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Primary Abscess of the Psoas of the Child: About a Case Observed at the University Hospital Center of Bouake

Open Journal of Pediatrics 2018年第2期8卷 154-157页

作者： Benie Adoubs Celestin Asse Kouadio Vincent Irie Bi Gohi Serge kakou aka gerard Lohourou Grah Franck Traore Ibrahim Kouassi Aya Adelaide Natacha Kpangni AhuaJean Bertrand Department of Pediatric Surgery University Hospital Center of BouakeBouakeIvory Coast Pediatric Department University Hospital Center of BouakeBouakeIvory Coast Anesthesia-Resuscitation Department University Hospital Center of BouakeBouakeIvory Coast Department of General and Digestive Surgery University Hospital Center of BouakeBouakeIvory Coast Department of Traumatology-Orthopedics University Hospital Center of BouakeBouakeIvory Coast

The primary abscess of the psoas of the child is a rare affection, the pathogenesis of which is still unexplained. The positive diagnosis of this condition is difficult and relies mainly on medical imaging. We report a case of primary psoas abscess in an immunocompetent child, whose diagnosis was facilitated by the provision of abdominal radiography without preparation and abdominal ultrasound. The evolution was favorable thanks to the combination of antibiotic therapy and surgery.

关键词： Primary Abscess of the Psoas Child Ultrasound Surgery

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Acute Bowel Obstructions of the Elderly in a Low African Country

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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 i

关键词： Acute Bowel Obstruction Elderly Etiology Morbi Mortality Surgery

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Spectrum of Acute Non Traumatic Diffuse Secondary Peritonitis in the Tropics

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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 o

关键词： Peritonitis Appendicitis Typhoid Perforation Gastrointestinal Ulcer Perforation Prognostic

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Sustainable Technologies for Small-Scale Biochar Production—A Review

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Journal of Sustainable Bioenergy Systems 2015年第1期5卷 10-31页

作者： Hussein Kisiki Nsamba Sarah E. Hale gerard Cornelissen Robert Thomas Bachmann Malaysian Institute of Chemical and Bioengineering Technology (MICET) Universiti Kuala Lumpur Kuala Lumpur Malaysia Section of Industrial Chemistry Department of Chemistry Makerere University Kampala Uganda Invention Plus Limited Kampala Uganda Norwegian Geotechnical Institute (NGI) Oslo Norway

Charcoal has found enormous application in both agriculture (aka biochar) and other sectors. Despite its potential benefits, small scale technologies relevant for its production remain a challenge. Technologies striking a balance between user friendliness, energy efficiency, ease of adaptation and limited emissions could easily be integrated into the local community for the sustainable production of biochar answering both technical and socio-economic aspects. These technologies can be customized to recover the produced heat alongside biochar and the producer gas. The purpose of this work is to review the state of the art in small scale technologies, their associated risks and challenges as well as research gaps for future work. Factors affecting biochar production have been discussed and temperature is known to heavily influence the biomass to biochar conversion process. Based on the reviewed work, there is a need to develop and promote sustainable and efficient technologies that can be integrated into biochar production systems. There is also further need to develop portable, economically viable technologies that could be integrated into the biochar production process without compromising the quality of produced biochar. Such technologies at midscale level can be channeled into conventional small scale farmer use in order that the farmers can process their own biochar.

关键词： Biochar Technologies Small Scale Sustainable Farmers

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