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Benin Goit.e in t.e General Surgery Depart.ent.at.t.aching Hospit.l Gabriel t.uré

Surgical Science 2022年第1期13卷 15-22页

作者： Madiassa Konat. Amadou t.aore Moussa Samake Abdoulaye Diarra Boubacar Karembé Amadou Bah Boubacar Yoro Sidibé Kadiat.u Doumbia t.ny Koné Amadou Maiga Zakari Saye Arouna Doumbia Ibrahim Diakit. bakary t. dembelé Alhassane t.aore Lassana Kant. Adegné t.go General Surgery at.t.aching of Gabriel t.ure Bamako Mali

Int.oduct.on: Goit.e is an increase in t.e volume of t.e t.yroid gland. Goit.rs may be congenit.l or acquired, diffuse or nodular, funct.onal or non-funct.onal, benign or malignant. Purpose: t.e object.ves of t.is wor... 详细信息

Introduction: Goitre is an increase in the volume of the thyroid gland. Goiters may be congenital or acquired, diffuse or nodular, functional or non-functional, benign or malignant. Purpose: The objectives of this work were to study and determine the frequency of benign goitre in the general surgery department of CHU Gabriel Touré, and to study epidemiological, clinical and therapeutic aspects. Patients and Method: This was a retrospective and prospective study conducted in the general surgery department of CHU Gabriel Touré, from January 1999 to December 2019. Included in the study were all patients with benign goiter confirmed in histology, hospitalized and treated in the service. Patients with thyroid malignant tumours, strumite, thyroid tract cyst, cervical abscess and neck trauma were not retained. Socio-demographic, clinical, para-clinical, therapeutic and post-operative aspects were the study parameters. Word processing and tables were done with Microsoft Word and Excel 2016 software. Data analysis was performed with Epi info7 software, the statistical test used was the Khi2 test and a value of P 0.05 was considered statistically significant. Results:t.le="font.family:Verdana;"> A t.t.l of 253 pat.ent.files were collect.d. t.yroidect.my represent.d 5.02% (253/5036) of surgical pr

关键词： Benign Goit.e Epidemiological Clinical and t.erapeut.c Aspect.

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St.mach Cancer in t.e General Surgery Depart.ment.at.t.e t.aching Hospit.l Gabriel t.ure

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Surgical Science 2022年第4期13卷 188-197页

作者： Madiassa Konat. Amadou t.aore Moussa Samake Abdoulaye Diarra Idrissa t.unkara Boubacar Karembé Amadou Bah Boubacar Yoro Sidibé t.ny Koné Amadou Maiga Zakari Saye Sana Kouriba Arouna Doumbia Ibrahim Diakit. bakary t. dembelé Alhassane t.aore Lassana Kant. Adegné t.go General Surgery at.t.aching of Gabriel t.ure Bamako Mali

Int.oduct.on: St.mach cancer is a malignant.t.mor developed at.t.e expense of t.e gast.ic wall. Gast.ic cancer is a common cancer occupying t.e 5t. rank of cancers in t.e world, or 5.7% of all cancers. Purpose: t. st.dy epidemiological, diagnost.c, t.erapeut.c, and prognost.c aspect. of st.mach cancer. Met.odology: t.is was a ret.ospect.ve and prospect.ve st.dy, which was carried out.in t.e General Surgery Depart.ent.at.t.e t.aching hospit.l Gabriel t.uré bet.een January 1, 1999, and December 31, 2020, and all cases of st.mach cancer were confirmed by hist.logical examinat.on. Result. We recorded 857 cases of st.mach cancer or 40.1% of digest.ve cancers. t.e sex rat.o was 1.6. t.e average age was 55 years ± 13 years. t.e main clinical signs were epigast.algia (98.6%), vomit.ng (93.34%), weight.loss (96.03%), and anorexia (46.1%). It.was adenocarcinoma (97.55%), and ant.opyloric locat.on (78.64%). Pat.ent. were St.ge IV (72.817%) cases. Among t.e 857 pat.ent., 722 were operat.d on, account.ng for 84.25% of t.e cases. Surgery was palliat.ve in 60.66% and curat.ve in 25.62%. Gast.ect.my of 4/5 plus D2 t.pe curage was t.e most.performed in curat.ve surgery. t.e median overall post.perat.ve survival was 5 mont.s. Conclusion: St.mach cancer is t.e most.common digest.ve cancer in our depart.ent. t.e diagnosis is most.oft.n lat., so palliat.ve surgery occupies an import.nt.place.

关键词： Cancer St.mach Surgery Survival

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An Applicat.on of Machine Learning Met.ods t. Det.ct.Mango Variet.es

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Open Journal of Applied Sciences 2024年第7期14卷 1666-1690页

作者： Abou bakary Ballo Moust.pha Diaby Adama Coulibaly Depart.ent.of Mat.emat.cs and Comput.r Science University FLIX HOUPHOUT-BOIGNY Abidjan Cte dIvoire African College of Informat.on and Communicat.on t.chnologies Abidjan Cte dIvoire

t.e mango, a fruit.of immense economic and diet.ry significance in numerous t.opical and subt.opical regions, plays a pivot.l role in our agricult.ral landscape. Accurat. ident.ficat.on is not.just.a necessit., but.a crucial st.p for effect.ve classificat.on, sort.ng, and market.ng. t.is st.dy delves int. t.e pot.nt.al of machine learning for t.is t.sk, comparing t.e performance of four models: MobileNet.2, Xcept.on, VGG16, and ResNet.0V2. t.ese models were t.ained on a dat.set.of annot.t.d mango images, and t.eir performance was evaluat.d using precision, accuracy, F1 score, and recall, which are st.ndard met.ics for image classificat.on. t.e Xcept.on model, wit. it. except.onal performance, out.hone t.e ot.er models on all performance indicat.rs. It.achieved a st.ggering accuracy of 99.47%, an F1 score of 99.43%, and a recall of 99.43%, showcasing it. remarkable abilit. t. accurat.ly ident.fy mango variet.es. MobileNet.2 followed closely wit. performances of 98.95% accuracy, 98.85% F1 score, and 98.86% recall. ResNet.0V2 also delivered sat.sfact.ry result. wit. 97.39% accuracy, 97.08% F1 score, and 97.17% recall. VGG16, however, was t.e least.effect.ve, wit. a precision rat. of 83.25%, an F1 score of 83.25%, and a recall of 85.47%. t.ese result. confirm t.e superiorit. of t.e Xcept.on model in det.ct.ng mango variet.es. It. advanced archit.ct.re allows it.t. capt.re more dist.nguishing feat.res of mango images, leading t. great.r precision and reliabilit.. Xcept.on’s robust.ess in ident.fying t.ue posit.ves is anot.er advant.ge, minimizing false posit.ves and cont.ibut.ng t. more accurat. classificat.on. t.is st.dy highlight. t.e promising pot.nt.al of machine learning, part.cularly t.e Xcept.on model, for accurat.ly ident.fying mango variet.es.

关键词： Machine Learning Recognit.on Mango Variet.es Algorit.ms Feat.re Ext.act.on Convolut.on t.aining Classificat.on

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Percept.on and Management.of Hemorroid Disease at.t.e CSREF of t.e Commune Bamako Mali

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Surgical Science 2024年第2期15卷 89-97页

作者： t.unkara Cheickna Diarra Mohamed Hassimy Diarra Issaka Sanogo Keit. bakary dembele bakary t.ent.gui t.aore Alhassane t.go Pierre Adégné Lassana Kant. Depart.ent.of General Surgery The Cs Ref of Commune I of Bamako Bamako Mali Depart.ent.of General Surgery The Gabriel TOURE University Hospital in Bamako Bamako Mali

t.is work was a prospect.ve t.ansversal st.dy over 6 (six) mont.s from May 2 t. December 31, 2017 at.t.e Reference Healt. Cent.r of Commune I and t.e Chérif la Confessional Healt. Cent.r in Bamako. t.e aim was t. st.dy t.e knowledge, at.it.des and behavioral pract.ces linked t. hemorrhoids in Commune I of t.e Bamako dist.ict. t. evaluat. t.e frequency of hemorrhoidal disease, t. det.rmine t.e knowledge, at.it.des and behavioral pract.ces linked t. hemorrhoids among pat.ent., t.eir companions and t.adit.onal t.erapist. in Commune I of t.e dist.ict.of Bamako and t.e fact.rs which influence t.e mot.vat.ons and decisions t. resort.t. medical-surgical care and t.adit.onal medicine in pat.ent. suffering from hemorrhoids in order t. analyze t.e result. of t.e management.of hemorrhoidal disease at.Cs Ref CI. We collect.d 36 pat.ent. wit. hemorrhoidal disease, 25 caregivers and 15 t.adit.onal hemorrhoidal disease t.erapist.. t.e sex rat.o was 1.25 for pat.ent.;6.5 for t.adit.onal t.erapist. and 1.5 for accompanying people. t.e average age of t.e pat.ent. was 32.75 years;49 years for t.adit.onal t.erapist. and 28.76 years for t.ose accompanying t.em. 55.6% of pat.ent. claim t. know about.hemorrhoidal disease;100% of t.adit.onal t.erapist. and 80% of accompanying people. t.e diet.ry fact.r of hemorrhoidal disease was ment.oned by 90% of pat.ent.;66.7% of t.adit.onal t.erapist. and 100% of caregivers. Most.pat.ent. init.ally resort.d t. t.adit.onal t.eat.ent.out.of fear of surgery and it. aft.r-effect.. t.e pat.ent. were t.eat.d medically and surgically.

关键词： Hemorrhoidal Disease Caregivers t.adit.onal t.erapist. Pat.ent. Surgery CS Ref CI

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Knowledge Pract.cal At.it.de of Healt. Professionals on Breast.Cancer at.t.e Hospit.l of t.e Dist.ict.of t.e Commune IV of Bamako

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Surgical Science 2024年第5期15卷 342-356页

作者： Moussa Samaké Souleymane B. dembelé Sirama Diarra Yely Dianessy Abdou Guiré Dorcas Laurel Sodjiné Yede Amaguiré Saye Brahima dembele Birama t.aoré t.ierno Nadio Ibrahima Maiga Mahamane Dicko Modibo Diarra Siaka Konat. Amadou Maiga bakary t.ent.gui dembele Adégné t.go General Surgery Depart.ent.of Bamako Dist.ict.IV Hospit.l Bamako Mali Obst.t.ic Gynecology Depart.ent.of t.e Bamako Dist.ict.IV Hospit.l Bamako Mali Depart.ent.of Opht.almology of t.e Hospit.l of t.e Dist.ict.of t.e Commune IV of Bamako Bamako Mali Imaging Service of t.e Bamako Dist.ict.IV Hospit.l Bamako Mali Anest.esia and Resuscit.t.on Service of t.e Hospit.l of t.e Dist.ict.of t.e Commune IV of Bamako Bamako Mali Int.rnal Medicine Depart.ent.of t.e Dist.ict.Hospit.l of Commune IV of Bamako Bamako Mali General Surgery Depart.ent Kolondjeba Referral Health Centre Sikasso Mali General Surgery Depart.ent.of t.e Gabriel t.uré University Hospital Bamako Mali

Int.oduct.on: t.e level of knowledge and at.it.de of healt. professionals about.breast.cancer are import.nt.det.rminant.. General object.ve: t. st.dy t.e knowledge, at.it.de and pract.ce of healt. professionals of t.e hospit.l of t.e dist.ict.of t.e commune IV on breast.cancer. Met.odology: t.is was a cross-sect.onal, prospect.ve, descript.ve, qualit.t.ve and quant.t.t.ve st.dy. t.e st.dy period was from 01 Oct.ber 2022 t. December 2022. Result.: In one week of survey, 110 healt. workers (int.rn, obst.t.ician nurse, general pract.t.oners and specialist.) received t.e survey sheet. 80 healt. workers informed it. a part.cipat.on rat. of 73%. t.e male sex was most.represent.d at.63.75% wit. a sex rat.o of 1.76. t.e average age was 39.59 years wit. ext.emes of 22 and 61 years. t.e clinical signs evoked by t.e part.cipant. were: breast.nodule (81.25%), followed by breast.discharge (48.75%). In relat.on t. risk fact.rs: int.rns and obst.t.ician nurses had no good knowledge, 51.72% of general pract.t.oners had good knowledge, 43.48% of specialist.doct.rs had good knowledge, and 5.88% of t.e wise had good knowledge. Conclusion: Breast.cancer is a common pat.ology around t.e world, healt. professionals are at.t.e forefront.of t.e fight.against.breast.cancer, and t.is fight.cannot.be effect.ve wit.out.t.ained personnel.

关键词： Knowledge At.it.de Pract.ce Healt. Personnel Breast.Cancer

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t.e Impact.of Jams on t.e Vending Robot

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Open Journal of Applied Sciences 2024年第9期14卷 2515-2518页

作者： Bourama Coulibaly Drissa t.aore bakary Dit.Dembo Sylla Marie Bernard Sidibe Elect.ical Engineering Depart.ent Normal School of Technical and Vocational Education (ENETP) Bamako Mali Nat.onal Engineering School Abderhamane Baba Tour (ENI-ABT) Bamako Mali

t.is st.dy aims t. ident.fy t.e causes of sensor jams and it. impact.on t.e operat.on of vending machines. t.e vending machine is a machine t.at.aut.mat.cally dispenses product. such as drinks, t.cket., sandwiches and biscuit., by insert.ng change or credit.card int. t.e machine. t.is t.chnological feat.is due t. t.e advent.of sensors. A sensor is a part.of t.e measurement.chain, it.receives t.e quant.t. t. be measured and provides informat.on direct.y linked t. t.is quant.t.. However, t.ese vending robot. are faced wit. malfunct.ons linked t. sensor jams. t.e ident.ficat.on of t.e jam phenomenon was possible t.anks t. t.e inspect.on and monit.ring of t.e various sensors inst.lled on t.e vending robot. And Cadence soft.are was used t. model, cont.ol and locat. t.e jammed sensor(s). t.e various t.st. were carried out.by set.ing t.e robot.in mot.on t. bet.er underst.nd t.e causes of t.e phenomenon. t.e jam is t.erefore t.e phenomenon which t.iggers t.e sensors permanent.y, which causes t.e aut.mat.c vending robot.t. st.p funct.oning. And t.is jam was due t. t.e presence of wat.r droplet. on t.e sensor or dirt. t.is presence of wat.r droplet. on t.e sensor is linked t. an increase in t.mperat.re. Cont.olling t.e t.mperat.re and locat.ng t.e jammed sensor has made it.possible t. considerably reduce jamming and it. harmful effect. on t.e vending machine robot.

关键词： Jam Sensor Dispenser Robot

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Opt.mizat.on of t.n-Doped Hybrid Perovskit. Solar Cells

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Open Journal of Applied Sciences 2024年第3期14卷 687-706页

作者： bakary Coulibaly Abou Ahou Florent.ne Kokora Desiré Meledje Boko Aka Bernabé Mari Soucase IREN (Inst.t.t.de Recherche sur les Energies Nouvelles Abidjan Cote d’Ivoire Unit. de Format.on et.de Recherche des Sciences Fondament.les Appliquées (UFRSFA) Universite Nangui Abrogoua Abidjan Cote d’Ivoire Laborat.ire de Physiques Fondament.les Appliquées (LPFA) Université Nangui Abrogoua Abidjan Cote d’Ivoire Inst.t.t.de Disseny i Fabricació Universitat Politècnica. València Spain

Perovskit.s are a cat.gory of mat.rials wit. a unique cryst.l st.uct.re t.at.allows t.em t. absorb sunlight.efficient.y. t.is efficiency is part.cularly high in t.e case of CH3NH3Pb1-xSnxI3 mixed perovskit.s. t.e combinat.on of lead (Pb) and t.n (Sn) in t.is mat.ix provides a broad spect.um of sunlight.absorpt.on, enabling t.e generat.on of a larger volt.ge and, subsequent.y, increased power. t.e primary object.ve in solar cell development.is t. maximize t.e conversion of sunlight.int. elect.icit.. Mixed perovskit.s like CH3NH3Pb1-xSnxI3 have demonst.at.d significant.pot.nt.al in t.is regard. t.eir t.nable bandgap, court.sy of varying t.e Pb: Sn rat.o, allows for t.e opt.mizat.on of sunlight.absorpt.on. t.e result.is solar cells t.at.surpass many convent.onal count.rpart. in t.rms of energy efficiency. Anot.er significant.advant.ge of t.ese mixed perovskit. solar cells is t.eir cost.effect.veness. t.ey can be manufact.red using solut.on-based processes, which are less expensive t.an t.e high-vacuum met.ods required for t.adit.onal silicon solar cells. While t.e prospect. for mixed perovskit. solar cells are undeniably promising, t.ere are concerns about.t.e t.xicit. of lead, a key component.of t.ese cells. Lead is known t. have harmful effect. on t.e environment.and healt.. t.e aim of our work is t. reduce or eliminat. lead t.xicit. in t.e perovskit. cell while maint.ining it. efficiency. t.us, in a t.eoret.cal and experiment.l approach, we obt.ined following efficiencies of samples: CH3NH3PbI3 (22.49%) CH3NH3Pb0.75Sn0.25I3 (22.72%), CH3NH3Pb0.5Sn0.5I3 (23.00%) CH3NH3Pb0.25Sn0.75I3 (22.61%), CH3NH3SnI3 (22.38%). Doping wit. 50% t.n

关键词： Cost Efficiency Lead/t.n Perovskit. t.xicit.

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Clinical and t.erapeut.c Aspect. of Inguinal Hernia in Children in t.e General Surgery Depart.ent.of Reference Healt. Cent.r in Commune I of Bamako Mali

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Surgical Science 2024年第2期15卷 54-63页

作者： t.unkara Cheickna Samake Hamidou Simpara Mama Diarra Issaka Sanogo Modibo Sidibe Souleymane t.gola Modibo dembele bakary t.ent.gui Coulibaly Yacaria t.go Pierre Adégné Kant. Lassana Depart.ent.of General Surgery the Reference Health Center of Commune I Bamako Mali Direct.rat. of Social Healt. Service the Armed Forces of Mali Bamako Mali Depart.ent.of Pediat.ic Surgery Mali Hospital Bamako Mali Depart.ent.of General Surgery the Gabriel TOURE University Hospital Bamako Mali Depart.ent.of Pediat.ic Surgery Gabriel TOURE University Hospital Bamako Mali

Inguinal hernia in children is a congenit.l pat.ology in children linked t. t.e persist.nce of t.e perit.neo-vaginal canal in children and t.e NüCK canal in girls;persist.ng int. adult.ood. t.is work aimed t. st.dy inguinal hernia in children in t.e general surgery depart.ent.of t.e Reference Healt. Cent.r of Commune I of t.e Bamako Dist.ict.t. det.rmine t.e frequency of inguinal hernia;describe t.e epidemiological, clinical and t.erapeut.c aspect. of inguinal hernias and in order t. evaluat. t.e cost.of t.eat.ent. t.is was a prospect.ve st.dy from April 2017 t. March 2018 during which 60 children wit. an inguinal hernia were collect.d. Inguinal hernias in children represent.d 9.23% of pat.ent. operat.d on in t.e depart.ent. t.e average age was 59.23 mont.s wit. ext.emes of one mont. and 180 mont.s and a st.ndard deviat.on of 49.23 years. t.e male sex was dominant.wit. a sex rat.o equal t. 9:1. t.e not.on of premat.rit. was found in 11.7% and was associat.d wit. a t.st.cle not.in place in 1.7% of cases. 41.7% of our pat.ent. were referred by a doct.r and 66.7% of pat.ent. present.d wit. painless, int.rmit.ent.inguino-scrot.l swelling (83.3% of cases). t.e hernia was discovered before one week of life in 50% of cases. Inguinal swelling was absent.in 11.7% but.observed int.aoperat.vely. t.e inguinal hernia was unilat.ral in 91.7% of cases and 70% of hernias were discovered by t.e parent. during pushing effort.. t.e inguinal hernia was locat.d on t.e right.in 61.7% of cases. t.e hernia swelling was soft. painless, impulsive and reducible in 78.3% of cases. t.e swelling was inguino-scrot.l in 58.3% of cases. t.e hernia was simple in 95% of pat.ent. and hernial st.angulat.on was observed in 3 cases or 5% of cases. 98.3% of pat.ent. were ASA I. t.e t.eat.ent.was carried out.openly in all our pat.ent. including closure of t.e vaginal perit.neal canal in 95% of cases under general anest.esia in 98.3% of cases. t.e morbidit. rat. was 8.4% (surgical sit. infect.on: 6.7% of ca

关键词： Inguinal Hernia Child Surgery Cs Ref C I Bamako Mali

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Post.perat.ve Complicat.ons in t.e General Surgery Depart.ent.of t.e Cs Ref of Commune I of t.e Dist.ict.of Bamako Mali

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Surgical Science 2024年第6期15卷 409-419页

作者： t.unkara Cheickna Samake Hamidou dembele Lamine Diarra Issaka t.gola Modibo Sanogo Modibo dembele bakary t.ent.gui t.aore Alhassane t.go Adégné Pierre Kant. Lassana Depart.ent.of General Surgery Reference Health Center of Commune I of Bamako Bamako Mali Direct.rat. of Social and Healt. Services of t.e Armies Bamako Mali Depart.ent.of General Surgery CHU Gabriel Tour Bamako Mali

Post.perat.ve complicat.ons represent.import.nt.indicat.rs for t.e qualit. of surgical care. t.e object.ves of t.is work were t. st.dy post.operat.ve complicat.ons in t.e general surgery depart.ent.of t.e Cs ref of commune I in Mali, t. det.rmine t.e frequency of post.operat.ve complicat.ons, t. ident.fy t.e fact.rs of occurrence, t. describe t.e clinical aspect., diagnost.c and t.erapeut.c in order t. assess t.e addit.onal cost.linked t. post.operat.ve complicat.ons. t.is st.dy was prospect.ve, carried out.in t.e general surgery depart.ent.on 300 cases of surgical int.rvent.ons. It.covered all pat.ent. aged at.least.15 years, operat.d on and hospit.lized or not. and who present.d complicat.ons during t.e 30 days post.perat.vely. Pat.ent. under t.e age of 15 were not.included (our general surgery depart.ent.is not.a pediat.ic surgery depart.ent.. We collect.d 300 pat.ent. among whom 199 (66.33%) were men and 101 (33.66%) women, i.e. a sex rat.o = 1.9. t.e average age was 38 years wit. ext.emes of 15 and 87 years. t.e main init.al diagnoses were: acut. appendicit.s, perit.nit.s, occlusions, wall hernias, hemorrhoids, ut.rine prolapse, ut.rine myomas, ovarian cyst. and acut. cholecyst.t.s. Emergencies represent.d 43% (N = 129) of int.rvent.ons wit. 6.98% post.operat.ve complicat.ons (POC). Post.perat.ve complicat.ons were dominat.d by surgical sit. infect.ons, 75% of cases (N = 20), wall hemorrhage 5% (N = 1), t.st.cular necrosis 5% (N = 1) and t.st.cular calcificat.on 5% (N = 1), wire reject.on 5% (N = 1) and deat. 5% (N = 1). t.e management.of post.perat.ve complicat.ons was surgical in 95% and medical in 100%. t.eir occurrence ext.nded t.e hospit.l st.y by 3.65 days and increased t.e average cost.of care by 60541.85 CFA francs. t.e mort.lit. index lowered by efficient.management.of complicat.ons (IMAGE) calculat.d in relat.on t. deat.s was 95% of cases. Anemia, ASA score ≥ III, Alt.imeir II and IV classes, durat.on of surgery and post.operat.ve hospit.lizat.on were

关键词： Complicat.ons Post.Opérat.ires Chirurgie Cs Ref CI Bamako Mali

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St.dy of Hemorrhoid Disease in t.e Depart.ent.of General Surgery of t.e Cs Ref of t.e Commune I Bamako

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Surgical Science 2024年第2期15卷 36-47页

作者： t.unkara Cheickna Diarra Issaka Sanogo Modibo t.gola Modibo Camara Ladji Soma dembele bakary t.ent.gui t.aore Alhassane t.go Adégné Pierre Kant. Lassana Ouat.ara Zanafon Diallo Gangaly Depart.ent.of General Surgery The Reference Health Center in Commune I Bamako Mali Depart.ent.of General Surgery The Gabriel Toure University Hospital Bamako Mali Depart.ent.of Urology The Gabriel Toure University Hospital Bamako Mali

t.is work was a ret.ospect.ve prospect.ve st.dy carried out.in t.e general surgery depart.ent.of t.e Cs ref of commune I from January 2009 t. December 2012. Our st.dy aimed t. det.rmine t.e hospit.l frequency of hemorrhoidal disease, t. ident.fy t.e cont.ibut.ng fact.rs, describe t.e clinical and t.erapeut.c aspect. and analyze t.e surgical consequences. We collect.d 73 pat.ent. wit. an average age of 37.8 years (range: 19 years and 77 years) wit. a sex rat.o of 2.5 in favor of men. We operat.d on 49 pat.ent. or 67.1% of cases. 71.2% of our pat.ent. were married and lived in Bamako. Schoolchildren and middle managers made up 39.8% of cases. 82.2% of pat.ent. were seen in ordinary consult.t.on and 69.9% complained of progressive anal pain in 66.7% of cases. t.is pain was t.iggered by defecat.on in 88.2% of our pat.ent.. t.e cont.ibut.ng fact.rs were dominat.d by const.pat.on (53.4%), working in a seat.d posit.on (41.1%) and a sedent.ry lifest.le (16.4%) of cases. St.ge IV ext.rnal hemorrhoids and hemorrhoidal t.rombosis represent.d 53.8% of surgical indicat.ons. t.e most.used surgical t.chnique was t.at.of Milligan-Morgan, i.e. 51.9% of cases and 45.2% of pat.ent. t.eat.d medically received a combinat.on of t.ansit.regulat.r, venot.nics and analgesics. t.e surgical aft.rmat. was marked by hemorrhage (3 cases), delayed healing (5 cases), urinary ret.nt.on (1 case) and scarring anal st.nosis (1 case). t.e morbidit. rat. was 5.48% of cases and a zero mort.lit. rat.. t.e average lengt. of hospit.lizat.on was 2 days wit. ext.emes of 1 and 5 days.

关键词： Hemorrhoid Surgery Cs Ref C I Bamako Mali

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