检索结果-南通市图书馆

Voluntary Ingestion of a Cola Nut Stuck into the Esophagus: An Unusual Foreign Body (FB)

Surgical Science 2016年第5期7卷 239-243页

作者： Ismaïl Lawani Dansou Gaspard Gbéssi Aboudou Raimi Kpossou Yacoubou Imorou Souaïbou Freddy H. R. Gnangnon Francis Moïse Dossou delphin kuassi mehinto Jean-Léon Olory-Togbé General Surgery Unit CHUD/OP Porto-Novo Cotonou Bénin Visceral Surgery Unit “A” CNHU-HKM Cotonou Bénin Hepato-Gastroenterology Unit CNHU-HKM Cotonou Bénin Visceral Surgery Unit “B” CNHU-HKM Cotonou Bénin

The cola nut (Cola nitida), is a rare foreign body. Its voluntary ingestion, for ritual practices, is a situation of exceptional occurrence, and jamming it in the esophagus is a therapeutic emergency. Here, we report the case of an adult patient, with a cola nut measuring 3 cm in diameter swallowed for a ritual purpose, jammed at the bottom of his esophagus. A surgical extraction was performed by gastrostomy after a failed attempt of endoscopic extraction. There ensued a complication of a left-esophageal fistula. The various aspects of this case are analyzed in the light of the literature review.

关键词： Foreign Body Esophagus Cola Nut Gastrostomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Management of Breast Cancer in Visceral Surgery of CNHU-HKM of Cotonou in Benin

引用

Surgical Science 2016年第3期7卷 170-176页

作者： Dansou Gaspard Gbessi Ismail Lawani Chrystelle Tawo-Nounagnon Francis Moïse Dossou Yacoubou Imorou Souaïbou delphin kuassi mehinto Jean-Léon Olory-Togbe Kémoko Osséni Bagnan Nazaire Padonou Visceral Surgery A CNHU-HKM Cotonou Benin General Surgery CHDU-OP of Porto-Novo Porto-Novo Benin Visceral Surgery B CNHU-HKM of Cotonou Cotonou Benin

Breast cancer affects more females than males. It occurs earlier with the black females and is often diagnosed at a stage of complication. This study aims to describe its epidemiological characteristics, the changing stages, and to analyze the treatment and means of interdisciplinary and international cooperation in its care and treatment. Our study was retrospective, descriptive and analytic on breast cancer patients received at CNHU-HKM of Cotonou between January 1, 2001 and December 31, 2013. Breast cancer accounts for 24.24% of mammary pathologies and most affects the left breast. Females aged from 40 to 59 years old are the most affected. For males, the average age was 47.5 years old. Patients mostly consult at a later stage where the tumor is already palpable with nodal metastasis. Breast echography and mammography had been done only for 23.85% of the cases. In an anatomical pathology perspective, the invasive ductal carcinoma was the most common type with 87.2%. For the therapeutical aspect, a radical mastectomy according to Patey was realized in 81.65% of the cases;48.65% underwent a chemotherapy and 14.7% were able to do a radiotherapy. The chance at life for patients was decreasing while the life time is increasing. Also, the average life span of patients was increased by the combination of diverse types of treatments notably when radiotherapy is done. The incidence of breast cancers in Visceral Surgery A and B department of CNHU-HKM-Cotonou is increasing over years.

关键词： Cancer Breast Epidemiology Stage Diagnosis Chemotherapy Radiotherapy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surveillance of Surgical Site Infections: A Public Health Emergency in a Regional Hospital of Northern Benin. A Prospective Observational Pilot Study

引用

Surgical Science 2023年第1期14卷 38-45页

作者： Montcho Adrien Hodonou Bio Tamou Sêmêvo Romaric Tobome Thierry Hessou Robert Akpata Allassan Boukari Ulrich Parfait Otchoun Roméo Haoudou Gambattista Priuli Salako Alexandre Allodé Gildas Kedalo Mohamed Abbas delphin kuassi mehinto Roberto Caronna Department of General Surgery Regional University Hospital of Borgou Faculty of Medicine University of Parakou Parakou Republic of Benin Department of General Surgery Saint Jean de Dieu Hospital Tanguiéta (SJDHT) Tanguiéta Republic of Benin French National Institute of Health and Medical Research (Inserm) Bordeaux France Office of The Sanitary Zone of Kouandé-Kérou-Péhunco Kouandé Republic of Benin Infection Control Program Geneva University Hospital and Faculty of Medicine Geneva Switzerland Faculty of Health Sciences Cotonou Bénin Department of Surgical Sciences Sapienza University of Roma Roma Italy

Background: Surgical site infections (SSIs) are considered as result of the healthcare quality in hospitals. Objective: to study SSI at Saint Jean de Dieu Hospital Tanguieta (SJDHT), prior to the implementation of a permanent monitoring system. Method: transversal, and descriptive study with prospective data collection was performed from 1 July to 31 janvier 2017 in the department of general surgery of SJDHT. The hospital lacks in a microbiology unit. All patients who underwent surgery during this period were included and the monitoring lasted one month. SSIs diagnostic was carried out according to WHO criteria as described in the Practical Guide for the Prevention of Nosocomial Infections published in 2002. Statistical tests (χ-square and Student’s t-test) were applied and p 0.05 were statistically significant. Results: Of 343 patients recorded, 105 (30.6%) had SSI. Their age averaged 40.3 years and the sex-ratio (men/women) was 2.8. The emergency surgery resulted in a 50.0% rate of SSI (p = 0.00). The SSI rate for clean and clean-contaminated surgery was 6.3% against 94.6% for infected surgery (p = 0.00). The SSI rates were 100% and 66.7% for NNISS = 2 and NNISS = 1 (p = 0.00), respectively. Superficial SSI rate was 13.3%, while deep SSI and organ/space SSI were 46.7% and 40%, respectively. The hospital stay of patients with SSI was three times longer than the length of patients without SSI (p = 0.00). Conclusion: SSIs are real burden at SJDHT. Appropriate measures must be adopted to reduce its prevalence.

关键词： Surgical Site Infection Class of Surgery Emergency Benin

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Gastric Cancer Revealed by a Perforated Ulcer: A Case Report and Review

引用

Surgical Science 2020年第12期11卷 399-404页

作者： Sètondji G. R. Attolou Christel M. Laleye Djifid M. Seto Ismaïl Lawani Dansou G. Gbessi delphin K. mehinto University Clinic for Visceral Surgery Hubert-Koutoukou-Maga National University Medical Center Cotonou Benin Regional Medical Center of Allada Allada Benin University Hospital Center of Oueme-Plateau Porto-Novo Benin

Introduction: Gastric cancer is not typically a surgical emergency. However, it can evolve into urgent complications such as a perforation. We report a case of a perforated gastric ulcer that turned out to be a cancer. Observation: A 52-year-old man was admitted to the emergency department of Hubert-Koutoukou-Maga National University Medical Center in Cotonou for generalized abdominal pain. He was diagnosed with acute generalized peritonitis with perforated gastric ulcer, establishing a surgical indication. An antral perforation was found and a simple closure was performed. Anatomopathological examination of the surgical piece revealed a gastric adenocarcinoma within the granulation tissue. Following the impact assessment, he underwent a second surgery where a distal gastrectomy was performed with D2 lymphadenectomy followed by gastrojejunostomy. He developed an anastomotic gastrointestinal fistula during the postoperative period but was successfully medically treated. The patient received adjuvant chemotherapy with Epirubicin, Cisplatin and 5-Fluorouracil. The patient is still alive, 3 years after the gastrectomy. Conclusion: When faced with a perforated gastric ulcer, one must also consider a neoplastic cause. The emergency surgical treatment depends on the general condition of the patient and the pre-existing co-morbidities, the choice being made between a one-stage versus two-stage gastrectomy.

关键词： Gastric Ulcer Perforation Cancer Simple Closure Gastrectomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：