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Elbow Dislocation in Children: About Two Cases and Review of the Literature

Open Journal of Pediatrics 2024年第2期14卷 218-226页

作者： Nyanit Bob Dorcas Atangana Cédric Paterson Mantho Fopa Pauline kouna tsalairène nadine Mvouni Bob Thérèse Raissa Bekima King Francis Ateaze Chrisantus Dikongue Diwondi Audrey Ndongo Réné Akoa Manga Ismael Evoni Molo Tatiana Choupo Guetchuin Stéphane Handy Eone Daniel Department of Surgery and Specialties Faculty of Medecine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon Infant Surgery Department of Yaounde Central Hospital Yaoundé Cameroon Faculty of Medecine and Pharmaceutical Sciences of Douala Douala Cameroon Troyes Hospital Center Troyes France Vire Normandie Hospital Center Normandie France Traumatology Department of Yaounde Central Hospital Yaoundé Cameroon

Background: Elbow dislocations in pediatric patients are rare injuries. This is a therapeutic emergency because a delay in treatment can have disastrous consequences on the functional level of the upper limb. Objective: To present the management of elbow dislocation in children in cases of limited resources. Presentation of the Cases: These were 2 older male children aged 7 and 9 years old, admitted to the emergency room for painful functional impotence of the right elbow after a fall and landing on the right hand. Clinical and radiological examinations were in favor of posterior elbow dislocations. The reductions were carried out under sedation and immobilization in Jersey. According to Robert’s criteria, the functional result was excellent in both patients. Conclusion: Emergency reduction and immobilization whatever the means ensure an excellent functional prognosis even in cases of limited resources.

关键词： Elbow Dislocation Child Diagnosis Treatment Limited Resources

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Laparoscopic Orchidopexy after 4 Weeks of Testicular Traction with Preservation of Blood Supply: A new Concept for the Treatment of Intra-Abdominal Cryptorchidism: Original Article

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Open Journal of Pediatrics 2024年第2期14卷 205-217页

作者： Ntsobe Tobie Eric Haijin Liu Nyanit Bob Dorcas Wei Peng Feng Chen Ndikontar Raymond kouna Tsala Irene nadine Qian Liu Surgery Department Garoua General Hospital Garoua Cameroon Paediatric Surgery Department First Affiliated Hospital of Gannan Medical College Ganzhou China Paediatric Surgery Department China Medical University Shenyang China Faculty of Medicine and Biomedical Sciences University of Yaounde I Yaounde Cameroon Paediatric Surgery Department Yaounde Central Hospital Yaounde Cameroon China Traditional Medicine University Nanchang China

Background: Testicular atrophy is recurrent after orchidopexy for intra-abdominal cryptorchidism due to damage to vessels. Fowlers-Stephens and Shehata methods proposed staged orchidopexy, but are still associated to a rate of atrophy greater than 10%. Purpose: We set out to present a new technique that preserves testicular vessels. Our study is aimed at investigating testicular vitality after surgery. Patients and Method: We reviewed files of boys who underwent orchidopexy for 2 years in our department. Those who have been operated for intra-abdominal cryptorchidism with the new technique and aged between 6 months and 14 years old were included in our study. We excluded boys who have been operated before 6 months and after 14 years old and those who did not respect their follow-up plane. Ultrasound (US) outcomes were used to measure testicular volumes and blood flow at each postoperative visit. The Sample population was divided into group A and group B representing testes that were followed respectively for 12 and 24 months. Results: 22 boys with 25 testes were included in our study;11 testes in group A and 14 testes in group B. In each group, we noted a significant difference of UDT volumes from the third month after surgery with respective P-values 0.05. There was no statistical difference between UDT and contra lateral testes volumes 12 months after surgery in group A and 24 months in group B with respective P-values of 0.07 and 0.72. All volume differential indexes were Conclusion: This method offers a new perspective in performing safe orchidopexy for intra abdominal undescended testes.

关键词： Laparoscopy Staged-Orchidopexy Testicar Traction Testicular Atrophy

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The Interest of Endoscopy in the Diagnosis of Fallopian Tubes Diseases at the Yaoundé Gyneco-Obstetric and Pediatric Hospital (Ygoph)

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Open Journal of Obstetrics and Gynecology 2023年第4期13卷 767-774页

作者： Cyrille Léger Abega Claude Cyrille Noa Ndoua Irène nadine kouna Tsala Arielle Fonkou Gladys Ngono Ateba Tobie Eric Ntsobe Jean Cédric Fouda Rosine Mafoma Pascal Foumane Mother and Child Center Douala General Hospital Douala Cameroon Department of Gyneco-Obstetrics Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaoundé Cameroon University of Yaoundé I Yaoundé Cameroon Faculty of Medecine and Pharmaceutical Sciences University of Dschang Dschang Cameroon Garoua General Hospital Garoua Cameroon

Introduction: Fallopian diseases are often implicated in female infertility. Several radiological and surgical explorations have been proposed in order to evaluate the severity of lesions found in utero-adnexal pathology. Among tools that are used to investigate such pathologies, we have ultrasound, hysterosalpingography and endoscopy. But, in many developing countries like Cameroon, the usage of endoscopy in gynecology is not yet known by many practicians. The objective of our study was to show the interest of endoscopy in the diagnosis of fallopian tube pathologies. Methodology: We conducted a cross-sectional and descriptive study from March 1st, 2017 to May 31st, 2017 at the Gyneco-Obstetrics and Pediatric department of our Hospital. We included all women who presented infertility and underwent ultrasound, hysterosalpingography (HSG) and endoscopy at the Yaoundé Gyneco-obstetrics Hospital. We analyzed epidemiological parameters, clinics, ultrasound, hysterosalpingography and endoscopic finding. We used Cohen’s Kappa test to determine the correlation between HSG/endoscopy and ultrasound/endoscopy in the diagnosis of fallopian tube pathologies. The threshold was significant for a K-value > 0.20. Results: We got a sample of 156 women;the mean age was 32.6 ± 4.5 years. The Secondary infertility dominated in 66.7% of cases;31.1% of women presented a past medical history of sexually transmitted infections and 41.7% did abortions before. Endoscopic lesions were dominated by a fallopian obstruction in 54.5% of cases, 8.3% of adhesions, 33.9% of women presented uterine myomas, 37.8% of ovarian cysts and 1.3% of pelvic endometriosis. The K-values between HSG and endoscopy for distal and proximal tube obstructions were significant with respective thresholds of 0.25 and 0.30. The K-value between ultrasound and endoscopy was not significant with a threshold of 0.015 for the tubal hydrosalpinx. Conclusion: Endoscopy assessment appears as the most efficien

关键词： Fallopian Tube Endoscopy Hysterosalpingography Ultrasound

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Gradual Bedside Reduction of Gastroschisis in a Resource Constrained Setting: Preliminary Results from 32 Cases

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Open Journal of Pediatrics 2023年第5期13卷 669-675页

作者： Nyanit Bob Dorcas Ntsobé Eric Tobie Ndikontar Raymond kouna Tsala Irène nadine Ndongo René Bougoue Takou Horline Vougmo Clémence Kana Serges Paule Ngayap Guy Owono Etoundi Paul Essiene Agnès Steyaert Henri Pediatric Surgery Unit Yaounde Central Hospital Yaoundé Cameroon Faculty of Medicine and Biomedical Sciences the University of YaoundéI Yaoundé Cameroon Chantal Biya Fondation (Yaounde) Mother and Child Center Yaoundé Cameroon Department of Surgery Université Libre de Bruxelles (ULB) Bruxelles Belgium

Introduction: Gastroschisis is one of the neonatal pathologies with bad prognosis in developing countries due to a lack of equipment. We aim to report one way of managing this malformation that could be practised everywhere, constituting an alternative approach to surgery in poor areas. Patients and Methods: This observational and descriptive study included newborn babies with gastroschisis who underwent gradual bedside reduction at the Paediatric Surgery Department of the Yaounde Central Hospital. Results: Our cohort was constituted by 32 newborn babies with a mean age of 18.12 hours on admission. The Lefort type 2 was the most frequent in 81.25% of cases. The mean time for oral feeding after complete reduction was 17.4 days and the duration of hospital stay was 24.91 days. Survival rates were at 40.63%, with a residual hernia after healing in 38.46% of cases. Conclusion: Despite the high rate of mortality, gradual reduction of gastroschisis at the bedside seems to be an opportunity for resource constrained areas and can be an alternative solution to surgery.

关键词： Gastroschisis Lefort Type 2 Gradual Reduction Limited Resources

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