检索结果-南通市图书馆

Parietal Hernias in Adults at Bouaké University Hospital: Epidemiological and Diagnostic Aspects

Surgical Science 2023年第12期14卷 720-727页

作者： Leh Bi Kalou Ismaèl Bamba Inza Akowendo Ezéchiel Kouakou Blaise amos ekra amos serge N’Dri Ahou Bernadette Diané Bamourou Department of General and Digestive Surgery Bouaké University Hospital Bouaké Ivory Coast

Introduction: A hernia of the abdominal wall is defined as the externalization of a viscera of the abdominal cavity in relation to a deficiency of the components of the wall. Topographies are diverse and diagnosis is based on clinical practice. The objective of this study was to describe the epidemiological and diagnostic aspects of abdominal wall hernias at the University Hospital of Bouaké, Côte d’Ivoire. Patients and Methods: This was a descriptive retrospective study that ran from January 2010 to December 2022. It concerned all patients admitted for abdominal wall hernias. Results: We collected 497 records of patients admitted for abdominal wall hernia. Abdominal wall hernias accounted for 7.6% of patients admitted to the ward (n = 6512) and were the fourth most common patient. These were males (79%;n = 392) and females (21%;n = 105). The mean age was 43 years [range: 17 and 70 years]. The occupation was dominated by forced labourers with 73% (n = 372) more specifically farmers (42%;n = 209). The average consultation time was 2 days (extreme 1 and 8 days). The main clinical signs were abdominal pain for strangulated hernias with or without occlusive signs (n = 397;79.8%) and reducible bothersome swelling with intermittent pain (n = 100;20.2%) for non-strangulated hernias. Hernias of the groin (inguinal and femoral hernia) were the most frequent with 85% (n = 422) followed by hernias of the white line (epigastric, umbilical and hypogastric) with 14% (n = 71) and lumbar hernias (Spiegel, Jean-Louis Petit and Grynfeltt) with 1% (n = 4), we did not note any cases of pelvic hernia (obturator and ischiatic). Conclusion: Parietal hernias are a common surgical condition at the Ivory Coast University Hospital, particularly in Bouaké. Groin hernia is the most common topographic variety. Strangulation is the main complication.

关键词： Hernia Wall Topography Surgery

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

Hydatid Cyst of the Liver: About a Case at the Digestive and General Surgery Department of the University Hospital of Bouaké(Côte d’Ivoire)

引用

Surgical Science 2023年第1期14卷 10-16页

作者： Leh Bi Kalou Ismaèl N’Dri Ahou Bernadette ekra amos serge Kouakou Blaise amos Bamba Inza Kouakou Kouamé Bernardin Anzoua Kouakou Ibrahim Traore Mamadou Lebeau Roger Diané Bamourou Department of General and Digestive Surgery CHU of Bouaké Bouake Ivory Coast

Hydatid cyst of the liver (KHF) is a parasitic condition caused by the development of the larval form of the dog tapenia Echinococcus granulosus. In sub-Saharan Africa, few writings are interested in this pathology, which remains common and constitutes a public health problem in highly endemic countries [1] [2]. We report the observation of a 61-year-old hypertensive patient owner of a dog admitted for abdominal pain without abdominal mass. In whom ultrasound and computed tomography have made it possible to make the diagnosis of hydatid cyst of the liver (KHF). The patient underwent surgery. We performed an associated conservative treatment post-operative albendazole. The post-operative follow-up was simple. In our patient the evolution was good after a setback of more than 2 months. Through this observation and a review of the literature, we insist on the contribution of imaging in diagnosis and treatment, which is essentially surgical.

关键词： Liver Hydatid Cyst Diagnosis Treatment

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

Unusual Cause of Acute Appendicitis: Bone Fragment

引用

Surgical Science 2023年第3期14卷 221-224页

作者： Leh Bi Kalou Ismaèl Anzoua Kouakou Ibrahim N’Dri Ahou Bernadette ekra amos serge Kouakou Blaise amos Dager Nahed Bittar Issam Emmanuel Gruss University Hospital of Bouaké Bouake Ivory Coast Centre Hospitalier Intercommunal de Villeneuve Saint-Georges Paris France

Foreign bodies are a rare cause of appendicitis, because in most cases these ingested foreign bodies cross the digestive tract asymptomatically [1] [2] [3]. However, some penetrate the lumen of the appendix causing its inflammation. We report an unusual observation of acute appendicitis induced by a foreign body namely a bone fragment in the visceral surgery department of the Centre Hospitalier Intercommunal de Villeneuve Saint-Georges.

关键词： Acute Appendicitis Bone Fragment Emergency

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

An Inahbitual Etiology of Acute Intestinal Obstruction: The Giant Fecalome

引用

Surgical Science 2023年第3期14卷 225-230页

作者： Leh Bi Kalou Ismaèl Traoré Mamadou N’Dri Ahou Bernadette ekra amos serge Akowendo Ezéchiel Kouakou Blaise amos Bamba Inza Kouakou Kouamé Bernadin Anzoua Kouakou Ibrahim Lebeau Roger Diané Bamourou Department of General and Digestive Surgery CHU of Bouaké Bouake Ivory Coast

The authors report an observation of a 20-year-old patient, who was referred by the medical emergency department for abdominal distention. The disease would have started with the appearance of abdominal pain, a stop of materials without stopping gases appeared gradually and evolving for 4 months. The patient was chronically constipated. She administered daily enemas with homemade products to have a bowel movement. She never had rectal bleeding, there was no alteration diarrhea—constipation. Mother of 3 children alive and apparently healthy. On clinical examination the abdomen was enlarged in size, painless but of firm consistency. The hernial orifices were free. Hard and abundant stools were noted on digital rectal examination. The abdominal CT scan revealed a large endorectal fecal impaction going up into the left colon, an absence of abdominal mass. We retained the diagnosis of giant fecal impaction. The patient was hospitalized and we instituted paraffin oil therapy combined with an evacuator enema with glycerin. The evolution was marked by a resumption of transit in the form of stool and gas (3 to 4 stools per day). At Day 8 of hospitalization the abdomen had decreased in volume the transit was regular and the patient was discharged on Day 10. Reviewed 3 months later, she maintained a regular transit made of one bowel movement a day. After a setback of 3 years the transit is still preserved. The authors discuss the etiologies of fecal impaction and their respective treatments.

关键词： Intestinal Obstruction Giant Fecal Impaction

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

Jejuno-Ileal Ruptures after Blunt Abdominal Trauma at the Teaching Hospital of Bouake

引用

Surgical Science 2022年第3期13卷 124-134页

作者： Kouakou Ibrahim Anzoua Kouamé Bernadin Kouakou Mamadou Traoré Kalou Ismael Leh Bi Alassane Binaté Venance Dago Aloka Blaise amos Kouakou amos serge ekra Roger Lebeau Bamourou Diané Department of General and Digestive Surgery Teaching Hospital of Bouake Bouake C&#244te d’Ivoire

Objective: The aim of this study is to determine the causes, pattern, management, and outcome of jejunal-ileal rupture following blunt abdominal trauma at the teaching Hospital of Bouake. Methods: The study included 27 patients who underwent laparotomy for jejunoileal injuries from blunt abdominal trauma at the Teaching Hospital of Bouake over a period of 14 years from January 2007 to December 2020. A retrospective study was conducted and the patients were analyzed with respect to patient demographics data, cause, injury mechanisms, presentation, anatomical distribution, diagnostic methods, associated injuries, treatment and outcomes. Results: During the 14 year period from 2007 to 2020, 27 patients with blunt small bowel injuries were treated at our Teaching Hospital. That is 2.9% of all blunt abdominal trauma. Male to female ratio was 4.4:1 and the average age was 26.3 years (range: 15 and 50 years). The majority (66.7% 18 cases) were Victims of road traffic accident. Median delay between injury and arrival at hospital for these patients was 10.1 hours (range: 1 - 72 h). A single intestinal injury was present in 22 patients, while 5 patients suffered from 2 injuries. There were 32 perforations of the small intestine in 27 patients with two perforations being transection. All perforations were located on the antimesenteric border of the intestine. Out of the 32 jejuno-ileal ruptures 18 were located on the jejunum while 14 were located on the ileum. Associated intra-abdominal injuries were present in 6 patients and nineteen associated extra-abdominal injuries were present in 10 (70.4%) patients. A one-stage therapeutic strategy was performed in 20 cases (74.1%) and a two-stage strategy was performed in seven cases (25.9%). Intestinal continuity was restored 93.8 days later (range 60 and 140 days). The average length of hospital stay of the operated patients was 11.4 days. The operative morbidity was 25.9%. Conclusion: Jejuno-ileal ruptures are rare and characterized by a delay in management. An early diagnosis co

关键词： Rupture Jejunum Ileum Blunt Abdominal Trauma Peritonitis Hemoperitoneum

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

Acute Bowel Obstructions of the Elderly in a Low African Country

引用

Surgical Science 2022年第3期13卷 164-173页

作者： Kouame Bernadin Kouakou Kouakou Ibrahim Anzoua Mamadou Traore Ismael Kalou Leh Bi Ahou Bernadette N’Dri Aka Gerard Kakou serge amos ekra Blaise amos Kouakou Inza Bamba Djahou Ezechiel Akowendo Roger Lebeau Bamourou Diane General and Digestive Surgery Department University Hospital of Bouaké Bouake Ivory Coast

Background: Acute bowel obstruction is one of the main causes of non-traumatic gastro—intestinal surgical emergencies. When they occur in elderly patients, they seem to induce higher morbi-mortality. The aim of our study was to identify the causes of these bowel obstructions in elderly patients and to expose the results of their surgical management. Patients and Methods: Retrospective and analytical study of patients aged 65 years and over, operated on between January 2013 and December 2019 for acute bowel obstruction at the University Hospital of Bouake. Demographic, diagnostic, therapeutic and evolutionary data were analysed. Results: The study involved 36 men and 23 women (sex ratio = 1.6). The mean age of these patients was 70 ± 4.6 years (65 and 90 years). A history and/or co-morbidities were found in 67.8% of them. Patients were classified as ASA I (20.3%), ASA II (42.4%), ASA III (33.9%) or ASA IV (3.4%). The average consultation time was 5.3 ± 4.1 days (2 days and 28 days). Bowel obstructions were due to colonic volvulus (38.9%), colonic cancer (22%), postoperative adhesions (18.6%), strangulated groin hernia (16.9%) or internal bowel hernia (3.3%). Volvulated or necrotic bowel and resectable cancers were resected followed by immediate anastomosis or stoma. Near upstream stomas were performed for unresectable cancers. A herniorrhaphy for groin hernias and a mesenteric breach suture for internal hernia were performed after bowel disinterment. Adhesions were released. The time to surgery was 22.3 ± 12.4 hours (2 hours and 72 hours). The post-surgery morbidity was 32.2%, marked by parietal suppurations (47.4%). The post-surgery mortality was 16.9%. Hemodynamic or septic shock, ASA score ≥ III, bowel necrosis and ICU stay were the significant risk factors. Conclusion: Acute bowel obstructions in the elderly are dominated by colonic volvulus. The high mortality is related to various factors highlighting the frailty of the elderly. A multidisciplinary management involving the geriatrician could improve the prog

关键词： Acute Bowel Obstruction Elderly Etiology Morbi Mortality Surgery

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

Delayed Diagnosis of Isolated Traumatic Rupture of Bladder

引用

Open Journal of Urology 2022年第1期12卷 69-73页

作者： Mamadou Traoré N’diamoi Akassimadou Kouakou Ibrahim Anzoua Kouame Bernadin Kouakou Inza Bamba Kouassi Patrice Avion Brice Aguia Kalou Ismaë l Leh Bi Ahou Bernadette N’Dri serge amos ekra Blaise amos Kouakou Roger Lebeau Bamourou Diané Department of General and Digestive Surgery University Hospital of Bouaké Bouaké C&#244 te d’Ivoire Department of Urology University Hospital of Bouaké Bouaké C&#244 te d’Ivoire

Traumatic ruptures of the bladder are relatively rare lesions. They are associated in more than 80% of cases with a fracture of the pelvic girdle. The lesion mechanism is usually a sudden compression on the full bladder. Hypogastric pain and macroscopic hematuria suggest the diagnosis, which is confirmed by cystography. This diagnosis can be difficult and delayed in the absence of these call signs. We report a case of isolated traumatic intraperitoneal rupture of the bladder, diagnosed 24 hours after a public road accident in a 44-year-old patient.

关键词： Contusion Cystography Rupture Bladder

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

Recent Traumatic Dislocations of the Shoulder in Adults: Epidemiological, Therapeutic and Evolutionary Aspects

引用

Open Journal of Orthopedics 2023年第7期13卷 267-274页

作者： Inza Bamba Achié Jean-Régis Akobe Kouamé Jean-Eric Kouassi serge amos ekra Aya Natacha Adélaide Kouassi Sédi Louess De Randolphe Akpro Ibrahim Soumahoro Zolopégué Marcel Soro Gbale Yannick Ble Koffi Léopold Krah Michel Kodo Traumatology and Orthopaedic Surgery Department of The University Hospital of Bouaké Alassane Ouattara University Bouaké C&ocircte d’Ivoire General Surgery Department of The University Hospital of Bouaké Alassane Ouattara University Bouaké C&ocircte d’Ivoire

Introduction: Shoulder dislocations represent about 50% of all joint dislocations. The objective was to describe the epidemiological, therapeutic and evolutionary aspects of traumatic shoulder dislocations in Bouaké. Methods: This retrospective and descriptive study was conducted between January 2017 and December 2019. It concerned patients over 15 years of age with a recent traumatic shoulder dislocation treated and followed in the department. The variables studied were epidemiological, therapeutic and evolutionary. The severity of the trauma was assessed according to the Injury Severity Score (ISS). Functional outcome was assessed according to the Constant score. Results: There were 49 patients (49 dislocations) out of 22,569 patients. The prevalence was 0.2%. The mean age was 32 years (17 - 62). There were 38 men (77.5%). The sex ratio was 3.4. Students predominated (n = 10;20.4%). The etiology was dominated by road traffic accidents (n = 19;38.8%). Anterior dislocation was the most common (n = 45;92%). The ISS score was minor (n = 46;93.8%). The mean time to reduction was 7 hours (4 - 16). Orthopaedic reduction using the Kocher technique predominated (n = 44;89.8%). The mean duration of external rotation immobilisation of the shoulder was 23 days (16 - 45). Recurrence occurred in 8 patients (21.6%). The functional outcome at a mean Constant follow-up of 15 months (8 - 20) was satisfactory (n = 44;89.8%). Conclusion: Traumatic dislocation of the shoulder represented 0.2%. Treatment was mainly orthopaedic. Recurrence was rare.

关键词： Adult Shoulder Anterior Dislocation Traumatic Orthopaedic Treatment

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

Spectrum of Acute Non Traumatic Diffuse Secondary Peritonitis in the Tropics

引用

Surgical Science 2020年第5期11卷 89-98页

作者： Mamadou Traore Kouakou Ibrahim Anzoua Kouamé Bernadin Kouakou Ismael Kalou Leh Bi Ahou Bernadette N’dri Aka Gerald Kakou serge amos ekra Blaise amos Kouakou Inza Bamba Roger Lebeau Bamourou Diane General and Digestive Surgery Department Bouaké Teaching Hospital Bouaké Republic of C&ocirc te d’Ivoire

Background: Peritonitis is one of the most common surgical emergency in tropical countries. It is still a significant cause of mortality and morbidity. This study aimed to describe the aetiology of acute non traumatic diffuse secondary peritonitis (ANDSP) and to report the outcome after treatment. Material and Methods: A retrospective survey of patients with ANDSP was carried out from January 2007 to December 2016 in the Digestive and General Surgery Service of Bouaké Teaching Hospital in the central part of Côte d’Ivoire. The hospital is a tertiary referral centre and serves urban and rural population from Bouaké’s agglomeration but also from the whole central and northern parts of the country. During the study period, all patients found to have at laparotomy ANDSP were included. The analysed variables include epidemiologic charts, clinical presentation, cause of peritonitis, surgical treatment, postoperative outcome and prognostic factors. Results: Over the studied period 626 cases of ANDSP were operated on. The main aetiologies were gastroduodenal peptic ulcer perforation (n = 252, 41.1%), typhoid ileal perforation (n = 207, 33%) and appendicular peritonitis (n = 123, 19.6%). The mean duration of hospital stay was 13.8 ± 9.6 days (range 8 - 87 days). The length of hospital stay was significantly influenced by postoperative complications (23.5 ± 5.4 days versus 10.8 ± 2.7 days P = 0.000000). Two hundred and sixty one postoperative complications were recorded in 242 patients (38.6%) with wound infection being the commonest postoperative complication. A repeat laparotomy was indicated in 73 patients. Eigthy (n = 80) patients died (mortality 11.2%). Risk factors for death were hemodynamic shock, ASA > II, Age ≥ 60 years, M PI > 29 and digestive sutures performed in septic environment below the transverse mesocolon. Conclusion: The spectrum of aetiology of ANDSP in this tropical area is different from the one observed in the Western countries. Proper treatment of typhoid fever and amoebiasis can reduce the in

关键词： Peritonitis Appendicitis Typhoid Perforation Gastrointestinal Ulcer Perforation Prognostic

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

更年期医学:欧洲男女更年期协会2004／2005关于围绝经期和绝经后激素补充治疗的立场声明

更年期医学:欧洲男女更年期协会2004／2005关于围绝经期和绝经后...

引用

第二次全国绝经相关问题高级学术研讨会

作者： Sven O．Skouby． Farook Al-Azzawi David Barlow Joaquin Calaf-Alsina Erdogan Ertüngealp Anne Gompel Alessandra Graziottin Decebal Hudita amos ines serge Rozenberg Gran Samsioe John C．Stevenson 陈瑛

目前从大量的随机对照临床试验(RCT)中已得出结论性证据:对于经历着令人痛苦的更年期症状的围绝经期和绝经后妇女,任何形式的全身HRT均可以缓解这些症状,没有其它治疗手段能产生相似效果。尽管这种证据与日俱增,但如何提供最好的临床医... 详细信息

目前从大量的随机对照临床试验(RCT)中已得出结论性证据:对于经历着令人痛苦的更年期症状的围绝经期和绝经后妇女,任何形式的全身HRT均可以缓解这些症状,没有其它治疗手段能产生相似效果。尽管这种证据与日俱增,但如何提供最好的临床医疗以减轻绝经症状和预防较远期的绝经后退化性疾病,仍在争论之中。当提供更年期医药时,HRT剂量和方案的个体化是基于与症状的严重程度和绝经时间相关的最低有效剂量的原则。然而,在有症状的妇女中,尚没有多少关于长期应用不同HRT方案的资料,赖以说明心血管疾病,乳腺癌和骨质疏松症基线风险的影响。在大多数病例中,个体化的处方联同生活方式的调整就可能对更年期症状、生活质量(QoL)、性问题和骨质疏松症产生最终有益的作用,罕见严重副反应。欧洲男女更年期协会(EMAS)基于最近的流行病学研究,其中不少是来自WHI中单用雌激素组的结果,支持在有症状的妇女中进行新HRT方案的研究,以提高临床中受益和风险之间的平衡,包括生活质量方面特有的信息: 并解释美国和欧洲之间在治疗模式上的传统差异,以及在BMI、生活方式和饮食习惯方面的不同所产生的影响。对于早绝经(小于45岁) 妇女,现有资料支持HRT所特有的总体益处。目前,具有骨质疏松性骨折高危险性的妇女可考虑应用较长期的全身HRT,尤其是当其它治疗措施既不恰当又疗效不佳时,因为此时收益大于风险。而对于泌尿生殖道症状,已认为长期的局部雌激素治疗可能安全和有效。

关键词： EMAS立场声明更年期医药围绝经期绝经后 HRT

来源： cnki会议评论

在线全文

cnki会议

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

在线全文

在线全文

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

在线全文

在线全文

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：