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Rectal Prolapse of the Child at the Center University Hospital of Brazzaville

Open Journal of Pediatrics 2017年第4期7卷 359-362页

作者： Mieret Jean Claude Moyen Engoba Koumbourou Judicael Antsiemi Yves mboutol mandavo carine Yaokreh Jean Baptiste Moyen Georges Department of Pediatric Surgery Center University Hospital of BrazzavilleBrazzavilleCongo Pediatric Intensive Care Unit Center University Hospital of BrazzavilleBrazzavilleCongo Department of Pediatric Surgery Yopougon University HospitalAbidjanCote d’Ivoire

Summary: The aim of this work was to determine the frequency of rectal prolapse and to describe the therapeutic aspects. Material and Methods: A descriptive study with a retrospective collection was carried out between January 2013 and May 2016 in 29 months in the pediatric surgery department at the Center University Hospital of Brazzaville. Children between the ages of 1 and 15 years of age, treated for rectal prolapse and whose records were exploitable were included. The variables studied were: age, gender, parental socio-economic status, consultation time, preference factors, pre-admission treatment, treatment initiated and progression. Results: In 29 months, 22 cases of rectal prolapse were collected, i.e. a hospital frequency of 0.96%. The mean age was 4.5 years extremes (1 and 11 years). The average time of consultation was 5 days extremes (1 and 21 days). Diarrhea 5 cases (23%), constipation diarrhea 3 cases (14%), constipation 10 cases (45%), bronchopneumopathy 4 cases (18%). The treatment was surgical according to the Thiersch technique in all cases. The evolution was favorable. Conclusion: Rectal prolapse, a benign pathology, is relatively uncommon. Constipation remains the main factor favoring the need to take care of upstream. Treatment by the Thiersch method remains the first choice in children.

关键词： Rectal Prolapse Frequency Children

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Results of Femoral Neck Fractures Screwing in Adults at University Hospital of Brazzaville

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Open Journal of Orthopedics 2018年第6期8卷 227-234页

作者： Marius Monka carine mboutol mandavo Kevin Bouhélo-Pam Albert Ngatsé-Oko Patrick W. H. Dakouré Armand Moyikoua Service d’Orthopédie Traumatologie CHU de Brazzaville République du Congo Service de Chirurgie Pédiatrique CHU de Brazzaville République du Congo Service d’Orthopédie Traumatologie CHU Sour&ocirc Sanou Bobo-Dioulassou Burkina Faso

Purpose: The good of this survey was to analyze the epidemiological aspects and evaluate anatomical and functional results of the treatment by screwing of femoral neck fracture in adulthood at the Teaching Hospital of an underequipped country. Material and Methods: This is a retrospective study from January 1, 2011 to December 31, 2015, concerning patients hospitalized for fractures of femoral neck and having been operated by screwing. The variables studied were epidemiological and therapeutic aspects. Anatomical results were examined on standard x rays of the pelvis in front and the hip in profil, based on the consolidation of the bony axis. Functional results were analyzed according to the quotation of Postel Merle D’Aubigné. Results: Eleven screwings of femoral neck have been done to 11 patients (9 men and 2 women), average age was 47 years (29 and 60 years) from January 2011 to December 2015, at the mean recoil of 19 months (12 and 24 months). Amongst consolidated patients (n = 7), one patient presented a necrosis of femoral head at two years hindsight. Four patients presented an aseptic pseudarthrosis of femoral neck, or a bad anatomical result. Amidst this group of patients, one underwent a joint replacement type Moore and suggestion of intermediary prothesis was recommended to three patients. According to the quotation of Postel Merle D’Aubigné, results were very satisfactory to 5 patients, good to 2 patients and bad to 4 patients. According to the score of Parker, 7 patients presented a score of 9 and 4 patients a score of 7. Conclusion: The treatment of femoral neck fractures in adulthood requires a surgical approach by osteosynthesis and must be precocious before 24 hours in order to reduce risks of pseudarthrosis of femoral neck and necrosis of femoral head.

关键词： Screwing Fracture Femoral Neck

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