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management of Acute malnutrition in Children Aged 0 to 24 months Boulbinet Health Center

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Surgical Treatment of Secondary Hyperparathyroidism in Surgery B of Chu of Point G

Open Journal of Pediatrics（儿科学期刊） 2024年第1期

作者： mohamed Lamine Diallo mamadou Ciré Barry m’mah Aminata Bangoura Louis Philippe Diffo mamadouba Bangoura Fatoumata sacko Telly Sy

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Surgical Science 2019年第10期10卷 355-361页

作者： S. Diallo O. sacko m. Sissoko A. Kanté A. Coulibaly L. Soumaré B. Coulibaly m. Camara D. Traoré N. Ongoiba Service of Surgery B CHU Point G Bamako Mali Service of Surgery A CHU Point G Bamako Mali Laboratory of Anatomy Faculty of Medicine and Odontostomatology Bamako Mali.

Purpose: To describe the epidemiological, clinical and therapeutic aspects of secondary hyperparathyroidism inrenal failure chronic. Patients and methods: We collected 11 cases of hyperparathyroidism secondary to renal failure terminal operated in the Service of surgery B of the Central Hospital University of Point G between December 2016 and November 2018. Results: The sex ratio was 0.22 in favor of women. The average age of the patients was 43 or 27 years with extremes of 63 and 25 years. Secondary hyperparathyroidism in renal failure chronic represented 1.9% of interventions to cold in the Service of surgery B. 100% of patients (11/11) were haemodialysis. 100% of the patients had clinical and biological signs. 45.5% (5/11) had radiological signs. The average rate of parathyroid hormone was 2413.51 pg/ml with extremes of 1264 pg/ml and 3616 pg/ml. The reference value was 15 - 65 pg/ml. The surgical technique of choice was the 7/8th parathyroidectomy in 100% of cases. The postoperative were simple in 81.8%, and complicated in 18.2%. There were no death. The average duration of postoperative follow-up was 6 months. After surgery, 50% of patients (5/10) had normal levels of parathyroid hormone and 50% (5/10) made a persistent hyperparathyroidism. Conclusion: Secondary hyperparathyroidism is a frequent complication in renal insufficient chronic in hemodialysis. Surgery is indicated in the resistant cases of medical treatment. The 7/8th parathyroidectomy is the surgical technique of choice. The rate of post operative complications is higher in our context.

关键词： Secondary Hyperparathyroidism Treatment Surgery

Peritonitis management through Appendicular Perforation in the Department of Surgery Bougouni Hospital (mali)

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Surgical Science 2020年第12期11卷 446-452页

作者： Sidiki Keita Koniba Keita mahamadou Coulibaly moussa Sissoko Lamine Soumare Oumar sacko Sekou Koumaré Adama K. Koita Soumaîla Keita m. Doumbia Dramane Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G. Bamako Mali General Surgery Department Hospital BSS Kati Mali

Introduction: Appendicular peritonitis is a complication of acute appendicitis characterized by the spread of the infectious process in the peritoneal cavity thus achieving wide spread or localized purulent peritonitis;it’s a medico-surgical emergency. Our objectives are to determine the frequency, describe the clinical, therapeutic and prognostic aspects of peritonitis by appendicular perforations. Patients-method: This was a 24-month retro, prospective, descriptive study from January 1, 2018 to December 31, 2019;conducted in the Bougouni Reference Health Center Surgery Unit. All patients of appendicular peritonitis at the Bougouni Reference Health Centre were included. Results: During the study period, 68 cases of generalized acute peritonitis including 30 appendicular peritonitis cases were collected. Appendicular peritonitis accounted for 44.1% of surgical procedures. males accounted for 71.0% with a sex ratio of 1.2 at risk of men, the average age was 26.07 years. Abdominal pain and vomiting were the reasons for consultation in 86.7% and 76.7% of cases. Physical examination was used in most cases to make the diagnosis. X-ray of the abdomen without preparation, and abdominal ultrasound were performed systematically. Surgical treatment consisted of an appendectomy with peritoneal toilet followed by drainage. The average length of hospitalization was 8.8 days with extremes of 1 - 44 days. Hospital mortality was 3.3%;morbidity and high mortality were related to delayed consultation. Conclusion: Appendicular generalized acute peritonitis is a medical-surgical emergency with a high mortality rate associated with delayed management.

关键词： Appendicular Peritonitis Surgical Emergencies Appendectomy

Volvulus of the Sigmoid Colon—management in the Surgery “A” Department of the Teaching Hospital of Point G

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Surgical Science 2020年第12期11卷 469-478页

作者： Sidiki Keita Koniba Keita moussa Sissoko mahamadou Coulibaly Lamine Soumare Oumar sacko Sekou Koumare Adama K. Koita Soumaîla Keita Zimogo Zié Sanogo General Surgery “A” Department Hospital Point-G. Bamako Mali General Surgery Department Hospital BSS Kati Mali

Introduction: The volvulus of the sigmoid colon is the twist of the sigmoid handle on its mesocolic axis, achieving a low occlusion by strangulation. methodology: The study was conducted in the surgery “A” department of the Teaching Hospital of Point G in Bamako. The study is retrospective and descriptive, over 5 years, ranging from January 2014 to December 2018. We conducted a comprehensive recruitment of all patients operated on for sigmoid volvulus during the study period. The only criterion for inclusion was patients operated on for volvulus of the sigmoid colon in the surgery “A” department of the Point G Hospital and the non-inclusion criteria were all patients operated on for other sigmoid pathologies without volvulation and patients operated on for other types of occlusions. Result: We conducted an exhaustive recruitment of 55 patients operated on for sigmoid volvulus during the study period. Sigmoid volvulus accounted for 13.75% of intestinal obstructions. The average age of patients was 48.013 ± 18.042 years with extremes of 24 years and 82 years. The age group 40 - 49 was the most represented at 21.8%. The sex ratio (m/F) was 8 in favour of male sex. The duration of the disease was less than 1-day in 50.94% of patients. There were two cases of ileo-sigmoid nodes. Immediate anastomosis resection was performed in 27 patients or 49.2% of cases. The time to restore continuity when specified was between 60 - 90 days and the median incision was the most common route of recovery at 80.8% of cases. The average length of hospitalization was 9 days with extremes of 2 days and 42 days. The morbidity rate was 7.3%. In our study we had 3 deaths or 5.5% of the cases. Conclusion: The volvulus of the sigmoid colon is the twist of the sigmoid handle on its mesocolic axis, achieving a low occlusion by strangulation. The volvulus of sigmoid is a serious surgical emergency that requires early diagnosis and m

关键词： Volvulus Sigmoid Sigmoidectomy Hartmann Bouilly-Volkmann Anastomosis

Surgical Complications of Pica Syndrome: About 03 Cases

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Open Journal of Pediatrics 2020年第1期10卷 159-167页

作者： A. Doumbia Y. Coulibaly I. Amadou m. Keita O. Coulibaly B. Kamaté m. K. Djiré m. Y. Coulibaly S. Camara H. Diall B. maiga D. Konaté K. sacko Service of Pediatric Surgery Teaching Hospital Gabriel Toure Bamako Mali Service of General Pediatric Teaching Hospital Gabriel Toure Bamako Mali

The Pica syndrome is an eating disorder characterized by an excessive or abnormal desire to consume a non-nourishing substance which can be relatively harmless, or potentially harmful for the health. It is a rare affection secondary to the accumulation of diverse nature foreign bodies inside the digestive tract and more especially at the stomach level. Gastro-intestinal localization is the most frequent, and can remain long time asymptomatic. Treatment is surgical. We report 3 cases of digestive complication of Pica syndrome. The first one was operated for gastric perforation due to nail (53 nails, a pin and bands of tape recorder cassette ingested), the second one for trichobezoar and the last had a subocclusion by pieces of granite.

关键词： Pica Syndrome Complications Bezoar Child mali

Uterus Bicorne Cervical United: A Case of Pregnancy after Uterine Plasty (Review of the Literature)

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Surgical Science 2019年第12期10卷 413-419页

作者： L. Soumare O. sacko S. Diallo m. Sissoko S. Koumare m. Camara B. Traoré S. Keita A. Camara m. Coulibaly m. Sima m. Traore m. D. Soumare A. Koita D. Traore Z. Z. Sanogo Service of Surgery A of CHU POINT G Bamako Mali Service of Surgery B of CHU POINT G Bamako Mali Service of Gynecology of CHU POINT G Bamako Mali

The uterus bicorne is a uterine malformation whose pathophysiology is known but the etiology remains obscure. Few studies have been interested in this subject. This is the clinical observation of mrs. X 26-year-old housewife nulliparous who consulted for repeated late spontaneous abortions. The clinical examination was normal. The ultrasound revealed a double uterine cavity in Y, in favor of a unicervical bicorne uterus. At hysterosalpingography, the tubes were permeable and the uterus doubled with a single cervix. The treatment consisted of a uterine plasty. The postoperative course was simple. The patient gave birth to a newborn male 20 months after surgery.

关键词： Uterus Bicornis Unicollis malformation Uterine Plasty Pregnancy

Comparative Study between Cholecystectomy in Sickle Cell Patients and Non-Sickle Cell Patients

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Surgical Science 2019年第9期10卷 303-309页

作者： L. Soumare O. sacko S. Diallo m. Camara S. Koumare m. Sissoko G. Soumare S. Keita A. Camara m. Diallo B. A. Toure m. Kanta A. S. Dembele A. Koita Z. Z. Sanogo Department of Surgery A of CHU POINT G Bamako Mali Department of Surgery B of CHU POINT G Bamako Mali Department of Gastro Enterology of CHU Point G Bamako Mali Center for Research and Control of Sickle Cell Disease Bamako Mali Department of Anesthesiology-Reanimation of CHU POINT G Bamako Mali

Introduction: Laparoscopic cholecystectomy is the gold standard in the treatment of gallstones and lithiasis cholecystitis. It reduces post-operative complications especially in sickle cell patients. Aim: The aim of this work was to compare the results of laparoscopic cholecystectomy in sickle cell and non-sickle cell patients. methods: Sixty-six patients including 25 sickle cell patients and 41 non-sickle cell patients were identified from march 2013 to November 2014 (20 months). The χ2 test was used for comparisons. Values of p mean age was 25.76 years for the sickle cell group and 45.61 years for the non-sickle cell group (p = 0.00008). There were 14/25 female patients in the sickle cell group and 28/41 in the non-sickle cell group. In per op, the diagnosis of acute cholecystitis was retained for 4/25 sickle cell patients and for 10/41 non-sickle cell patients. Diagnoses such as pyocholecyst (2 cases), porcelain vesicle (2 cases), hydrocholecyst (2 cases) were found in the group of non-sickle cell patients. Operative difficulties such as tight perivicular adhesions were encountered 9/25 times in the sickle cell group and 11/41 times in the non-sickle cell group. The average overall operative time was 55 min. There was no statistically significant difference between the different groups in mean operative time, occurrence of postoperative complication and average length of hospital stay. The mortality is not statistically different according to the group of patients. Conclusion: There is no significant difference between the cholecystectomy performed in sickle cell patients and that performed in non-sickle cell patients. The multidisciplinary perioperative management of sickle cell patients reduces the risk of complications arising from this pathology.

关键词： Comparison Cholecystectomy Sickle Cell Non-Sickle Cell

The Lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

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Surgical Science 2019年第8期10卷 281-286页

作者： O. sacko S. Diallo L. Soumaré m. Camara S. Koumaré m. Sissoko S. Keita I. Diarra m. Konaté m. Traoré G. Soumaré D. Dakouo m. Coulibaly H. Dicko Y. Dianessi A. Koita Z. Sanogo Department of Surgery “A” University Hospital of Point G Bamako Mali Department of Surgery “B” University Hospital of Point G Bamako Mali Department of Surgery Reference Center of Town 6 Bamako Mali Department of Gynecology-Obstetrics University Hospital of Point G Bamako Mali Department of Intensive Care University Hospital of Point G Bamako Mali

Considered as rare in Africa lithiasis of the main bile duct (mBD) is a potentially serious pathology, diagnosis is facilitated by imaging tests (ultra-sound, CT, mRI cholangiopancreatography). Its surgical management is improved by laparoscopy coupled with interventional endoscopy. However, laparotomy remains the only way in mali. This was a 14-years retrospective and descriptive study (2010-2014). All patients with BPV lithiasis were included. We studied the field, antecedents, clinical, biological, radiological, therapeutic and outcome aspects. 40 cases of stones in the main bile duct were collected during the study period. The hospital frequency was 2.8 cases per year, the clinical signs dominated by the Charcot triad (pain, fever, jaundice) found in 40 cases (100%). The average age was 60 years, female represented 70% of cases. Ultrasonography was the most requested review in 40 cases (100%). The procedure performed was cholecystectomy associated with choledochotomy with calculation extraction in all patients (100% of cases). One case of biliary fistula and one case of wall abscess were observed. The mortality was 5% and the simple suited in 90% of the cases. The lithiasis of the main bile duct is an infrequent pathology in mali and potentially serious. This diagnosis is assisted in our context by ultrasound and CT. Laparotomy remains the only route of entry in mali.

关键词： Lithiasis of the CBD Surgery Cholodochotomy

Perforations of Gastro-Duodenal Ulcers in the Surgery Department “A” at the University Hospital Point G Bamako

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Surgical Science 2019年第8期10卷 265-270页

作者： O. sacko S. Diallo L. Soumaré m. Camara S. Koumaré m. Sissoko S. Keita Carol D. Dakouo m. Coulibaly m. Traoré G. Soumaré A. F. Traoré H. Dicko Y. Dianessi B. Traoré A. Koita Sanogo Zimogo Department of Surgery “A” University Hospital of Point G Bamako Mali Department of Surgery “B” University Hospital of Point G Bamako Mali Department of Gynecology-Obstetrics University Hospital of Point G Bamako Mali Department of Internal medicine University Hospital of Point G Bamako Mali Department of Intensive Care University Hospital of Point G Bamako Mali

The purpose of this study was to investigate the clinical and therapeutic aspects of peritonitis by perforation of gastric and duodenal ulcer. This was a retrospective and descriptive study over 8 years (2010-2018) which allowed to collect 54 cases of peptic ulcer. Included in the study were all patients with confirmed gastroduodenal perforation on histology or laparotomy. We collected 54 cases of peptic ulcer perforated s. The age group of 30 - 49 years was the majority. The male sex was dominant with 90.7% of cases;the clinical picture was dominated by abdominal contracture associated with pain in 74.07% of cases. X-ray of the abdomen without preparation (AWP) revealed in 87.03% of cases of pneumoperitoneum. The perforation was in 68.52% of cases on the gastric antrum and in 31.48% on the duodenum. The surgical procedure used was the bank of excision, and a suture reinforcement epiploic in 68.52% of cases, a simple suture made in 31.48% of cases, the disease was marked by a fistula (1.90%) and mortality was 5.55% of cases. The gastroduodenal ulcer perforation is potentially serious and responsible peritonitis whose surgical treatment involves the peritoneal toilet and sutures the puncture.

关键词： Perforated Gastric or Duodenal Ulcer Peritonitis Surgery