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Epidemiological Profile of Intestinal Obstructions in Koutiala, Mali: About 65 Cases

Surgical Science 2020年第6期11卷 117-121页

作者： Mahamadou Coulibaly drissa Traoré Birama Togola Souleymane Sanogo Bréhima Bengaly drissa Ouattara Siaka Diallo Madiassa Konaté Nouhoum Ongoiba Faculty of Medicine University of Science Technique and Technologies of Bamako Bamako Mali Department of Surgery Koutiala Hospital Bamako Mali Department of Surgery University Hospital Center Point G Bamako Mali Department of General Surgery CHU Gabriel Touré Bamako Mali

Aim: To assess the epidemiological profile of intestinal obstructions at the Koutiala district hospital. Patients and Method: This was a prospective and descriptive study taking place from August 1, 2017 to April 30, 2020. The files of patients with acute intestinal obstruction in the general surgery department of the Koutiala district hospital were collected. In this study, patients operated on for acute intestinal obstruction were included. Non-operated patients were not included in the study. Result: The records of 65 patients operated on for acute intestinal obstruction were collected. The mean age was 32 ± 22 with extremes of 1 year and 94 years. 7 infants (10.8%) and 1 4-year-old child (1.5%) were identified. The 16 to 59 age group was more common. Males were the majority with 70.8% (n = 46). The sex ratio was 2.4. The rate of bowel obstruction in the general population in the circle was 8.1 cases per 100,000 population. According to provenance, patients came from inside the circle (rural areas) in 87.7% of the cases (n = 57) and from the city of Koutiala in 12.3% (n = 8). 33.9% of our patients had undergone laparotomy (n = 22). Patients consulted urgently in 93.8%. The etiologies are dominated by post-operative straps (33.8%) and volvulus (24.6%). We noted 12 cases of intestinal necrosis. Postoperative morbidity was 13.8% of cases (n = 9) and mortality of 6.1% of cases (n = 4). Conclusion: Bowel obstruction is one of the most frequent surgical emergencies in our circle. They most often affect young subjects and young adult males. The etiologies are dominated by the post-operative flanges. Complications remain elevated.

关键词： Epidemiology Intestinal Obstruction Koutiala

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Urinary Tract Infections Identified in the Preoperative and Their Sensitivities to Antibiotics

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Open Journal of Urology 2018年第5期8卷 171-176页

作者： Amadou Kassogué Fadima Tall Daouda Diallo drissa Cissé Zanafon Ouattara Department of Urology University Hospital of Pr Bocar Sidy Sall Kati Mali Department of Anaesthesia and Intensive Care University Hospital of Pr Bocar Sidy Sall Kati Mali Department of Urology University Hospital of Gabriel Toure Bamako Mali

Introduction: Urinary tract infection is a public health problem. Patients who have to undergo urology surgery are exposed to infectious complications if there is an untreated urinary tract infection. The objective of our study is to identify all the germs responsible for urinary tract infections discovered in the preoperative assessment of hospitalized patients with their susceptibility and antibiotic resistance profiles. Patients and Methods: This is a retrospective and descriptive study of 124 cases of cytobacteriological examination of urine collected over 2 years from January 1st, 2016 to December 31st, 2017, performed in the urology department of the University Hospital of Bocar S. Sall of Kati. The parameters studied were: age, sex, reason for admission, the diagnosis chosen, the result of the cytobacteriological examination of urine and the antibiogram. Results: We collected 124 cases of cytobacteriological examination of urine during this period. The average age of our patients was 58 years old with extremes ranging from 3 years to 84 years. The sex ratio was 6 in favor of men. 86 patients, or 69%, were admitted for micturition disorders. In 53.2%, the diagnosis was BPH followed by urolithiasis 22.6%. Cytobacteriological examination of urine identified 55 cases of urinary infection, 44%. In 34 cases or 60%, the germ responsible was an E. coli. Two germs were sensitive only to one antibiotic. Conclusion: This study made it possible to have an idea about the antibiotic susceptibility of germs involved in urinary tract infections. Awareness-raising for the proper use of antibiotics needs to be strengthened to minimize the risk of increasing antibiotic resistance.

关键词： Urinary Infection ECBU Antibiogram Antibiotics

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Environmental Risk Factors for Stomach Cancer in an African Setting about 193 Cases at the CHU Point G in Bamako/Mali

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Surgical Science 2021年第2期12卷 23-30页

作者： Souleymane Sanogo drissa Traoré Mamadou Coulibaly Birama Togola Bréhima Bengaly Ousmane Ibréhima Touré drissa Ouattara Bréhima Coulibaly Babou Ba Siaka Diallo Nouhoum Ongoiba Surgery B CHU Point G Bamako Mali USTTB Faculty of Medicine Bamako Mali Koutiala Regional Hospital Koutiala Mali

CHU (University Hospital Center) Point G: The department of surgery B is a surgical department of CHU Point G. The department is par excellence a reference department for cases of visceral surgery, cancer surgery, cardiovascular surgery, plastic and endocrinology surgery. As a reminder, the CHU Point G is the largest 3rd level referral hospital in Mali. Aim: To study the environmental risk factors of stomach cancer in the B surgery department of the Point G University Hospital in Bamako. Patients and Methods: We performed a cross-sectional study with retrospective collection from January 2008 to June 2018 (126 months). Results: We have identified 380 cases of digestive cancer, including 193 cases of stomach cancer or 50.79% of digestive cancers. The mean age of the patients was 57.21 ± 13 years. Male sex represented 55% (n = 106). Eating habits were dominated by the consumption of tô with potash (cereal paste) with 64.76% (n = 185). The main methods of preserving meat and fish were curing and smoking with 57.51% (n = 111). Chronic smoking was found in 24.35% (n = 47), alcohol + tobacco consumption in 2.59% (n = 5). The low socio-economic class represented 126 cases or 65.38%. Housewives and cultivators were respectively 37.82% (n = 73) and 227.97% (n = 54). 20.20% (n = 39) had a history of epigastric pain. Epigastralgia was the most common functional sign with 84.5% of cases (n = 169). An epigastric mass was found in 72 patients or 37.3%. Adenocarcinoma represented 97.4% (n = 188).

关键词： Stomach Cancer Environmental Risk Factors African Setting CHU Point G

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Choked Inguino-Scrotal Hernia and Fistulising in the Scrotum at the Hospital Somine DOLO of Mopti:A Clinical Observation

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Surgical Science 2019年第3期10卷 71-75页

作者： Abdoulaye Kanté Djibril Traoré Siaka Diallo drissa Ouattara Bréhima Bengaly drissa Traoré Moustapha Issa Magané Mariam Daou Nouhoum Ongoiba Service of General Surgery Somine Dolo of Mopti HospitalBamakoMali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology BamakoMali Service of Surgery B CHU Point GBamakoMali Service of Anesthesia and Resuscitation CHU Gabriel TouréBamakoMali Service of Neurology CHU Gabriel TouréBamakoMali

We report a case of grave and rare surgical complications nowadays, which calls out to us on the necessity of a bigger raising sensitization on the coverage of the constrictions hernial at the adult. It is about a case of right inguino-scrotal hernia choked secondarily complicated with a scrotal coecostomie at a 64-year-old man. The delay in the care was in touch with a traditional treatment but also in the poverty of the patient which was a needy the total care of which was assured by the social services department of the hospital. The perioperative exploration found a cecostomy the mucous membrane of which was inverted in the opening of the stoma, an ulceration of the peristomial scrotum with a normal macroscopic aspect of the testicle homolateral. The care was made at single time: parage and scrotal suture more resection segmental of the coecum followed by an anastomosis ileocolic terminoterminal and a cure of the hernia according to Shouldice. The operating suites were simple with ablation of the threads to operating J12 comment and the liberation of the patient the next day. The clinical evolution was satisfactory with a backward movement of 4 years.

关键词： Choked Grown-Up Hernia Scrotal Coecostomie

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Premature Division of the Inferior Laryngeal Nerve in Surgery and in ENT and Cervico-Facial Surgery in Mali

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Forensic Medicine and Anatomy Research 2019年第1期7卷 1-7页

作者： drissa Traoré Abdoulaye Kanté Youssouf Sidibé Bréhima Bengaly Bréhima Coulibaly Babou Ba drissa Ouattara Siaka Diallo Mariam Daou Birama Togola Nouhoum Ongoiba Service of Surgery B.CHU Point G BamakoMali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology BamakoMali ENT and Head and Neck Surgery Department CHU“Mother-Child”BamakoMali Service of Neurology CHU Gabriel TouréBamakoMali

The purpose of this study was to study the frequency of premature division of the inferior laryngeal nerve and its consequences in thyroid surgery. Methodology: We realized a forward-looking and retrospective study from January, 1979 till December, 2017 in the service of surgery B to the University hospital of the Point G of Bamako and in the service of ENT and cervico-facial surgery of the CHU “mother-child”, the Luxembourg of Bamako (Mali). All the patients operated in both services for mild goiters were included. Cancers and other thyroid pathologies were not included. The diagnosis of mild goiter was paused by the histological examination realized on all the surgical specimens. Results: On 2109 dissections of the lower laryngeal nerve realized during the surgical operations on the thyroid 95.1% of the cases, the nerve had a single branch;in 4.1% of the cases, the nerve had two branches;and in 0.8% of the cases, the nerve had more than 2 branches. Conclusion: The complications of the thyroid surgery in touch with the hurts of the lower laryngeal nerve are known. However, our study shows that these do not seem to be influenced by the premature division of the lower laryngeal nerve.

关键词： Anatomy Inferior Laryngeal Nerve Recurring Nerve Thyroid Surgery Goiter

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Synthesis and Anticandidosic Activities of Some 3-Imidazo[1,2-a]Pyridinyl-1-Arylpropenone Derivatives

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Advances in Biological Chemistry 2022年第4期12卷 81-91页

作者： Kouassi Francesco Adingra Souleymane Coulibaly Kacou Alain Mahama Ouattara drissa Sissouma Laboratoire de Constitution et Réaction de la Matière UFR Sciences des Structures de la Matière et Technologie Université Félix Houphou&euml t Boigny Abidjan C&ocirc te d’Ivoire Département de Chimie Thérapeutique et Chimie organique UFR Sciences Pharmaceutiques et Biologiques Abidjan C&ocirc te d’Ivoire

In this work, we show the synthesis of ten (10) new derivatives of 3-imidazo [1,2-a]pyridinyl-1-arylpropenone (10a - d). These new compounds were obtained by condensation of Claisen-Schmidt between derivatives of 2-substi- tuted-1H-imidazo[1,2-a]pyridine-3-carbaldehyde (3a - b and 7) and acetophenone derivatives (9a - e) in the presence of a base. The synthesized compounds were characterized by spectroscopic analyses 1H and 13C NMR. The antifungal activity of the ten (10) derivatives was determined on a resistant strain of Candida albicans by the microdilution method. The results showed that four (4) of them (10a, 10b, 10c and 10i) were active with minimum inhibitory concentrations (MICs) below 300 μmol/L. Of these four compounds, 10i was more potent than the others with a MIC of 41.98 μmol/L.

关键词： Imidazo[1 2-a]Pyridine Arylpropenone Candida albicans Antifungal

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Post-Traumatic Duodenal Rupture at the Fousseyni Daou Hospital in Kayes, Mali: A Case Report

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Surgical Science 2022年第6期13卷 300-306页

作者： Sangare Sidy Sogoba Gaoussou Traore Lamine Issaga Kouyate Mamaye Katile drissa Goita Lassana Dembele Sadio Traore Allassane Dembélé Bakary Tientigui Traore drissa Togo Adegné Department of General Surgery Fousseyni DAOU Hospital Kayes Mali Department of Paediatric Surgery Fousseyni DAOU Hospital Kayes Mali Department of Gastroenterology Fousseyni DAOU Hospital Kayes Mali Department of Anaesthesia and Resuscitation Fousseyni DAOU Hospital Kayes Mali Department of General Surgery Gabriel TOURE Hospital Bamako Mali Department of General Surgery Point G Hospital Bamako Mali

Lesions resulting from duodenal involvement are rare. Their diagnosis and management remain difficult because of the topographic location of most of the duodenum in the retroperitoneum. We report a case of isolated duodenal rupture. At the time of the first operation, the duodenal lesion had gone unnoticed. During our management, we discovered a rupture of the lower knee of the second duodenum and we performed a triple anastomosis after the closure of the ends (proximal and distal). The immediate postoperative course was complicated by the death of the patient on the second day of surgery. Duodenal lesions have much mortality which is increased by the delay in diagnosis and management.

关键词： Emergency Duodenal Rupture Abdominal Contusion

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Volvulus of the Sigmoid Colon without Necrosis: Therapeutic Aspects in Hospital Fousseyni Daou Hospital in Kayes, Mali

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Surgical Science 2022年第12期13卷 592-599页

作者： Lamine Issaga Traore Sidy Sangare Mamaye Kouyate Gaoussou Sogoba drissa Katile Adama S. Diakite Lassana Goita Sadio Dembele Djibril Traore drissa Traore General Surgery Department of the Fousseyni DAOU Hospital Kayes Mali National Center for Scientific Research and Technology (CNRST) Bamako Mali Pediatric Surgery Department of the Fousseyni DAOU Hospital Kayes Mali Gastro-Hepato-Enterology Unit of the Fousseyni DAOU Hospital Kayes Mali Urology Department of Fousseyni DAOU Hospital Kayes Mali Anesthesia and Intensive Care Unit at Fousseyni DAOU Hospital Kayes Mali General Surgery Department of Somine DOLO Hospital Mopti Mali General Surgery Department of the University Hospital of Point G Bamako Mali

The volvulus of the sigmoid is known since ancient Egypt. In the 5th century BC, hippocrates laid the foundations for its management. The first observation of this condition was not reported until 1836 by Von Rokitansky, and then in 1859, Melchior described its physiopathological consequences. It was the Norwegian Brusgaard who reported, for the first time, in 1947, the effectiveness of a non-operative treatment. Purpose: Describe morbidity, mortality and the impact of co-morbidity factors on the choice of operative techniques. Patients and Methods: This is a retrospective cross-sectional study performed at the Fousseyni Daou Hospital in Kayes from January 2014 to December 2021. We included all patients operated for sigmoid volvulus without necrosis. The parameters studied were the comorbidity factor, surgical modalities, morbidity and mortality. Results: We collected 31 patients, of whom 29 were men and 2 were women, for a sex ratio of 14.5. The mean age was 55 years with extremes (29 - 78 years). Sigmoidectomy with colorectal anastomosis was performed in 19 cases (61.3%), the average age of these patients was 46.16 years, the comorbidity factor was 1 case (3.2%), the postoperative course was simple in 12 cases (63.1%), the morbidity was 6 cases (26.3%) and mortality 1 case (3.2%). Untwisting with colopexy was performed in 11 cases (35.5%), the average age was 65.91 years, comorbidities were present in 9 cases (82%), the postoperative course was simple in 9 cases (82%), morbidity was 1 case (9%) and mortality 1 case (9%). Hartman colostomy was performed in 1 case (3.2%), the age was 60 years, the morbidity was nil. Overall, the postoperative course was simple in 22 cases (71%), the overall morbidity was 7 cases (22.6%) and mortality 2 cases (6.4%). Conclusion: At the end of our study, we can note that the choice of the operative technique for the volvulus of the sigmoid without necrosis can be influenced by the presence of major comorbidity and the morbi-mortality

关键词： Volvulus without Necrosis Surgical Technique Comorbidity Morbidity Mortality

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Mapping of Potential Recharge Areas of Fractured Aquifers in the Departments of Yamoussoukro and Toumodi (Central Côte d’Ivoire)

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Journal of Geographic Information System 2022年第5期14卷 527-545页

作者： Kouassi Hervé Jacques Kokobou Arthur Brice Konan-Waidhet Tanina drissa Soro Jean Biemi Laboratory of Science and Technology of Environment Jean Lorougnon Guédé University Daloa C&ocirc te d’Ivoire UFR STRM/Felix Houphouet Boigny University Abidjan C&ocirc te d’Ivoire

Groundwater is an important natural resource for all human activity. Today, due to climate change and population growth, the demand has increased considerably, thus requiring their evaluation to ensure sustainability. However, one of the important but difficult to estimate parameters due to its variability is the recharge. This work aims to map the potential recharge of aquifers in the departments of Yamoussoukro and Toumodi. Saaty’s AHP (Analytical Hierarchy Process) multi-criteria analysis technique was used by integrating different thematic layers. First, a reclassification then weighting of these parameters was made according to their influence in the recharge process. Finally, they were integrated into a GIS to produce the map of potential groundwater recharge zones. The results indicate that the potential high recharge areas represent approximately 43.11% of the area of the study area. These areas appear scattered in the sub-prefecture of Yamoussoukro, Kokoumbo Attiegouakro, Toumodi et Kpouèbo.

关键词： Groundwater Recharge Multi-Criteria Analysis GIS Cote d’Ivoire

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Ainhum (Or Dactylolysis Spontaneous) at the Fousseyni Daou Hospital in Kayes about a Case

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Surgical Science 2022年第8期13卷 367-373页

作者： Sangare Sidy Traore Lamine Issaga Sogoba Gaoussou Kouyate Mamaye Katile drissa Toure Hamidou Ababa Cisse Abdoulaye Traore Allassane Dembélé Bakary Tientigui Togo Adégné Traore drissa General Surgery Department Fousseyni Daou Hospital Kayes Mali Pediatric Surgery Department Fousseyni Daou Hospital Kayes Mali Gastroenterology Department Fousseyni Daou Hospital Kayes Mali Dermato-Venereology Department Fousseyni Daou Hospital Kayes Mali General Surgery Department Gabriel Toure Hospital Bamako Mali General Surgery Department Point G Hospital Bamako Mali

Aïnhum or spontaneous dactylolysis is a progressive constriction of the digito-plantar fold of the fifth toe which leads after several years of evolution to a spontaneous amputation of the toe. Classically, a distinction is made between “true Aïnhum” of unknown cause, which affects only blacks and those of African (sub-Saharan) descent;“pseudo-Aïnhum”, which follows various causes such as an inflammatory flange or foreign body constriction;and finally, palmo-plantar keratoderma, of genetic origin, such as Vohwinkel disease. We report a case of Aïnhum received at stage III of the pathology and who benefited from an amputation of the fifth toe.

关键词： Aïnhum Spontaneous Dactylolysis Idiopathic Amputation

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