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Practice of Pediatric neurosurgery at the “Hôpital SpécialiséMère-Enfant Blanche Gomes” in the Republic of the Congo

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Open Journal of Modern neurosurgery 2023年第1期13卷 41-50页

作者： Boukaka Kala Rel Gerald Kinata Bambino Sinclair Brice Ekouele Mbaki Hughes Brieux bingui outman pascal diogène Boukassa Léon Moukouengo nee Kaya Fleur Patricia Mabiala Babela Jean Robert Service de chirurgie pédiatrique H&#244 pital spécialisé Mère-Enfant Blanche Gomes (HSMEBG) Brazzaville Républic of the Congo Service de Chirurgie Polyvalente CHU de Brazzaville Brazzaville Républic of the Congo Faculty of Health Sciences Université Marien Ngouabi Brazzaville Républic of the Congo Service de Pédiatrie H&#244 pital spécialisé Mère-Enfant Blanche Gomes (HSMEBG) Brazzaville Républic of the Congo

Introduction: Pediatric neurosurgery is a growing specialty in its own right worldwide. Its practice in sub-Saharan Africa remains confronted with many challenges, notably the absence of a pediatric neurosurgeon, the lack of a dedicated service and the absence of multidisciplinary pediatric collaboration (neuroanesthesist, neurologist, oncologist and psychotherapist). The objective of this preliminary study is to describe the practice of pediatric neurosurgery at the HSMEBG and to present perspectives for its improvement. Methods: This is a retrospective, monocentric, descriptive study covering the period from March 2021 to March 2022 at the Pediatric Surgery Department of the HSMEBG. Résults: During the study period, 50 children were hospitalized for a neurosurgical condition. The sex ratio was 1.77. The average age was 6 years with extremes of 2 weeks and 16 years. Most children were from the emergency department (46%). Computed tomography (CT) was performed in 35 patients (70%), magnetic resonance imaging (MRI) in 4% and plain radiography in two patients (8%). Malformative, traumatic (cranial and spinal) and tumor pathology were the most frequent with 42%, 36% and 12% respectively. Twenty-six patients were operated (52%). We recorded one postoperative infection (2.5%). The overall mortality was 8% (N = 4). Conclusion: This preliminary study allowed us to identify the epidemiological and clinical profile of the patients treated in our context as well as the therapeutic approach. Malformative pathology remains the most frequent, followed by traumatic and tumor pathology. The development of the practice of this discipline remains a challenge in our working conditions and requires the training of pediatric neurosurgeons and dedicated paramedical staff.

关键词： neurosurgery Pediatric Practice Brazzaville

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Socio-Demographic Profile of Adults Admitted in Emergency for Brain Trauma Injuries at the University Hospital of Brazzaville (Congo)

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Open Journal of Modern neurosurgery 2019年第1期9卷 43-48页

作者： Hugues Brieux Ekouele Mbaki pascal diogène bingui outman Marie Elombila Darius Eryx Mbou Essie Christ Mayick Mpoy Emy Monkessa Rel Gerald Boukaka Kala Léon Boukassa Gilbert Fabrice Otiobanda Faculty of Health Sciences Marien Ngouabi University Brazzaville Congo Department of Intensive Care University Hospital of Brazzaville Brazzaville Congo Cheikh Anta Diop University Dakar Senegal

The aim of this study was to evaluate socio-demographic profile of adults admitted in emergency for Traumatic Brain Injury (TBI) at the University Hospital of Brazzaville in the Republic of Congo. We performed a prospective study within a period of six months, into the surgical unit of the emergency department of the University Hospital of Brazzaville. A total of 2617 patients were recorded, among which 268 cases were TBI (10.25%) where 142 cases were sampled in our series. The average age was 36.7 ± 16.6 years. The sex ratio was 6.1. The TBI was mainly due to road accident in 121 cases (85.2%) described as follows: motorcycle accident about 48 cases (39.7%) and the pedestrian’s injuries about 42 (34.8%). In the majority of the cases, cautions were not taken by the drivers;during the case of the motorcycle accident, about 97.9% of the riders did not wear a helmet. The TBI remains a growing public health concern in the low-income countries, like in Africa. Measurements on the road traffic regulation are to be strengthened to reduce the growth of this silent epidemic.

关键词： Traumatic Brain Injury Road Accident Brazzaville

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Characteristics of Deaths of Children in the Pediatrics Department of Hôpital Spécialisé Mère-Enfant Blanche Gomes (Republic of the Congo) from 2019 to 2021

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Open Journal of Pediatrics 2023年第4期13卷 581-593页

作者： pascal diogène bingui outman nelly Sandrine Guembo Pandzou Rolyne Vanissia Madzou Nganie Verlem Bomelefa-Bomel Benoite Diatewa Kadidja Grace Nkounkou Milandou Jean Brice Mouendenguia Luopou Lamah Audrey Niangui-Bakala Dorthéa Banga Massalat Rel Gérald Boukaka Kala Jean Robert Mabiala Babela Pediatrics Department H&#244pital Spécialisé Mère-Enfant Blanche Gomes (HSMEBG) Brazzaville Republic of the Congo neonatology Department H&#244pital Spécialisé Mère-Enfant Blanche Gomes Brazzaville Republic of the Congo Pediatric Surgery Department H&#244pital Spécialisé Mère-Enfant Blanche Gomes Brazzaville Republic of the Congo Pediatrics Department University Hospital Center of Brazzaville Brazzaville Republic of the Congo Faculty of Health Sciences Marien Ngouabi University Brazzaville Republic of the Congo

Introduction: The United Nations Sustainable Development Goals (SDGs) aim to decrease the global maternal mortality ratio to below 70 per 100,000 live births and eliminate preventable deaths of newborns and children under the age of five in all countries by 2030. The pediatric department at Spécialisé Mère-Enfant Blanche Gomes Hospital (HSMEBG) is divided into two sectors, one catering to children aged one month to four years and the other dedicated to children aged five to 17 years. According to department records, over the past three years, there has been an average of 1050 hospitalizations per year, with an average duration of five days. Objectives: This study aims to describe the socio-demographic characteristics of children who died while in the pediatrics department of the HSMEBG and analyze the factors associated with their deaths. Methodology: A retrospective analytical cross-sectional study was conducted, collecting data over a three-year period, covering the years 2019, 2020 and 2021. Data were collected from medical records of deceased children using Excel software version 2016, and statistical calculations and logistic regression were performed using Epi info software version 7.***.5.0. Results: During the three years of operation, the pediatric department at HSMEBG recorded 3060 new admissions, of which 271 resulted in death, representing an overall frequency of 8.8%. December and January had the highest mortality rates, accounting for 15.5% and 12.5%, respectively. Out of the 271 recorded deaths, 143 (52.77%) occurred in children under the age of one, and 230 (84.87%) occurred in children under the age of five. The average age at death was 2.4 years, ranging from one month to 17 years. The sex ratio was 1. More than half of the deaths (51.66%) occurred during the night, and 165 (60.89%) sought medical help more than three days after the onset of symptoms. Weekend deaths accounted for nearly half (45.7%) of the cases. Upon admission, slightly over half of

关键词： Death Children Associated Factors Brazzaville

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