. 2020;11(22):673-679.

8. Kurihara H, Marrano E, Ceolin M et al. Impact of lockdown on emergency general surgery during first 2020 COVID-19 outbreak. Eur J Trauma Emerg Surg 2021 ; 47 :677–682.

9. Benzarti S, Triki MA, Othman Y, Cheikh Rouhou H, Ben Fredj A, Trabelsi E, et al. Impact de la Pandémie de Covid-19 aux Services d'Orthopédie et de Traumatologie en Tunisie. La Tunisie Médicale. 2021;99(06):601-606.

10. Rouhou H, Ben Fredj A, Trabelsi E, et al. Impact of the COVID-19 Pandemic on Orthopedic and Trauma Departments in Tunisia. La Tunisie medicale. 2021 ; 99(6) : 601–606.

11. Reinke CE, Wang H, Thompson K, Paton BL, Sherrill W, Ross SW, Schiffern L, Matthews BD. Impact of COVID-19 on common non-elective general surgery diagnoses. Surg Endosc. 2022 ; 17 :1–11.

12. Boyle, Leah & Boyle, Alexander Buckenham & Jay, Sharon & Marnewick, Jacques. COVID-19 lockdown impact on common general surgical acute presentations to a regional centre in New Zealand. The New Zealand medical journal. 2020 ; 133 : 96-105.

13. Hervochon R., Atallah S., Levivien S., Teissier N., Baujat B., Tankere F. Impact of the COVID-19 epidemic on ENT surgical volume European Annals of Otorhinolaryngology, Head and Neck Diseases. 2020; 137(4): 269-71.

14. Urbach DR, Martin D. Confronting the COVID-19 surgery crisis: time for transformational change. CMAJ. 2020; 192(21):585-586. doi: 10.1503/cmaj.200791.

15. Pinar U, Anract J, Duquesne I, Dariane C, Chartier-Kastler E, Cussenot O et al. Impact de la pandémie de COVID-19 sur l’activité chirurgicale au sein des services d’urologie de l’Assistance Publique – Hôpitaux de Paris. Progrès en Urologie. 2020; 30(8–9) : 439-47.

16. Abdoulaye MB, Oumarou B, Moussa H, Anya BM, Didier T, Nsiari-Muzeyi BJ, Katoto P, Wiysonge CS. Impact de la pandémie de la COVID-19 sur l’utilisation des services de santé dans la ville de Niamey: une analyse dans 17 formations sanitaires de janvier à juin 2020. Pan African Medical Journal. 2021; 39 (159). 10.11604/pamj.2021.39.159.28282.

Metrics

Downloads

Download data is not yet available.
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2026 M Abdoulaye, O Adakal, O Abdoulaye, M Maikassoua, M Rouga, I Amadou Magagi, H Adamou, H Maman Boukari, Y Hama, L James Didier, E Adehossi, R Sani