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Transection Type, Vesico-Vaginal Fistula Surgery

Open Journal of Urology 2020年第11期10卷 263-274页

作者： Mamadou II. Barry Ibrahima Sory Diallo Mamadou Bissiriou Bah Demba Cisse Thierno Mamadou Oury Diallo Mamadou Diawo Bah Lahoumbo Ricardo Gnammi Thierno Oumar Diallo Kindy Diallo Daouda Kante Ibrahima Bah Karamoko Bano Sow abdoulaye Bobo Diallo Oumar Raphiou Bah Sékou Guirassy Mamadou Bobo Diallo Urology Andrology Department of Ignace-Deen Hospital HUC of Conakry Conakry Guinea Gamal Abdel Nasser University Conakry Guinea Labé Regional Hospital Urology Unity Conakry Guinea

The objective of the study was to report the results of the surgery of the Vesico-vaginal fistula (VVF) transection types at CHU Conakry. Methods: This was a prospective descriptive study that focused on 64 patients operated for VVF transection type at the Urology department of CHU Conakry between January 2013 and December 2015. Four types of transection were defined according to the state of the urethra and vagina, the size of the fistula, the peri-fistulous tissue and associated lesions. The variables studied were the proportion of transection, age, the type of transection, the number of previous cures, the operative technique, the complications and the results after a follow-up of 3 months. Results: Transection accounted for 47.05% of the obstetric fistulas. The average age was 25.18 years old (14-43 years old). This was a Type I transection (11 cases), type II (27 cases), type III (19 cases) and type IV (7 cases). The surgical approach was vaginal in 64 cases. Fistulorraphy with a confection of a new cervix and cervico-urethral anastomosis was conducted in 19 patients, combined with bladder flap urethroplasty (30 patients) or vaginal flap (15 others). We recorded healing in 37 cases. Conclusion: Transection type VVF is a severe VVF. The preferential surgical approach was vaginal. Technical difficulties were related to associate lesions and the continence system affected.

关键词： Vesico-Vaginal Fistula Transection Surgery

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Contribution of Computed Tomography in the Diagnosis of Pulmonary Lesions Due to Coronavirus Disease (SRAS-CoV-2), COVID-19

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Open Journal of Radiology 2022年第3期12卷 68-77页

作者： abdoulaye Koné Saloum Gandéga Youssouf Koné Moussa Traoré Moussa Konaté Jean Paul Dembélé Ouncoumba Diarra Ibrahima Coulibaly Youssouf Diawara Cheick Oumar Touré Kassim Sidibé Mody A. Camara Oumar Aba Ata Yacouba Toloba Jean Steiner Mahamadou Diallo Adama Diaman Keita Salia Coulibaly Siaka Sidibe Faculty of Medicine and Odontostomatology Bamako Mali Medical Imaging Department of the Pasteur Polyclinic Bamako Mali Medical Imaging Department of the Robert BALLANGER Hospital AulnaySB Ile de France France Radiology Department of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France Medical Imaging Department of GABRIEL TOURE Hospital Bamako Mali Medical Imaging Department of the University Hospital of Point G Bamako Mali Infectious Disease Department of the University Hospital of Point G Bamako Mali Radiology Department of CSREF Commune III Bamako Mali Medical Imaging Service Health Center of Ref Commune IV Bamako Mali DCSSA Kati Mali Medical Imaging Department of Mali Hospital Bamako Mali Pneumology Department of the University Hospital of Point G Bamako Mali Medical Imaging Department of Kati Hospital Kati Mali

Our study was carried out at Robert BALLANGER Hospital, its aim was to determine the contribution of the scanner in the diagnosis of COVID-19. It was a prospective descriptive study during the first wave of the COVID-19 epidemic in France. Patients were referred to the medical imaging department for a thoracic CT scan without contrast injection or an angioscanner in the context of a suspected COVID-19 pneumopathy or pulmonary embolism. The study involved both sexes, the male sex was with 55.20% and sex ratio of 1.24. In our study 50% of our patients had a comorbid factor, of which diabetes and hypertension were the most represented with 33% and 17%. The RT PRC test is considered the gold standard in the diagnosis of COVID-19 disease. This test was positive in 63.62% of our patients. CT imaging played a key role in the management of COVID-19 pneumonia because chest CT scans found lesions consistent with COVID-19 pneumonia in 71% of patients. The depoliated lung lesion was present in 87% of our patients, with sub pleural topography and minimal parenchymal involvement predominating. In our study, the chest CT scan had a higher sensitivity and a lower specificity than the PCR test.

关键词： Contribution CT COVID-19 SARS-CoV-2 Diagnosis Lungs France

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Traumatic Break of the Ascending Aorta: About a Case

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Open Journal of Thoracic Surgery 2018年第4期8卷 63-67页

作者： abdoulaye Kante Andrea Perrotti Brehima Coulibaly Mamadou Almamy Keita Drissa Traore Mamadou Diakite Mariam Daou Bakary Keita Birama Togola Nouhoum Ongoiba Harrison Haight Anne Sophie Lacagne Julie Ritter Anne Claire Mogenet Enrica Dorigo Camille Durst Djamel Kaili Francois Clement Sidney Chocron General Surgery Department CHU Point GBamakoMali Service of Thoracic and Cardiovascular Surgery The University Hospital of BesanconBesanconFrance Cardiology Department of the CHU of the Point G Faculty of Medicine and Odontostomatology of BamakoBamakoMali Service of Neurology Gabriel Toure Teaching HospitalBamakoMali Anesthesia Service and Resuscitation Department CHU Gabriel ToureBamakoMali

The traumatic break of the ascending aorta is rare. We bring report the case of a 40-year-old man, a victim of accident of the public highway having caused a break of the posterior face of the ascending aorta. The explorations scanno graphique and per operating highlighted this break. The treatment consisted of an edge-to-edge direct suture of the ascending aorta.

关键词： Traumatic Break Ascending Aorta Accident of the Public Highway

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Epidemiological and Serological Profile of Hepatitis B Virus in an Urban Area in Mali

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Open Journal of Gastroenterology 2019年第8期9卷 158-163页

作者： Anselme Konaté H. Sow Wife Coulibaly K. Doumbia Wife Samaké Moussa Younoussou Dicko R. Dembélé Wife Dakouo A. Souckho Wife Kaya Makan Ciré Tounkara Hamadoun Guindo abdoulaye Maiga Mamadou Dembélé Hamar Alassane Traoré Moussa Tiémoko Diarra Moussa Youssoufa Maiga Hepato-Gastroenterology Department CHU Gabriel Touré Bamako Mali Department of Internal Medicine of the Point G Hospital Bamako Mali

The objective of our study was to evaluate hepatitis B virus (HBV) infection in an urban population. This longitudinal study was conducted in Bamako District and Kati Commune. After a preparatory phase, the persons who accepted the protocol were assessed for HBsAg. HBsAg carriers had blood collection for HBeAg assay, viral load assessment, genotyping, DNA mutation testing, and severity of hepatic fibrosis and necrosis. At the end of this study, 1475 persons were included, of which 195 had HBsAg positive confirmed, that is to say 13.97%. The mean age of HBsAg positive patients was 35.11 ± 11.12 years with a sex ratio of 2.68. HBeAg was found in 8.9% of the patients tested for this antigen. The viral load was undetectable in 10.52% of patients and greater than 2000 IU/mL in 32.24% of cases. Fibrosis ≥ F2 and necrosis ≥ A2 were found in respectively 19.72% and 6.80% of cases. Genotype E was found in 91.6 patients and an R249S mutation observed in 39.04% of cases. Conclusion: HBV infection has a serious impact on socio-economic development in Mali because it affects mainly the young male population, hence the need to organize preventive measures effectively.

关键词： Hepatitis B Virus Epidemiology Serology Bamako Kati

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Practice of Upper Gastrointestinal Endoscopy at the Mother-Child Hospital in Bamako/MALI: About 465 Cases

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Open Journal of Gastroenterology 2020年第11期10卷 295-300页

作者： Sanra Déborah Sanogo Moussa Y. Dicko Ganda Soumaré Kadiatou Doumbia Hourouma Sow Makan S. Tounkara Youssouf Kassambara Hamadoun Guindo A. Maiga A. Kondé abdoulaye Diarra Ilias Guindo Drissa Katilé Ouatou Mallé Anselme Konate Moussa T. Diarra Bougouzié Sanogo Moussa Y. Maiga Gastroenterology Department Point G University Hospital Bamako Mali Gastroenterology Department Gabriel Touré University Hospital Bamako Mali Surgery Department BSS University Hospital Bamako Mali Gastroenterology Department Mother-Child Hospital Bamako Mali

Introduction: Upper gastrointestinal (GI) endoscopy is an examination that involves exploring the upper part of the digestive tract using an endoscope. Our study was aimed to evaluate the practice of Upper GI endoscopy at the mother-child hospital in Mali. Patients and Methods: This was a descriptive retrospective study on reports of Upper GI endoscopy results in the digestive endoscopy unit at the mother-child hospital in Bamako from January to December 2018. Results: Endoscopy was performed in 465 patients including 231 males and 234 females. The sex ratio was 0.98. Patients were aged 46.69 years old on average with the extremes of 8 and 90 years old. Epigastralgia was the main referral in 50.5%. Endoscopy was normal in 24.7%. The main diagnostics were duodenogastric reflux in 32.5% and gastritis in 14.4%. Conclusion: The practice of Upper GI endoscopy at the mother-child hospital in Mali has allowed the exploration of the upper digestive tract to contribute to the diagnosis of esogastroduodenal lesions.

关键词： Upper GI Endoscopy Indications Mother-Child Hospital Mali

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Ruptured Sub-Annular Mitral Aneurysm in the Pericardium: Report of a Case

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World Journal of Cardiovascular Diseases 2021年第9期11卷 458-463页

作者： Elhadj Yaya Baldé Mamadou Bassirou Bah Amadou Djouldé Doumbouya Aissatou Tiguidanké Baldé Mamadou Cellou Guissé Ibrahima Sory Barry Alpha Koné Mariam Béavogui Souleymane Diakité Ibrahima Sory 2 Sylla Mamadou Aliou Baldé abdoulaye Camara Mamadou Diallo Thierno Siradjo Baldé Mamadou Dadhi Baldé Mamady Condé Cardiology Department of the Ignace Deen Hospital Conakry Guinea Cardiology Department of Donka Hospital Conakry Guinea

The sub-mitral annular aneurysm is a rare cardiac pathology. The etiologies are diverse, ranging from the congenital form to the idiopathic form, including the acquired form. The clinical case we report is that of a 27-year-old young man, with no particular history, admitted with a picture of global heart failure. A cardiac ultrasound diagnosed a ruptured mitral sub-annular aneurysm in the pericardium. The difficulty lies in the surgical management of this condition, due to the lack of an adequate cardiac surgery service in most of the countries in Africa south of the Sahara.

关键词： Sub-Annular Aneurysm Mitral Valve Intrapericardial Rupture

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Study of the Management of Children with Major Sickle Cell Disease in Pediatric Emergencies at the Gabriel Toure University Hospital

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Open Journal of Pediatrics 2023年第2期13卷 244-252页

作者： Mohamed Elmouloud Cissé Abdoul Aziz Diakité Adama Dembélé Belco Maiga Fatoumata Nampomo Diarra Oumar Coulibaly Hawa Diall Pierre Togo Abdoul Karim Doumbia abdoulaye Barry Karamoko Sacko Fousseyny Traore Djeneba Konaté Kalirou Traoré Lala N’Drainy Sidibé Ibrahim Ahamadou Amadou Touré Fatoumata Dicko Boubacar Togo Mariam Sylla Department of Pediatrics Gabriel Toure University Hospital Bamako Mali

Objective: To study the epidemiological, clinical and therapeutic aspects of sickle cell disease in children admitted to the pediatric emergency department of the Gabriel Toure University Hospital. Materials and methods: This was a prospective study over 12 months in sickle cell children aged 6 months to 15 years. Results: The frequency of sickle cell disease was 4.67% with 71.1% of SS form. The age range of 60 - 120 months predominated with 43.4% and the sex ratio 1.4. Vaso-occlusive crises (VOC) were the most frequent reason for consultation (50.6%) and osteoarticular pain was the main symptom followed by fever and pallor with respectively 67.5%, 60.2%, 39.8%. The pain subsided in less than 72 hours in 39.8% and hyper hydration was performed in 85.1% of patients. Analgesic treatment was given in 90.4%, antibiotic therapy in 51.8% and phenotyped red blood cells transfusion was performed in 36.1%. The average duration of treatment was 10 days. Conclusion: Vaso-occlusive crisis remains the main reason for consultation in sickle cell disease children at Gabriel Toure University Hospital. The management consisted, in addition to the correction of the triggering factors, of hyper hydration and the administration of analgesics and blood products.

关键词： Sickle Cell Disease Pediatrics Emergencies

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Traumatic Diaphragmatic Injury at Gabriel Toure University Hospital, Mali

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Surgical Science 2022年第3期13卷 110-118页

作者： Amadou Traoré Madiassa Konaté abdoulaye Diarra Idrissa Tounkara Mohamed Traoré Arouna Doumbia Amadou Bah Boubacar Yoro Sidibé Amadou Maïga Tani Koné Boubacar Karembé Zakari Saye Koniba Kéita Yacouba Bouaré Assitan Koné Ibrahim Diakité Lassana Kanté Bakary Tientigui Dembélé Alhassane Traoré Adégné Togo General Surgery Department of Gabriel Touré University Hospital Bamako Mali Surgery Department of Kati University Hospital Kati Mali Reference Health Center of Commune II Bamako Mali Reference Health Center of Commune III Bamako Mali

Traumatic diaphragmatic injury (TDI) is rare and is most often the result of a traffic road accident (TRA) or an assault. We initiated this study with the aims of determining the epidemiological, clinical and therapeutic aspects of TDI at Gabriel Toure University Hospital. This was a retrospective study from January 1999 to June 2021 that included all patients who presented a diaphragmatic injury consecutive to abdominal and/or thoracic trauma. In 22 years and 6 months, 46 cases of TDI were collected. They represented 0.17% of hospitalizations, 0.26% of surgical emergencies and 5.5% of thoraco-abdominal traumas. The average age was 31.69 years with a sex ratio of 3.2. Criminal stabbings accounted for 56.5% and TRA for 19.6%. Penetrating injuries accounted for 78.3% of cases. The parietal lesion was thoracic in 21 cases (45.7%), abdominal in 19 cases (41.3%) and thoraco-abdominal in 6 cases (13%). The chest X-ray, performed in 15 patients, showed an intrathoracic gas bubble (4 cases) and hemothorax (6 cases). Diagnosis of diaphragmatic lesion was preoperative in 21.7% (10 cases). The diaphragmatic breach was on the left side in 65.2% (30 cases) and the average size was 3.17 cm. Laparotomy was performed in 89.1%, thoracotomy in 4.4% and thoraco-laparotomy in 6.5% of cases. The surgical procedure consisted of reduction of the herniated viscera in 15.2% (7 cases) and closure of the diaphragmatic breach with non-absorbable sutures in 82.6% (36 cases). Chest tube drainage was performed in 73.9%. The average length of hospital stay was 9.8 days. Mortality was 13.04%. Conclusion: Traumatic diaphragmatic injury is rare but its frequency is increasing in our country. It most often affects the young man victim of assault or TRA. This type of trauma is rarely isolated;you have to think about it in case of any thoraco-abdominal trauma. The treatment is surgical. The prognosis depends on the severity of the associated lesions.

关键词： Diaphragmatic Injury Trauma Surgery Gabriel Toure

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Use of Agroecological Techniques by Smallholder Farmers to Improve Sorghum Productivity in Burkina Faso

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Journal of Agricultural Science and Technology(B) 2018年第8期8卷 499-506页

作者： Zomboudré Georges Youma Issaka abdoulaye Batta Fatou Kaboré Roger Bourgou Tsuamba Gubbels Peter Department of Natural Resource Management Institute for Environment and Agricultural Research (INERA) 04 BP 8645 Ouagadougou 04 Burkina Faso Institute for Environment Science and Rural Development (ISEDR) University of Dédougou BP 176 Dédougou Burkina Faso Groundswell International PO Box 2257 Asheville NC 28802 USA Association Minim Song Panga (AMSP) BP 268 Kaya Burkina Faso Association Nourrir Sans Détruire (ANSD) 09 BP 1670 Ouagadougou 09 Burkina Faso

The prevailing farming system in Burkina Faso is smallholder agriculture based on cereal production, especially sorghum (Sorghum bicolor (L.) Moench) which form the staple diet for the population. Production is constantly challenged by climate hazards, striga (Striga hermonthica (Del.) Benth.) infestation, inefficient farming practices and declining soil fertility. To address these concerns, one study on several agroecological techniques was conducted from 2013 to 2015 in a participative manner with more than 150 male and female farmers from four communities. Each farmer was asked to test out two or three agroecological techniques of his choice and to measure these new techniques against their usual farming practices. These techniques combined the use of organic fertilizer (5 t/ha) and/or mineral fertilizer (2 g/seed hole) with the systems of crop rotation and mixed cropping, in addition to the improved za? technique and the half-moon method. Plant material was composed of local landraces and improved varieties of sorghum, sesame and cowpea. On-farm application of agroecological techniques resulted in significantly increased sorghum production in all four communities. The rates of increase for grain yield were 8% for the half-moon fields and more than 130% for the rotation systems when compared to the farmers’ usual practices. More limited results were achieved with the chemical components of the soil after two years of experimentation. Only the soil’s organic matter showed improvement over the first year. This study shows that crop rotation, mixed cropping and the improved za? technique in combination with compost and improved drought-resistant varieties constitute agroecological strategies favorable to the intensification and diversification of farming systems in the studied locations. The farmers were above all impressed by the on-site management of compost by means of the za? technique which enabled large-scale fertilization of fields.

关键词： Agroecological techniques sorghum yield compost mineral fertilizer crop rotation mixed cropping zai.

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Abdominoperineal Resection in Rectal Cancer in General Surgery Department at Gabriel Toure University Hospital

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Surgical Science 2019年第1期10卷 16-23页

作者： Amadou Traore abdoulaye Diarra Madiassa Konate Souleymane Thiam Soumaila Keita Tani Kone Boubacar Karembe Assitan Kone Boubacar Sidibe Amadou Bah Amadou Maiga Ibrahim Diakite Bakary Tientigui Dembele Alhassane Traore Adegne Togo Lassana Kante Moussa Samake Moustapha Issa Mangane Thierno Madane Diop Mamadou Salia Diarra Adama Diakite Gangaly Diallo Gabriel Toure University Hospital BamakoMali

The objectives: Were to determine the hospital frequency of abdominoperineal resection (APR);to determine mortality and morbidity rates and to assess oncologic outcomes. Method and patients: We performed a retrospective study between 2008 and 2013 in general surgery department at Gabriel Toure University Hospital (UH) which included all patients admitted for rectal cancer confirmed by pathological examination, and having undergone an APR. Results: We have collected 17 cases which accounted for 65.38% of curative resections of rectal cancer. The sex-ratio was 0.89 and the averageage was 49.53 years. The average tumor distance from the anal verge was 4.59 ± 1.7 cm. All patients had adenocarcinoma of the rectum. The histopathologic grade was well in 7 cases, moderate and poor in 5 cases each. According to the pathologic TNM classification, 13 patients were classified T4, 14 patients N+. APR was associated with hysterectomy and partial colpectomy in 4 cases. The average duration of interventions was 202.06 ± 25.68 minutes. The average duration of hospitalization was 18.24 ± 04.89 days. The postoperative mortality and morbidity rates were 5.88% and 29.42%, respectively. Local recurrence was observed in 6 patients and liver metastasis in 2 patients. The overall survival rate was 37.5% at 2 years and 18.75% at 5 years. Conclusion: APR still occupies an important place in our practice. Our results could be improved by the recent introduction of neoadjuvant radio chemotherapy in Mali.

关键词： Abdominoperineal Cancer Mali Rectum Resection Surgery

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