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Thoracic Wounds by Firearm at the University Hospital Yalgado Ouedraogo (YO)

Open Journal of Thoracic Surgery 2017年第2期7卷 23-28页

作者： Edgar Ouangré Maurice Zida Moussa Bazongo elie yamba sawadogo Aristide Sam Rock Kafando Nayi Zongo Si Simon Traoré Department of General and Digestive Surgery University Hospital-Yalgado Ouédraogo Ouagadougou Burkina Faso

Introduction: Thoracic wounds by firearms are frequent and severe. They may involve the patient’s prognosis. Objective: To study the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of the thoracic wounds by firearms. Material and method: This was a cross-sectional, descriptive study of all patients over the age of 15 who consulted in the university hospital-YO in the department of general and digestive surgery over a period of 5 years. Results: We collected 50 cases of thoracic wounds by firearms on 183 thoracic wounds with a prevalence of 27.3%. There were 48 men (96%). The average age was 30 years. The patients came from urban areas in 66% of cases;the informal sector accounted for 44% of the cases. The pistol was the most involved firearm (46.9%). The consultation period was less than 6 hours in 78% of patients. An unstable hemodynamic state was found in 42% (n = 21). A fluid and mixed pleural effusion syndrome was found in 46% and 26% of patients, respectively. Associated lesions were diaphragm involvement, and lesions of intra-abdominal hollow organs. Thoracic drainage was performed in 24 patients (48%) and was associated with a laparotomy in 8 patients. The average hospital stay was 7.5 days. Mortality was 14%. Conclusion: the thoracic wounds by firearms are frequent in civilian practice. The thoracic CT allows mapping of the lesions and thoracic drainage constitutes the essential part of surgical treatment. The fight against the proliferation of weapons deserves to be promoted.

关键词： Wounds Thorax Firearm Drainage Burkina Faso

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Transanal Evisceration of Small Bowel about One Case at the University Hospital Yalgado Ouédraogo of Ouagadougou

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Surgical Science 2016年第7期7卷 291-294页

作者： Adama Sanou Moussa Bazongo Edgar Ouangré Maurice Zida Gilbert Patindé Bonkoungou Rodrique Namékinsba Doamba Sylvain Wendmi Karfo elie yamba sawadogo Nayi Zongo Si Simon Traoré Division of General and Digestive Surgery University Hospital Blaise Compaoré Ouagadougou Burkina Faso Division of General and Digestive Surgery University Hospital Yalgado Ouédraogo Ouagadougou Burkina Faso

Introduction: Transanal evisceration of small bowel is an extremely rare condition that can occur spontaneously or after trauma. Objective: To report a case of Transanal evisceration of small bowel to describe the circumstances of occurrence and our therapeutic attitude. Observation: An 80-year-old female patient was received at the visceral Emergency of University Hospital Yalgado Ouédraogo for the outcome of the small intestine by the anus with the waning of a defecation effort. The physical examination of the patient accustomed to evacuation purgation noted, eviscerated the small bowel through the anus, edematous but viable. The preoperative laboratory tests were normal. In emergency, under general anesthesia, a laparotomy was possible to objectify the incarceration of intestinal loops through linear perforation of 5 cenimeter from the anterior surface of the rectosigmoid hinge. We conducted an ileo-ileal resection anastomosis, a suture rectosigmoid breach and anal extraction of small bowel incarcerated measuring 200 centimeter. The evolution was simple. Conclusion: The weakening of the rectal mucosa by repeated purges has certainly been the contributory factor. The surgical treatment must be precocious to avoid extensive intestinal resection.

关键词： Evisceration Transanal Small Bowel Rectum Sigmoid

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