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Prevalence of Ocular Trauma at the Reference Health Center (CSREF) of Kati

World Journal of Cardiovascular Diseases（心血管病） 2024年第5期 309页

作者： coulibaly Alhousseny Dollo Ibrahim Guindo Hamadoun Sidibé lamine Mariko Souleymane Traoré Bassirima Dao Karim Guindo Ibrahim Togo Mamadou Sidibé Samba Sangaré Ibrahima Ba Hamidou Oumar Ichiaka Menta

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Bladder Cancer: Epidemiological, Clinical and Histopathological Aspects at the University Hospital Point G, Mali

Surgical Science（外科学） 2024年第5期 371页

作者： Kadiatou Ba Aichata Tall Brainima coulibaly Sadio Cissoko Bakary Danfaga Moro Sidibe Seydou Diallo Oumar Diallo Fatoumata Tata Sidibe Aly Konipo Mory coulibaly Ousmane Touré Aoua I. Touré Cheick Sogodogo Ibrahim Bamenta Gounon Saye Modibo Sissoko Mamadou Kole Sidibe Sidi Diarra Nouhoum Guirou lamine Traoré

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Open Journal of Urology 2021年第10期11卷 343-350页

作者： Honoré Jean Gabriel Berthé Dramane Cissé Moussa Salifou Diallo Amadou Kassogué Alkadri Diarra Mamadou Tidiani coulibaly Mamadou lamine Diakité Modibo coulibaly Mory Koné Université des Sciences des Techniques et des Technologies de Bamako Bamako Mali CHU du Point G Bamako Bamako Mali Hô pital Sominé DOLO de Mopti Mopti Mali CHU Kati Kati Mali CHU Luxembourg Bamako Mali CHU Gabriel TOURE Bamako Bamako Mali

Introduction: Bladder cancer is a new tissue formation most often of urothelial origin with potential for local, locoregional and distant invasion. Among its risk factors, urinary bilharzia is endemic in our study area. The aim of our study was to present the epidemiological, clinical and histopathological aspects of bladder cancer in our department. Patients and method: This was a descriptive cross-sectional study over a 12-month period from January 1 to December 31, 2019. The study took place in the urology department of the university hospital Point “G”. It included all patients hospitalized for bladder cancer. The epidemiological, clinical and histopathological characteristics have been sought and described. Results: A total of 74 patients were included in the study. Bladder cancer was the leading cause of cancer, accounting for 57.9% of all urological cancers. The mean age of the patients was 52.8 ± 16.25 years. A slight male predominance was observed with a sex-ratio of 1.2. Housewives were the most represented with 43.2% followed by farmers with 24.3%. Hematuria was the reason for consultation in 87.8% cases. The main risk factors found were urinary schistosomiasis (48.6%) and smoking (31.1%). These two factors were associated in 23.0% of cases. At diagnosis, 85.7% of patients were classified as T3 or T4 stage. Squamous cell carcinoma with 58.2% was the most common histological type followed by urothelial carcinoma in 26.0% of cases. Conclusion: Bladder cancer is very common of cancer in hospitalized patients in our department. Diagnosis is more often made at an advanced stage. The most common histological type is squamous cell carcinoma.

关键词： Bladder Cancer Epidemiology Clinic Histopathology

Calcification of the Renal Vein and Inferior Vena Cava on a Renal Tumor: An Exceptional Case

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Open Journal of Urology 2021年第11期11卷 413-419页

作者： Noë l coulibaly Evrard Yao Fatoumata Ouattara-Cissé Tawakaltu Bolasade Adebayo Servais Sai lamine Bamba Koffi Djè Urology Department of Treichville University Hospital Abidjan C&#244 te d’Ivoire Department of Anaesthesia and Intensive Care Treichville University Hospital Abidjan C&#244 te d’Ivoire Urology Department of Bouaké University Hospital Bouaké C&#244 te d’Ivoire

Background: A thrombus of the inferior vena cava and renal vein makes the management of renal cancer more difficult. Aim: The aim is to highlight and discuss the management of a case of renal cancer with an unusual thrombus in our context. Case Presentation: We report the case of a 49-year-old female with left kidney cancer, complicated by a calcified thrombus of the renal vein and inferior vena cava. A calcification of renal vein and vena cava was discovered during surgery, even though the diagnosis prior to surgery was a renal tumor with partial thrombus of the IVC. We performed a thrombectomy and left nephrectomy. The post-operative course was marked by the death of the patient a month later. Conclusion: Renal vein and inferior vena cava (IVC) calcifications are uncommon. Preoperative diagnosis is difficult but guided by medical imaging. Renal cancer is one of the causes. A thrombus or calcification of the vena cava worsens the prognosis of cancer.

关键词： Renal Cell Carcinoma Inferior Vena Cava Thrombus Thrombectomy

Popliteal Artery Aneurysms

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Surgical Science 2021年第4期12卷 127-134页

作者： Sidiki Keita Koniba Keita Moussa Sissoko Mamadou coulibaly lamine Soumare Oumar Sacko Oulématou coulibaly Sekou Koumaré Adama K. Koita Soumaîla Keita Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G Bamako Mali General Surgery Department Hospital BSS Kati Mali Reference Health Center of Commune VI Bamako Mali

A popliteal artery aneurysm is defined as a dilation of the popliteal artery greater than 20 mm, or greater than 50% at diameter of the native artery. Popliteal artery aneurysms are rare, but are most common in the lower extremities. These aneurysms have a high risk of ischemic complications and amputations even in unoperated patients. We describe the case of a 54-year-old man, hypertensive, with a large popliteal artery aneurysm. Doppler ultrasound and CT angiography of the lower limbs showed a 100 × 80 mm aneurysm of the popliteal artery. This aneurysm is responsible for venous compression with edema of the tissues under the skin. The patient was treated and a flattening of the aneurysm associated with bypass by the inverted right internal saphenous vein taken from the ipsilateral leg was performed. The patient was discharged on the 6th day of the operation. The patient was seen again at the outpatient clinic for one month and in the 3rd month an arterial Doppler ultrasound of the lower limbs performed had shown patency of the venous graft and disappearance of the intermittent claudication.

关键词： Artery Popliteal Aneurysm Surgery

Recent Hand Injuries: Epidemiological and Lesional Aspects (About 291 Cases)

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Open Journal of Orthopedics 2023年第9期13卷 379-390页

作者： Badara Dembélé Rokhaya Día Nancy D. Dehebeck Alioune Badara Diouf Badara Diop lamine Sarr Ndeye Fatou coulibaly Faculté de Médecine de Pharmacie et d’Odontologie UCAD Dakar Senegal UFR santé Ziguinchor (UAZ) Ziguinchor Senegal

Introduction: Hand injuries are frequent and serious. Their consequences, sometimes irreversible, are the cause of major handicaps. The aim of our work was to describe the epidemiological and lesional aspects of hand trauma in the Orthopedics-Traumatology department of the CHU Aristide Le DANTEC. Material and Method: This was a continuous retrospective study over a period of 2 years. From June 1, 2015, to December 31, 2016, concerning all patients who came for a trauma recent hand, followed and whose file was found and completed. Results: Of 351 patients, we retained 291, 247 men for 44 women, aged in average age of 34 and carrying out different activities with a predominance of workers manuals (78.01%). Most of them came from the Dakar region (75.26%). THE work accidents predominated with 47.08%. The involvement of the right side was 58.76% of cases and concerned the dominant side in 56.35%. On the lesion level, there were 36.4% osteo-articular lesions, 30.58% lesions of the parts soft, 23% nail lesions and 9.9% complex lesions associating at least 3 lesions elementary. Conclusion: Recent hand injuries account for 13.49% of injuries in our service;they are severe, affecting the different structures of the hand, either singly or jointly. They involve the functional prognosis of the hand with socio-professional repercussions important.

关键词： Trauma Hand Recent Epidemiology Lesions

Mortality Observed in the General Surgery Department “A” at the University Hospital Center of Point “G” in Bamako

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Surgical Science 2021年第4期12卷 119-126页

作者： Sidiki Keita Koniba Keita Moussa Sissoko Mahamadou coulibaly lamine Soumare Oumar Sacko Oulématou coulibaly Sekou Koumaré Adama Keita Adama K. Koita Soumaîla Keita Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G Bamako Mali General Surgery Department Hospital BSS Kati Mali Reference Health Center of Commune VI Bamako Mali

In Mali, few studies have concerned overall mortality in general surgery, but several specific studies have concerned the different affections. Reflection on the causes of death is an inherent part of the activity of any motivated surgical team. Objective: To analyze the rate and the main causes of mortality in the General “A” surgical department of the Point “G” CHU. Patients Method: Our study was retrospective, descriptive and covered a period of 5 years from 01/01/2014 to 12/31/2018. We collected 152 deaths for 2011 hospitalized patients. The data were collected from the files of these deaths on pre-established investigation forms. The deceased patients were classified as operative and non-operative death, death from non-cancerous and cancerous diseases, deaths occurring in emergencies and deaths in regulated surgery. Results: We recorded 152 cases of death for 2011 hospitalized patients, either an overall mortality rate of 7.55%. The average age of deaths was 44.20 years +- 17.51 years with extremes ranging from 7 years to 85 years. The sex ratio was 1.62 in favor of men. The causes of death were represented by cancerous pathologies (69 deaths or 34.67%), non-cancerous pathologies (83 deaths or 4.58%). Conclusion: The mortality rate in general surgery remains high and is mainly linked to cancerous pathologies and the delay in taking care of patients.

关键词： Mortality General Surgery Cancer Non-Operated Operated

Rare Case of Acute Peritonitis by Perforation of an Appendicular Schistosomiasis at the CHU BSS in Kati

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Surgical Science 2020年第12期11卷 385-392页

作者： Koniba Keita Abdoulaye Diarra Sidiki Keita Oulématou coulibaly Assitan Koné Salia coulibaly Amadou Traoré Idrissa Tounkara lamine Soumaré Mamadou Diallo Bourama Togola Drissa Traoré Pierre A. Togo Department of General Surgery CHU BSS Kati Mali Department of General Surgery CHU Point-G Bamako Mali Reference health center of the commune VI of the district of Bamako Bamako Mali Medical Imaging Department CHU BSS Kati Mali General Surgery Department CHU Gabriel Touré Bamako Mali

Perforation of a pseudo appendicular tumor of bilharzial origin (bilharzia) is a rare etiology of acute peritonitis. His diagnosis is histopathological. The existence of comorbid malaria and surgical pathology is frequent in having a positive thick drop with Schistosoma mansoni eggs in his stool. After 3 months, the patient is doing well. In conclusion, we recommend the histopathological analysis of the surgical specimen after appendectomy and the detection of haematozoa for malaria in any case of fever in a surgical environment.

关键词： Acute Peritonitis Bilharzia Ileocecal Appendix

Therapeutic Aspects of Chronic Bone Infections and Management Challenges

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Open Journal of Orthopedics 2014年第2期4卷 21-26页

作者： Charles Diémé lamine Sarr Alioune Badara Guèye Ndeye Fatou coulibaly André Sané Abdoulaye Ndiaye Seydina Sèye Department of Orthopaedic and Trauma Surgery Aristide Le Dantec Teaching Hospital Dakar Sénégal Department of Orthopaedic and Trauma Surgery Aristide Le Dantec Teaching Hospital Dakar Sénégal.

This study aims to investigate various aspects of the treatment of chronic bone infections and the challenges in their management. The characterization of treatment of 73 patients with chronic bone infection was reported. The four management challenges including consultation delay, immune depression, extreme variety of clinical manifestations and non-use of CT or MRI were discussed in this study. We conducted a retrospective study at Aristide Le Dantec Hospital on 90 cases of chronic bone infection in 73 patients. The mean duration of symptoms before consultation was 36 months. More than half of the patients had a productive fistula at the first consultation. Sickle cell anemia was found in 6 patients. Multiple lesions were found in 10 patients;and long bones were affected in 90% of cases. The bacterial culture was positive in 93.15%. Staphylococcus aureus was the most isolated germ (68.35%). Seventy-two out of seventy-three patients were operated on. The procedure depended on anatomical and radiological lesions. Surgical treatment was associated with antibiotherapy which was firstly probabilistic and secondarily adapted to the results of bacterial culture. A favorable trend was found in 41 patients (56.16%). 32 cases of adverse effects were noted (43.83%), and 27 patients had recurrence after a favorable outcome. Several complications and sequelae were observed demonstrating the tenacity of these chronic infections.

关键词： Chronic Bone Infection Management Challenges

Management of Adult Rectal Prolapse in the Department of Chirurgie A of the University Hospital Center of Point G about 40 Cases

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Surgical Science 2023年第6期14卷 436-440页

作者： Sacko Oumar Soumare lamine Soumare Ganda Traore Mamadou Salia Traore Issa Dianessy Yely Keita Sidiki Sissoko Moussa coulibaly Bruno Soulemane coulibaly Mahamadou Traore Adama Famoussa Keita Soumaila University Hospital Center of Point-G Bamako Mali University Hospital Center of Kati Bamako Mali Hospital of District Commune IV Bamako Mali

Aim: Reporting the department’s experience in managing adult rectal prolapse. Methods: A descriptive study was conducted in the department of chirurgie A of the chu of point G. All patients operated on for rectal prolapse in the Department of Surgery “A” were included. Technics used were altemeier procedure and anoplasty. Results: 40 cases of complete rectal prolapse were identified. The sex ratio was 1.42. Average age was 50 years. During the study period, rectal prolapse accounted for 0.13% of all pathologies encountered (n = 40) and 3.37% of anorectal pathologies. Locoregional anesthesia was performed in all patients. In the series, 36 patients (90%) were operated on using the Altemeier procedure, anal cerclage was performed in 3 patients (7.5%), and anoplasty was performed in one patient (2.5%). Postoperative mortality was 2.5% (n = 1). The postoperative follow-up was simple in 95% of cases (n = 38). Anal stenosis was found in one patient (2.5%). Conclusion: Low-way surgery remains one of the preferred options for weakened patients exposed to anesthetic risks.

关键词： Rectal Prolapse Surgery Low-Way Surgery