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Secondary Spontaneous Rupture of the Diaphragm in a Child after Blunt Chest Trauma

Open Journal of Respiratory Diseases 2016年第2期6卷 41-46页

作者： Seydou Togo Bourama Kané Moussa Abdoulaye Ouattara Issa Boubacar Maiga Yunping Lu Donghui Jin allaye ombotimbé Ibrahim Sangaré Maiga Abdoul Aziz Cheik Amed Sekou Touré Ibrahim Coulibaly Adama Issa Koné Sitan Illiassou Jaques Saye Cheik Sadibou Traoré Sékou Koumaré Moussa Camara Koita Adama Kononba Mody Traoré Zimogo Zié Sanogo Sadio Yéna Djibril Sangaré Thoracic Surgery Department Hospital of Mali Bamako Mali Pediatric Department Hospital of Mali Bamako Mali 24th Chinese Medical Team in Hospital of Mali Bamako Mali Surgery “A” Department Point G Hospital Bamako Mali

Traumatic diaphragmatic rupture (TDR) is very rare in the pediatric age group. Because of its rarity and its coexistence with more injuries, the diagnosis is often delayed. Very little has been written about this condition in the pediatric age group. TDR, while uncommon, should be considered in cases of blunt thoracic trauma. All patients should undergo meticulous examination preoperatively. The clinical presentation and importance of making an accurate diagnosis and surgery is highlighted. We report a case of secondary spontaneous traumatic left-sided diaphragmatic rupture in a child that was managed by delayed surgical repair.

关键词： Pediatric Thoracic Trauma Diaphragmatic Rupture Secondary Surgery

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Skin Cancer of the Face in Albinos: Case Management

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International Journal of Otolaryngology and Head & Neck Surgery 2022年第1期11卷 31-38页

作者： Amady Coulibaly Sibiri Traoré Sory Ibrahima Sidibé Koniba Diabaté Youssouf Sidibé Garango A. allaye Mariam G. Diallo Abdramane S. Maiga Boubacar Ba Hamady Traoré Alhousseyni Ag Mohamed Department of Stomatology and Maxillofacial Surgery CHU-CNOS Bamako Mali Faculty of Medicine and Odontostomatology Bamako Mali Radiotherapy Department of the Hospital of Mali Bamako Mali Departement of Otorhinolaryngology CHU Mère-Enfant “le Luxembourg” Bamako Mali Military Hospital of Bamako Bamako Mali

Albinism represents a set of genetic abnormalities characterized by a decrease or absence of melanin. Albinism in the black subject combines white skin and other morphological characteristics of the black race. Squamous cell carcinomas of the face in albinos are a common reason for consultation. Management remains most often complex. The objective of this work was to describe the management of a case of skin cancer of the face in an albino woman. She was a 26-year-old albino woman. She is a housewife and married. She consulted on 02/04/17 for a tumor of the right side. The tumour was about 6 cm in diameter and had been growing for 7 months. There was no palpable head and neck disease. The rest of the clinical examination was normal. The biopsy concluded that there was squamous cell carcinoma. The extension assessment had not found a secondary location. She received an excision of the tumor with a margin of 10 mm and a total skin graft. The trend has been favourable after three years. No recurrence was observed. The management of facial skin cancer should be the subject of a multidisciplinary consultation. Surgery occupies an important place in the therapeutic arsenal.

关键词： Skin Cancer Face Albino Treatment

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Total Thyroidectomy in Multinodular Goiter: An African Experience

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Surgical Science 2015年第12期6卷 527-531页

作者： Moussa Abdoulaye Ouattara Seydou Togo Ibrahima Sankaré Kadiatou Singaré Sekou Koumaré Issa Maiga allaye Ombotibé Jacques Saye Assa Traoré Nouhoum Diani Zimogo Ziè Sanogo Sadio Yena Department of Thoracic Surgery Hospital of Mali Bamako Mali Department of Otorhinolaryngology Gabriel Touré Teaching Hospital Bamako Mali Department of General Surgery “A” Point G Teaching Hospital Bamako Mali Department of Endocrinology Hospital of Mali Bamako Mali Department of Anesthesia Hospital of Mali Bamako Mali

Introduction: Total thyroidectomy is an operation that involves the surgical removal of the whole thyroid gland, with the preservation of the parathyroid glands. The aim of the present study was to assess the complication rates of total thyroidectomy on benign indication and first-time thyroid surgery and investigate the early outcome after opotherapy. Materials and Methods: In this retrospective study, patients who underwent total thyroidectomy for benign multinodular goiter in the department of thoracic surgery in our Hospital from January 2012 to December 2014 were included. In postoperative time, we evaluated surgical complication, histopathological examination and opotherapy. Results: A total 53 patients underwent total thyroidectomy for multmodular goiter;they were 49 (92.45%) bilateral and 4 (7.55%) unilateral (recurrence). The mean age was 47 years and mean diameter of goiter was 10.75 cm. Among the patients 88.68% were females and 11.32% were male. Preoperative hormonal statuses were (70%) in euthyroid and (30%) hyperthyroid following surgery complications like transient laryngeal nerve palsy (3.77%), transient hypocalcemia (7.55%), hematoma (1.9%) and wound infection (1.9%). On histopathological examination of the surgical specimen, 5.7% were reported to be malignant. Six month following surgery 92.45% of patients was a good hormonal balance. Conclusion: Total thyroidectomy for multinodular goiter has a low morbidity and mortality;this procedure olves both the problem of recurrence of disease and reintervention. The opotherapy is doable with a good hormonal balance.

关键词： Multi-Nodular Goiter Total Thyroidectomy Complication

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Initial Experience with Open Heart Surgery in Sub-Saharan Africa:Challenges in Mali with Minimum Standards for Practice

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World Journal of Cardiovascular Surgery 2019年第9期9卷 108-118页

作者： Seydou Togo Moussa Abdoulaye Ouattara Abdoul Aziz Maiga Moussa Bazongo Issa Boubacar Maiga Cheik Ahmed Sekou Toure Ibrahim Coulibaly Sounkalo Diop allaye ombotimbe Sitta Illiassou Souleymane Coulibaly Mamadou Solo Koita Koumba Nelly Dora Ignanga Sanibe Dramane Kone Moussa Oscar Kamano Fatoumata Konate Adama Issa Kone Amadou Sidibe Ahmadou Drame Nouhoum Oueloguem Bourama Kane Boubacar Drame Sekou Koumare Zimogo Zie Sanogo Sadio Yena Department of Thoracic and Cardiovascular Surgery Mali HospitalBamakoMali Department of Anesthesiology and Critical Care Mali HospitalBamakoMali Department of Cardiologie Mali HospitalBamakoMali Department of Pediatrics Mali HospitalBamakoMali Department of Biomedical Laboratory Mali HospitalBamakoMali Department of Surgery“A” Point G HospitalBamakoMali

Introduction: There has been limited experience with Open Heart Surgeries (OHS) in Sub-Saharan Africa. In west Africa especially in Mali, most fledgling centers are unable to overcome the myriad of challenges encountered in establishing OHS though there is a high prevalence of surgically correctable heart diseases. The aim of this paper is to review our initial experience of our first cases in developing OHS program and discuss the challenges and prospects that need to be overcome to further develop it. Methods: A total of 6 patients who underwent OHS during the first “cardiac mission” in July 2016 were included in this retrospective study. The medical records of the patients were examined and data on age, sex, diagnosis, EuroSCORE, type of surgery, cardiopulmonary bypass details, complications and length of hospital stay were extracted. Results: Six patients with a male to female ratio of 1, ages ranging between 12 and 35 years (mean of 22.5 ± 12 years) were studied. The mean of EuroSCORE was 6 ± 41. Pericardial patch closure of isolated atrial septal defect was performed in one patient. One patient had mitral valve repair for rheumatic mitral regurgitation consisting of chordal shortening with a tricuspid valvuloplasty. Three patients had mitral valve replacement with tricuspid valvuloplasty. Four patients had mitral valve replacement. Sixty-day mortality?was 0%. Conclusion: Safe conduct of open heart surgery in Mali Hospital setting is feasible. Grant financial aid is required for rapid growth of Open-Heart Surgery in this part of Sub-Saharan Africa.

关键词： Open-Heart Surgery Mali Africa

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