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Prevention of Venous Thromboembolism in General Surgery at Gabriel TouréUniversity Hospital in Mali

Surgical Science 2021年第3期12卷 67-75页

作者： Amadou traoré Madiassa Konaté Abdoulaye Diarra Koniba Keïta Kadia traoré Zakari Saye Youssouf Koné Boubacar Yoro Sidibé Amadou Maïga Amadou Bah Bouréima Kelly Tani Koné Boubacar Karembé Souleymane Thiam assitan Koné Drissa Bagayogo Bakary Tientigui Dembélé Alhassane traoré Ibrahim Diakité Lassana Kanté Adégné Togo Gabriel Touré University Hospital Bamako Mali

Through its impact on morbidity and mortality and the cost of medical care, Venous Thromboembolism (VTE) has a significant influence on the quality of care in a surgical environment. The objectives were to determine the risk of postoperative venous thromboembolism and to assess its prophylactic management in the general surgery department of Gabriel Toure University Hospital. This was a prospective observational study from May 01, 2018 to December 31, 2018. It included all patients of 18 years old and over, operated in regulated surgery, under general anesthesia in the department. For all of these patients, Caprini score was used to assess the risk of VTE. The ninth American College of Chest Physicians’ Consensus was used as guidelines to assess Thromboprophylaxis practices in the ward. The Caprini score was evaluated in 80 patients for 8 months. The average age was 50.2 years. The sex ratio was 0.48. The risk level of VTE was low in three patients (3.8%), moderate in 13 patients (16.3%), high in 34 patients (42.5%) and highest in 30 patients (37.5%). The main risk factors found were major surgery (87.5%), age > 40 years (72.5%), cancer (33.8%), bed rest (31.2%), obesity (27.5%) and minor surgery (12.5%). Early mobilization was performed in all patients. Pharmacologic prophylaxis was required in 80% of our patients but only 38.8% had received low molecular weight heparin. VTE complicated 5 procedures, including 3 cases of deep vein thrombosis of the limbs and 2 cases of pulmonary embolism who died. Venous thromboembolism is serious and common in surgical settings. Its prevention remains insufficient in our context.

关键词： Venous Thromboembolism Prevention Surgery Mali

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Synchronous Volvulus of the Sigmoid Colon and the Transverse Colon: A Case Report at Gabriel Toure University Hospital in Mali

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Surgical Science 2021年第9期12卷 313-318页

作者： traoré Amadou Konaté Madiassa Diarra Abdoulaye Tounkara Idrissa Saye Zakari Doumbia Arouna Bah Amadou Sidibé Boubacar Yoro Maïga Amadou Koné Tani Thiam Souleymane Karembé Boubacar Kelly Bouréima traoré Kadia Kéita Koniba Bouaré Yacouba Koné assitan Diakité Ibrahim Diakité Ibrahim Dembélé Bakary Tientigui traoré Alhassane Togo Adégné General Surgery Department Gabriel Touré University Hospital Bamako Mali Surgery Department Kati University Hospital Kati Mali Reference Health Center of Commune III Bamako Mali

Synchronous transverse and sigmoid colon volvulus are very rare. We report the case of a 23-year-old man who underwent emergency surgery for sigmoid colon volvulus. An intraoperative finding of transverse colon volvulus associated with sigmoid colon volvulus was made. Left and transverse colectomy was performed followed by colorectal anastomosis. The postoperative period was uneventful. Synchronous volvulus of the transverse and sigmoid colon is a surgical emergency. The clinical signs are not specific and the discovery is often intraoperative. It is necessary to know how to evoke the diagnosis in a case of sigmoid colon volvulus, to avoid inadequate management with dramatic consequences.

关键词： Volvulus Synchronous Colon Sigmoid Transverse Surgery Mali

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Giant Lactant Adenoma: About a Case

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Surgical Science 2022年第12期13卷 561-565页

作者： Amadou Bah Amadou Maiga Boubacar Y. Sidibé Ibrahim Diakité Tani Koné Zakari Saye Arouna Doumbia Amadou traoré Madiassa Konaté Pierre Coulibaly Amadou A. traoré Bakary T. Dembélé Lassana Kanté Boubacar Karembé assitan Koné Andre Kassogue Amidou Almeimoune Adegne Togo General Surgery Department CHU Gabriel Touré Bamako Mali Resuscitation Anesthesia Department CHU Gabriel Touré Bamako Mali

Affecting young women, lactating adenoma is a rare benign tumor of the breast. It is seen mainly in the third trimester of pregnancy and in the postpartum period. Clinically, it is a solid mass, mobile typically benign but its character of rapid evolution is reminiscent of phyllodes tumors, sarcomas and galactoceles. The definitive diagnosis is histological. We report a case of lactating adenoma in a 26-year-old lactating woman, third procedure, second pare, with a history of tumor resection of the outer quadrants of the left breast, 9 months ago, whose histology evoked a fibrotic disease, cystic breast associating non-specific subacute mastitis with suppuration. Received for recurrence of a tumor in the left breast which was the site of a polylobed mass of about 10/5 cm occupying 3/4 of the breast with mobile ipsilateral axillary adenopathies. A micro tru-cut biopsy was performed and the histology was in favor of a lactating breast adenoma with no signs of malignancy. She underwent surgical excision, the consequences of which were simple.

关键词： Lactating Adenoma Breast Histological Malignancy Surgical Excision

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Postoperative Occlusion of the Small Bowel with Flanges and/or Adhesions in General Surgery of Kati BSS CHU

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Surgical Science 2018年第9期9卷 293-299页

作者： Abdoulaye Diarra Koniba Keita Amadou traore assitan Koné Issa traore Idrissa Tounkara Abdoulaye Kante Fadima K.Tall Daouda Diallo Moustaph Issa Magané Madiassa Konate Aboubacar Koné Deborah Sanra Sanogo Ismael Konare Alhassane traoré General Surgery Department KatiMali Anesthesia Service and Resuscitation Department KatiMali Gastroenterology Department KatiMali

Objectives were to determine the frequency, describe the epidemiological and clinical aspects, therapeutic and analyze the postoperative course. Methodology: This was a retrospective study that covered 08 years (January 2009-December 2017). Inclusion criteria: all patients operated for obstruction of the small bowel by hail and/or flanging. Exclusion criteria: other types of occlusion and non-operated patients. Result: We recorded a total of 162 cases of hail obstruction by adhesions and/or flanges at 2.87%. The average age was 32.04, the sex ratio was 1.2. The average consultation time was 4 days. Abdominal pain associated with stopping of material and gas was present in all our patients. X-ray of the abdomen without preparation carried out in all the patients made it possible to objectify in 150 patients (92.6%) of the hydro-hail levels. Inoperative occlusion of hail on flange was present in 80 patients (49.4%). Occlusion of the small bowel on flange and adhesion was present in 69 patients. Adhesion obstruction of hail accounted for 6.8% (11 cases). The most commonly used surgical technique was flange resection in 91 patients (56.2%). The follow-up was simple in 151 patients (93.2%). Mortality was 1.2% of cases, i.e. 2 deaths. The average duration of hospitalization was 6 days. Conclusion: Occlusion of the small bowel by flanging and/or adherence is a surgical emergency whose prognosis depends on early management.

关键词： Postoperative Occlusion Hail Bridle/Adherence Mali

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Human-water interactions associated to cercarial emergence pattern and their influences on urinary schistosomiasis transmission in two endemic areas in Mali

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Infectious Diseases of Poverty 2024年第4期13卷 103-104页

作者： Bakary Sidibe Privat Agniwo assitan Diakite Boris Agossou Eyaton-olodj Segnito Savassi Safiatou Niare Doumbo Ahristode Akplogan Hassim Guindo Moudachirou Ibikounle Laurent Dembele Abdoulaye Djimde Jerome Boissier Abdoulaye Dabo Department of Epidemiology of Infectious Diseases Faculty of Pharmacy University of Sciences Techniques and Technologies of Bamako Bamako Mali Centre de Recherche Pour La Lutte Contre Les Maladies Infectieuses Tropicales (CReMIT/TIDRC) Université d’Abomey-Calavi Abomey-Calavi Bénin IHPE Univ. Montpellier CNRS Ifremer Univ. Perpignan Via Domitia Perpignan France

Background Mali is known to be a schistosomiasis-endemic country with a limited supply of clean *** has forced many communities to rely on open freshwater bodies for many human-water contact(HWC)***,the relationship between contact with these water systems and the level of schistosome infection is cur-rently receiving limited *** study assessed human-water interactions including cercarial emergence pat-tern and their influences on urinary schistosomiasis transmission in two communities in the Kayes district of *** We carried out a parasitological study frst in children in September 2021,then a cross-sectional study of quantitative observations of human-water contact activities in the population,and finally a study of snail infectiv-ity at contact points in September *** study took place in two communities,Fangoune Bamanan and Diakalel in the Kayes region of western *** chronobiological study focused on cercarial release from naturally infected *** cercariae were molecularly genotyped by targeting the cox1 region,and the ITS and 18S ribosmal DNA gene(18S rDNA)regions of the *** between sociodemographic parameters,human water-contact points and hematuria were established using multivariate statistical analysis or the logistic regression *** The main factor predisposing the 97 participants to water contact was domestic activity(62.9%).Of the 378 snails collected at 14 sampling sites,27(7.1%)excreted schistosome cercariae,with 15.0%(19/126)at Fangoune Bamanan and 3.3%(8/252)at *** release of Schistosoma cercariae shows three different patterns in Fangoune Bamanan:(i)an early release peak(6:00-8:00 AM),(i)a mid-day release peak(10:00 AM-12:00 PM)and(ili)a double peak:(6:00-8:00 AM)and(6:00-8:00 PM)cercariae release;and two release patterns in Diakalel:early release(6:00-8:00 AM)and(il)mid-day release(12:00-2:00 PM).All cercariae released during early diurnal(6:00-8:00 AM)or nocturnal

关键词： Schistosomiasis Chronobiology Cercarial emission Snail Water contact Mali

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Diverticular Fistula of the Female Urethra on Lithiasis at the District Health Center (CSREF) in Communeii, Bamako, Mali

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Surgical Science 2019年第3期10卷 83-88页

作者： Tounkara Idrissa Diarra Abdoulaye traoré Amadou Coulibaly B. Bakary Kanté Abdoulaye Dembélé Dabéré Ives Thiam Souleymane Ouattara Kassoum Kanté Lassana Konate Madiassa Koné assitan Ongoiba Oumar Sangaré Modibo Dembélé Bakary Tiètiki Diakité Ibrahim Sidibé Yoro Bah Amadou Coulibaly Yakaria Togo Adégné Diallo Gangaly Chirurgie générale du Centre de santé de référence de la commune II de Bamako Mali Chirurgie générale du Centre Hospitalier Universitaire de Kati Mali Chirurgie générale Centre Hospitalier Universitaire Gabriel TOURE de Bamako Mali Chirurgie générale du Centre Hospitalier Universitaire du POINT G de Bamako Mali Hopital régional de Gao Mali Hopital régional de Tombouctou Mali

The diverticulum of the female urethra or sub-urethral pouch is in the form of a cul-de-sac lined with mucous membrane through the muscular layer of the urethra. Thus, it is a site of stasis, urinary infection, formation of calculus or even malignant tumor. The diverticula of the urethra or sub-urethral pouches in women have a prevalence of 0.5% to 6% depending on the series. We report the case of a 61-year-old patient operated for a diverticulum on fistulized urethra complicated lithiasis. Our patient had five pregnancies and five births when she consulted for dysuria, urinary burns evolving since a year. The urogenital examination revealed a partially stenotic urethral meatus and a 3-cm large fistulized intravaginal peri-urethral mass allowing urine leak. The mass was painful and hard at palpation. We performed transvaginal diverticulectomy. The follow-up was simple and the probe was removed two weeks after the surgery. An atomo-pathological examination of the resected diverticulum concluded an aspect compatible with lithiasis urethritis.

关键词： Diverticulum Urethral Fistula Lithiasis Bamako

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Primitive Umbilical Endometriosis in a Young Woman at the District Health Center (CSREF) in Commune II in Bamako

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Surgical Science 2019年第3期10卷 89-93页

Umbilical endometriosis, also called Villar’s nodule, has rarely been described in the literature. It represents only 0.5% to 1% of all cases of endometriosis. We report a case in a 28-year-old nulligest, nulliparous woman who consulted at the CSREF CII in Bamako. The diagnosis was suspected with the presence of umbilical swelling with cyclic, painful, dark hemorrhage of firm consistency. We performed an omphalectomy with an uncomplicated postoperative course. She was released from the hospital three days post-surgery. Anatomo-pathological examination of the resected specimen confirmed the diagnosis of umbilical endometriosis.

关键词： Umbilical Endometriosis Young Woman Bamako Mali

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Ultrasound aspects and risk factors associated with urogenital schistosomiasis among primary school children in Mali

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Infectious Diseases of Poverty 2023年第2期12卷 133-133页

作者： Privat Agniwo Bakary Sidibé assitan Diakité Safiatou Doumbo Niaré Hassim Guindo Ahristode Akplogan Moudachirou Ibikounlé Jérôme Boissier Abdoulaye Dabo Department of Epidemiology of Infectious Diseases Faculty of PharmacyIRl 3189(USTTB/UCAD/UGB/CNRST/CNRS)University of SciencesTechniques and Technologies of BamakoBamakoMali Interactions Hôtes-Pathogènes-Environnements(IHPE) Univ.MontpellierCNRSIfremerUniv.Perpignan Via DomitiaPerpignanFrance Centre de Recherche pour la lutte contre les Maladies Infectieuses Tropicales(CReMIT/TIDRC) University of Abomey-CalaviAbomey CalaviBenin

Background Urogenital schistosomiasis is endemic in Mali and is a major cause of serious morbidity in large parts of the *** disease is responsible for many socio-economic and public health *** aim of this study was to investigate the impact of the disease on morbidity and to describe demographic and socioeconomic factors in relation to the status of children with urogenital schistosomiasis in *** We conducted a cross-sectional study in November 2021 of 971 children aged 6 to 14 years selected at random from six schools in three districts in the Kayes Region of *** and socioeconomic data were collected on survey *** data were collected following a medical *** was systematically searched for through the use of *** search for Schistosoma haematobium eggs in urine was done via the filtration *** urinary tract was examined by *** between each of these variables and disease infection were tested using multivariate logistic *** The overall prevalence of urinary schistosomiasis detected was 50.2%.The average intensity of infection was 36 eggs/10 ml of *** associated risk factors for urogenital schistosomiasis showed that children who bathed,used the river/pond as a domestic water source,and who habitually urinated in the river/pond were more affected(P<0.05).Children with farming parents were most affected(P=0.032).The collection of clinical signs revealed that boys had more pollakiuria(58.6%)and dysuria(46.4%)than *** data showed that focal lesion rates were recorded in all villages with the lowest rate in Diakalel(56.1%).Ultrasound and parasitological findings showed that irregularity and thickening were strongly associated with urinary schistosomiasis(P<0.0001).Conclusions Schistosoma haematobium infection was still endemic in the study site despite more than a decade of mass treatment with ***,the high percentage of symp

关键词： Schistosoma haematobium Morbidity Prevalence Risk factor Mali

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Rare Case of Acute Peritonitis by Perforation of an Appendicular Schistosomiasis at the CHU BSS in Kati

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Surgical Science 2020年第12期

作者： Koniba Keita Abdoulaye Diarra Sidiki Keita Oulématou Coulibaly assitan Kon Salia Coulibaly Amadou traor Idrissa Tounkara Lamine Soumar Mamadou Diallo Bourama Togola Drissa traor Pierre A. Togo

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Ileal Occlusion on Bezoars at Kati BSS Hospital

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Surgical Science 2019年第1期10卷 39-43页

作者： Keita Koniba Abdoulaye Diarra Sidiki Keita Issa traore Salia Coulibaly Fadima Tall Daouda Diallo Oulematou Coulibaly assitan Kone Boubacar Kone Mahamadou Bacary Coulibaly Daouda Konate Ismael Konare Drissa traore General Surgery Department Kati Mali Medical Imaging Department Kati Mali Anesthesia Resuscitation Department Kati Mali Ophthalmology Department Kati Mali

Bowel occlusions by bezoars are rare pathologies. They are due to an ob-struction of the intestinal lumen by a solid mass of fruits or undigested vegetable fibers. They are seasonal (wild fruit season from March to June) in the Sahel Zone. We report a case of small bowel obstruction in a 35-year-old rural man after swallowing a significant amount of wild grapes (Lannea microcarpa). We proceeded to the resection of the occluded ileal segment and performed an ileal terminal ileal anastomosis. There weren’t any complications during the postoperative site.

关键词： Bezoars Occlusion Jejunum Season

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