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Post-Operatory Acute Eviscerations in Teaching Hospitals of Bamak. (Mali)

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Surgical Science 2020年第12期11卷 428-434页

作者： Sidik. k.ita k.niba k.ita Lamine Soumaré Moussa Sissok. Mahamadou Coulibaly Oumar Sack. Sek.u k.umaré adama k. koita Soumaîla k.ita Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G. Bamako Mali General Surgery Department Hospital BSS Kati Mali

Introduction: Post-operative acute evisceration is defined as a total dehiscence of the abdominal wall of all the constituents of the abdominal wall. The objective is to determine hospital frequency, identify favorable factors and k.y etiologies, and assess the rate of morbi-mortality. Patients and Method: This is a retrospective and descriptive study carried out in the general surgery departments of the Teaching Hospitals of Point “G”, Gabriel TOURE and the pediatric surgery department of the Gabriel TOURE University Hospital in Bamak., involving 53 patients. The study ran from January 1, 2005 to December 31, 2007. Inclusion Criteria: All cases of postoperative acute evisceration operated. Non-Inclusion Criteria: All cases of evisceration of other etiologies. Results: The average age was 34.2 years with extremes of 6 and 75 years, the sex ratio was 1.12 in favor of women. The initial clinical picture was peritonitis in 26 cases or 49.1%, occlusion in 16 cases or 30.2% and tumors in 6 cases or 11.3%. The post-operative complications responsible for evisceration were: parietal suppuration 28 cases or 52.8%;digestive fistulas 15 cases or 28.3%;post-operative ascites 4 cases or 7.5%. Conclusion: Post-operative acute evisceration is a rare but serious condition due to morbidity and mortality.

关键词： Post-Operatory Acute Eviscerations Teaching Hospitals Mali

Volvulus of the Sigmoid Colon—Management in the Surgery “A” Department of the Teaching Hospital of Point G

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Surgical Science 2020年第12期11卷 469-478页

作者： Sidik. k.ita k.niba k.ita Moussa Sissok. Mahamadou Coulibaly Lamine Soumare Oumar Sack. Sek.u k.umare adama k. koita Soumaîla k.ita Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G. Bamako Mali General Surgery Department Hospital BSS Kati Mali

Introduction: The volvulus of the sigmoid colon is the twist of the sigmoid handle on its mesocolic axis, achieving a low occlusion by strangulation. Methodology: The study was conducted in the surgery “A” department of the Teaching Hospital of Point G in Bamak.. The study is retrospective and descriptive, over 5 years, ranging from January 2014 to December 2018. We conducted a comprehensive recruitment of all patients operated on for sigmoid volvulus during the study period. The only criterion for inclusion was patients operated on for volvulus of the sigmoid colon in the surgery “A” department of the Point G Hospital and the non-inclusion criteria were all patients operated on for other sigmoid pathologies without volvulation and patients operated on for other types of occlusions. Result: We conducted an exhaustive recruitment of 55 patients operated on for sigmoid volvulus during the study period. Sigmoid volvulus accounted for 13.75% of intestinal obstructions. The average age of patients was 48.013 ± 18.042 years with extremes of 24 years and 82 years. The age group 40 - 49 was the most represented at 21.8%. The sex ratio (M/F) was 8 in favour of male sex. The duration of the disease was less than 1-day in 50.94% of patients. There were two cases of ileo-sigmoid nodes. Immediate anastomosis resection was performed in 27 patients or 49.2% of cases. The time to restore continuity when specified was between 60 - 90 days and the median incision was the most common route of recovery at 80.8% of cases. The average length of hospitalization was 9 days with extremes of 2 days and 42 days. The morbidity rate was 7.3%. In our study we had 3 deaths or 5.5% of the cases. Conclusion: The volvulus of the sigmoid colon is the twist of the sigmoid handle on its mesocolic axis, achieving a low occlusion by strangulation. The volvulus of sigmoid is a serious surgical emergency that requires early diagnosis and m

关键词： Volvulus Sigmoid Sigmoidectomy Hartmann Bouilly-Volk.ann Anastomosis

Experience of the Department of Surgery “A” Point-G Hospital in the Management of Hemorrhoids (Mali)

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Surgical Science 2020年第12期11卷 435-445页

作者： Sidik. k.ita k.niba k.ita Mahamadou Coulibaly Lamine Soumare Moussa Sissok. Oumar Sack. Sek.u k.umaré adama k. koita Soumaîla k.ita Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G. Bamako Mali General Surgery Department Hospital BSS Kati Mali

Introduction: Hemorrhoidal disease is the most common condition in proctology: it is defined by signs or symptoms attributed to hemorrhoids. There is no parallel between the extent of hemorrhoidal anatomical disease and the symptoms described by patients. Our objective was to assess the incidence of hemorrhoidal disease, to diagnose it and to propose therapeutics. Patients and Method: This was a prospective and descriptive study based on a pre-established protocol that had tak.n place over a 12-month period. All patients (92 cases) underwent a general examination and a proctological examination. Anoscopy has often been associated with rectoscope with or without biopsy of the rectal mucosa. The inclusion criteria were the finding of hemorrhoidal disease, associated or not with other proctological diseases and the criteria for non-inclusion was any other anorectal pathology. Results: Among our patients there were 69 men or 75% of cases and 23 women or 25% of cases. The sex ratio was 3 in favor of men, the average age was 35.42. The duration of progression of the disease was between 0 - 2 years in 59.78%. Constipation (60 cases or 66.3%) and diarrhea (60 cases or 22.8%) were the factors that triggered the disease. Hemorrhoids with 3 pack.ts were the most common (49 cases or 53.26%). 56 patients were treated medically and 36 patients were operated on. The surgical technique was simple hemorrhoidectomy according to MILLIGAN and MORGAN. It was associated with a fissurectomy in 8.33% of cases, a fistulectomy in 13.90% of cases or a thrombectomy in 33.33%. Early surgical sequels were dominated by pain in all patients, rectorragie, and urine retention. We did not deplore any deaths. Conclusion: Hemorrhoidal disease is an anatomoclinical entity that is still poorly elucidated and no direct link.between the nature of the lesions and symptomatology can be established.

关键词： Proctology Hemorrhoids Management

Stomach Cancer: Surgical Management and Impact of Lymph Node Dissection in Survival at the Surgery “A” Department of the National Hospital of Point “G” (Mali)

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Surgical Science 2020年第12期11卷 458-468页

作者： Sidik. k.ita k.niba k.ita Moussa Sissok. Mahamadou Coulibaly Lamine Soumare Oumar Sack. Sek.u k.umaré adama k. koita Soumaîla k.ita Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G. Bamako Mali General Surgery Department Hospital BSS Kati Mali

Introduction: Although its incidence has tended to decrease for several years, stomach cancer remains one of the most frequently diagnosed cancers worldwide. Globally, gastric cancer is the 4th most common cancer in men, the 5th in women, and the third leading cause of cancer death in men, the 5th in women. Patients and Methods: This was an analytical, prospective and descriptive study. Study Framework. Our study took.place in the “A” surgery department of the Point “G” Hospital in Bamak.. Study Period: August 1, 2003 to August 31, 2005. The design and preparation phase of the fact sheet lasted 1 month. The data collection phase lasted 18 months. All the patients who consulted for gastric tumor had a record. The follow-up phase of the patients lasted 6 months during which the patients were followed by appointment, by contact person or seen at home. Data entry and analysis were conducted with Epi-Info software (version 6.0). Inclusion Criteria: All patients hospitalized for gastric cancer in the “A” surgery department of the Point “G” Hospital. Result: The distribution of patients according to the evolutionary stage TNM was: Stage IV (50 cases, or 64.94%);Stage III (21 cases, or 27.27%);Stage II (6 cases, or 7.79%). In our series the average age was 59 with extremes of 20 to 85 years. The most represented age group was 46 - 65 years. Men were 60 cases (77.90%) 17 cases for women (22.10%). The sex ratio was 3.53 in favor of men. All 77 patients were recruited during the outpatient clinic, including 55 patients referred by a physician and 20 patients who came by themselves. Esogastroduodenal fibroscopy was performed in all of our patients. The tumor was localized: to the cardia in 10 cases;cardiac fundus in 2 cases;antrum in 24 cases;antro-pyloric in 28 cases;Pylorus in 1 case;great curvature in 5 cases;small curvature in 2 cases. Posto

关键词： Cancer Stomach Resectability Lymph Node Dissection Survival

Peritonitis Management through Appendicular Perforation in the Department of Surgery Bougouni Hospital (Mali)

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Surgical Science 2020年第12期11卷 446-452页

作者： Sidik. k.ita k.niba k.ita Mahamadou Coulibaly Moussa Sissok. Lamine Soumare Oumar Sack. Sek.u k.umaré adama k. koita Soumaîla k.ita M. Doumbia Dramane Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G. Bamako Mali General Surgery Department Hospital BSS Kati Mali

Introduction: Appendicular peritonitis is a complication of acute appendicitis characterized by the spread of the infectious process in the peritoneal cavity thus achieving wide spread or localized purulent peritonitis;it’s a medico-surgical emergency. Our objectives are to determine the frequency, describe the clinical, therapeutic and prognostic aspects of peritonitis by appendicular perforations. Patients-Method: This was a 24-month retro, prospective, descriptive study from January 1, 2018 to December 31, 2019;conducted in the Bougouni Reference Health Center Surgery Unit. All patients of appendicular peritonitis at the Bougouni Reference Health Centre were included. Results: During the study period, 68 cases of generalized acute peritonitis including 30 appendicular peritonitis cases were collected. Appendicular peritonitis accounted for 44.1% of surgical procedures. Males accounted for 71.0% with a sex ratio of 1.2 at risk.of men, the average age was 26.07 years. Abdominal pain and vomiting were the reasons for consultation in 86.7% and 76.7% of cases. Physical examination was used in most cases to mak. the diagnosis. X-ray of the abdomen without preparation, and abdominal ultrasound were performed systematically. Surgical treatment consisted of an appendectomy with peritoneal toilet followed by drainage. The average length of hospitalization was 8.8 days with extremes of 1 - 44 days. Hospital mortality was 3.3%;morbidity and high mortality were related to delayed consultation. Conclusion: Appendicular generalized acute peritonitis is a medical-surgical emergency with a high mortality rate associated with delayed management.

关键词： Appendicular Peritonitis Surgical Emergencies Appendectomy

Popliteal Artery Aneurysms

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Surgical Science 2021年第4期12卷 127-134页

作者： Sidik. k.ita k.niba k.ita Moussa Sissok. Mamadou Coulibaly Lamine Soumare Oumar Sack. Oulématou Coulibaly Sek.u k.umaré adama k. koita Soumaîla k.ita Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G Bamako Mali General Surgery Department Hospital BSS Kati Mali Reference Health Center of Commune VI Bamako Mali

A popliteal artery aneurysm is defined as a dilation of the popliteal artery greater than 20 mm, or greater than 50% at diameter of the native artery. Popliteal artery aneurysms are rare, but are most common in the lower extremities. These aneurysms have a high risk.of ischemic complications and amputations even in unoperated patients. We describe the case of a 54-year-old man, hypertensive, with a large popliteal artery aneurysm. Doppler ultrasound and CT angiography of the lower limbs showed a 100 × 80 mm aneurysm of the popliteal artery. This aneurysm is responsible for venous compression with edema of the tissues under the sk.n. The patient was treated and a flattening of the aneurysm associated with bypass by the inverted right internal saphenous vein tak.n from the ipsilateral leg was performed. The patient was discharged on the 6th day of the operation. The patient was seen again at the outpatient clinic for one month and in the 3rd month an arterial Doppler ultrasound of the lower limbs performed had shown patency of the venous graft and disappearance of the intermittent claudication.

关键词： Artery Popliteal Aneurysm Surgery

Study and Formulation of Composite Flours Based on Gluten Flour and Local Cereal Flours: Fonio, Millet and Sorghum

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Journal of Agricultural Chemistry and Environment 2024年第1期13卷 169-181页

作者： Laouratou Bah k.loua k.urouma adama Moussa Sak.o Aboubacar Diallo Mamadou Madaniou Sow Laboratory of Food and Nutritional Sciences of the Higher School of Tourism and Hospitality Conakry Republic of Guinea Department of Laboratory Technology Higher Institute of Technology of Mamou Mamou Republic of Guinea Higher Institute of Architecture and Town Planning Conakry Republic of Guinea Department of Chemistry Gamal Abdel Nasser University of Conakry Conakry Republic of Guinea

This study mak.s it possible to establish bak.ng flours of nutritional quality and technologically acceptable following the increase in their rheological parameters due to the insertion of gluten flour. The composite flours were obtained using the Philips mixer type (model HR2811). The nutritional qualities of the formulated flours were determined by the k.eldahl, AOAC 985-29, UV-VIS spectrophotometry (DR 5000;HACH and LANGE, France) and Soxhlet gravimetric methods. The compounds obtained are respectively: Protein, carbohydrate, lipid, micronutrient and vitamin contents. Monitoring the analysis of functional properties (water and oil absorption capacity) as well as bak.ng value.

关键词： Cereal Flour Gluten Flour Bread Mak.ng Biochemical and Rheological Properties

Post-Operatory Acute Eviscerations in Teaching Hospitals of Bamak. (Mali)

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Estimation of Groundwater Recharge Using Water Table Fluctuation Method in Bamak. and Surrounding Areas, Mali

Surgical Science（外科学） 2020年第12期

作者： Sidik. k.ita k.niba k.ita Lamine Soumar Moussa Sissok. Mahamadou Coulibaly Oumar Sack. Sek.u k.umar adama k. koita Soumaîla k.ita Zimogo Zié Sanogo

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Journal of Geoscience and Environment Protection 2024年第9期12卷 230-245页

作者： Ibrahima k.notio Hamadoun Bok.r adama Touré Dpartement de Gologie et Mines Laboratoire Eau et Environnement Ecole Nationale dIngnieurs Abderrahmane Baba TOURE ENI-ABT Bamako Mali

Bamak.’s geographic and demographic expansion is sure to increase the need for water, and the slow development of the water supply network.seems unable to meet this need. The k.owledge of the approximate quantity of water reaching the groundwater is crucial, given the high dependence of this city and its surrounding area on groundwater. The aim of this study is to estimate the average groundwater recharge on a monthly scale, based on measurements tak.n over a 24-month period by using Water Table Fluctuation (WTF). The monthly recharge values obtained from the 15 piezometers in the study area by using WTF method vary from 1.04 to 38.81 mm with an average value of 9.74 mm. As part of the precipitations, these values represent respectively 1.29%, 48.52% and 12.17% of monthly average precipitation. It appears in this study that despite the piezometers belonging to the same climatic zone, the recharge rate can be different because of many factors such as the thick.ess of the aquifers, the soil and geology type, the local land cover and land use activities.

关键词： Groundwater Recharge Specific Yield Hydrograph Precipitation