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Assessment of Unmet Transfusion Needs in the Management of Immediate Postpartum Haemorrhage at the Kalaban Coro Reference Health Centre (MALI)

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Open Journal of Obstetrics and Gynecology 2023年第9期13卷 1645-1657页

作者： Bocary Sidi Kone Kalifa Traore mahamoudou coulibaly Cheickna Sylla Sema Keita Yacouba Sylla Mamadou Haïdara Mahamadou Keita Sékou Bakary Keita Bamba Brehima Mamadou Kampo Dramane Fomba Yacouba Aba coulibaly Seydou Z. Dao Modibo Dicko Department of Gynecology and Obstetrics Polyclinique Mère Enfant Mohamed VI Bamako Mali Department of Gynecology and Obstetrics National Centre for Scientific and Technological Research Bamako Mali Department of Gynecology and Obstetrics Kalaban Coro Reference Health Centre Bamako Mali Department of Gynecology and Obstetrics Centre Hospitalo-Universitaire Gabriel Touré de Bamako Bamako Mali Department of Gynecology and Obstetrics Fana Reference Health Centre Koulikoro Mali Department of Gynecology and Obstetrics Reference Health Centre of Commune II of the District of Bamako Bamako Mali Department of Gynecology and Obstetrics Reference Health Centre of Commune I of the District of Bamako Bamako Mali Department of Gynecology and Obstetrics Timbuktu Hospital Timbuktu Mali Department of gynecology and Obstetrics Reference Health Centre of Commune VI of the District of Bamako Bamako Mali

The aim was to assess transfusion needs in the management of immediate postpartum haemorrhage. Materials and Methods: this was a prospective, descriptive, analytical study from 01 January 2018 to 31 October 2018 in the gynecology and obstetrics department of the reference health center of Kalaban-Coro (Mali). Results: During the study period we recorded 32 cases of transfusion of the immediate postpartum out of 109 cases of hemorrhage or 29.35%;for a total of 2425 deliveries or a frequency of 1.31%. The main indications for blood transfusion were: postpartum haemorrhage due to tearing of the soft parts in 21.9%;retroplacental hematoma in 18.6%;uterine rupture in 12.5%;and placenta previa covering hemorrhagic in 12.5%. More than half of the transfused were evacuees, or 62.5%. Unmet transfusion requirements were 59.4%. The blood products requested were: whole blood in 99% of cases and fresh frozen plasma in only 1% of cases. Conclusion: the need for labile blood products remains a reality in obstetrics. The permanent availability of labile blood products improves the prognosis of immediate postpartum haemorrhages.

关键词： Blood Transfusion Postpartum Hemorrhage

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The Place of Blood Transfusion in the Management of Obstetric Emergencies in the Gynaecology and Obstetrics Department of the Reference Health Center of Fana (Mali)

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Open Journal of Obstetrics and Gynecology 2023年第4期13卷 780-791页

作者： Keita Sema Kone Bokary Sidi Fané Seydou Sylla Cheickna Samake Youssouf Traoré Momine Traoré Solomane Haidara Ramatoulaye Diabate Abdrahamane Sylla Yacouba Keita Mamadou coulibaly mahamoudou Haidara Mamadou Haidara Dramane Camara Daouda Fomba Dramane Kampo Mamadou Maiga Boubacar Dembele Sitapha Seydou Z. Dao Sanogo Siaka Amara Obstetrics and Gynecology Department Fana Reference Health Centre Koulikoro Mali Mohamed VI Mother-Child Polyclinic in Bamako Bamako Mali Department of Obstetrics and Gynecology Gabriel TOURE University Hospital Bamako Mali Department of Gynecology and Obstetrics Reference Health Centre of Koulikoro Koulikoro Mali Diola Reference Health Centre Dioila Mali Obstetrics and Gynecology Department Reference Health Centre of Commune I Bamako Mali Obstetrics and Gynecology Department Commune VI Reference Health Centre Bamako Mali Department of Gynecology and Obstetrics Kalaban Coro Reference Health Centre Bamako Mali Department of Gynecology and Obstetrics Kati Reference Health Centre Kati Mali Obstetrics and Gynecology Department Marakala Reference Health Centre Markala Mali Department of Obstetrics and Gynecology Timbuktu Hospital Timbuktu Mali National Blood Transfusion Centre Bamako Mali Department of Obstetrics and Gynecology Fousseyni Daou Hospital Kayes Mali Obstetrics and Gynecology Department Reference Health Centre of Commune II Bamako Mali

This is a prospective and descriptive study carried out at the gynecology and obstetrics department of the reference health center of Fana from 01 May 2019 to 30 November or 7 months. The main objective was to study the role of blood transfusion in the management of obstetric emergencies. During the study period we recorded 434 cases of obstetric emergencies of which 116 cases required an emergency blood transfusion or 26.73%. The most frequently found indications for blood transfusion are hemorrhages of the immediate postpartum 46.6% followed by severe malaria on pregnancy 27.6%. Blood remains the most prescribed and available Labile blood product in the department. Maternal prognosis was improved in 92.2%.

关键词： Obstetric Emergencies Blood Transfusion Hemovigilance

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The Place of Blood Transfusion in the Management of Obstetric Emergencies in the Gynaecology and Obstetrics Department of the Reference Health Center of Fana (Mali)

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Open Journal of Obstetrics and Gynecology 2023年第4期

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Para Testicular Pseudotumeurs of Calcified Gait: A Case Report from the Nianankoro Fomba Segou Hospital (Mali)

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Open Journal of Urology 2022年第12期12卷 602-606页

作者： Ibrahim Kone Sory Brehima Samaké Abdoulaye Kassogué mahamoudou Keita Tidiani Traoré Thierno Boubacar Bagayogo Adama Bah Alpha Sanogo Damissa coulibaly Abdoulaye Nouhoum coulibaly Mamadou Togo Aminata Fofana Urology Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali General Surgery Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali Pediatrics Department of Nianankoro Fomba Segou Mali Hospital Ségou Mali Obstetrics and Gynaecology Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali Forensic Medicine Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali Cardiology Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali General Medicine Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali Ophthalmology Department of Nianankoro Fomba Segou Mali Hospital Ségou Mali ENT Department of the Nianankoro Fomba Segou Mali Hospital Ségou Mali

Fibrous tumors of para testicular location are extremely rare benign tumors. The diagnosis of benignity, which allows a conservative treatment, will be made intraoperatively in front of the macroscopic aspect with well enucleable nodules and confirmed by the extemporaneous anatomopathological examination. We report a case of multiple calcified paratestinal pseudotumors in a 25-year old patient with no particular history, whose benignity was proven by the histology of the operative parts. Our objective was to discuss, from this observation and a review of the literature, the diagnostic and therapeutic aspects of these tumors.

关键词： Pseudotumor Para Testicular Benign

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Management of Trauma to the External Genitalia at the Nianankoro-Fomba Hospital in Segou Mali

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Open Journal of Urology 2022年第6期12卷 376-382页

作者： Sory Ibrahim Koné Abdoulaye Kassogué Brehima Samaké mahamoudou Keita Tidiani Traore Abdoulaye Nouhoum coulibaly Mamadou Adama Togo Thierno Boubacar Bagayoko Adama Bah Aminata Fofana Alpha Sanogo Damissa coulibaly Sidi Modibo Doucouré Honoré Jean Gabriell Berthé Urology Department The Nianankoro Fomba Hospital Ségou Mali Paediatric Ward The Nianankoro Fomba Hospital Ségou Mali General Surgery Department The Nianankoro Fomba Hospital Ségou Mali Obstetrics and Gynaecology Department The Nianankoro Fomba Hospital Ségou Mali Ophthalmology Department The Nianankoro Fomba Hospital Ségou Mali Forensic Medicine Department The Nianankoro Fomba Hospital Ségou Mali ENT Department The Nianankoro Fomba Hospital Ségou Mali Cardiology Department The Nianankoro Fomba Hospital Ségou Mali Department of General Medicine The Nianankoro Fomba Hospital Ségou Mali Social Security Fund Ségou Mali Department of Urology CHU du Point G Bamako Mali

Trauma to the male genitalia is not very common and mainly affects a young population. There is probably a particular instinct in men to defend their external genitalia;indeed, in the flaccid state, the penis is little exposed, and fairly well protected and its mobility allows it to move with the impact of trauma and thus reduce the vulnating force. Open trauma is rare, as is testicular dislocation, the most common being closed trauma. Testicular trauma is an uncommon accident that affects young people. Trauma is most often caused by road and traffic accidents. Animal bites are rare, as is genital self-mutilation related to a psychiatric disorder. Surgical exploration is the rule except in cases of moderate testicular trauma. Our objective was to report our experience in an emergency context where treatment is poorly codified and to review the literature. We recorded four patients with external genitalia trauma managed in the urology department from April 2013 to March 2022. Our patients were children with open genitalia trauma following a traffic accident, scrotal injuries were encountered in three patients, and additional penile injuries in one patient. All patients were treated surgically. The follow-up was straightforward.

关键词： Trauma Genitalia Open Segou

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