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Ulcero-Necrotic Wound: Socio-Economic Impact, Kayes, Mali

Surgical Science 2022年第6期13卷 280-287页

作者： Lamine Issaga Traore Sidy Sangare Gaoussou Sogoba Mamaye Kouyate Abdoulaye Cisse Bakary Skeita Sadio Dembele lassina goita Adama Sdiakité Mariam Sanogo Moussa Camara Drissa Traore Department of General Surgery of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of Pediatric Surgery of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of Dermatology and Venereology of the Hospital Fousseyni Daou de Kayes Kayes Mali Infectious Diseases Unit of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of Anesthesia and Intensive Care of the Hospital Fousseyni Daou de Kayes Kayes Mali Departmenturology of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of Social of the Hospital Fousseyni Daou de Kayes Kayes Mali Department of General Surgery of the Hospital CHU du Point “G” Kayes Mali

The issue of wound care has always played an important role in the practice of medicine. This is evidenced by Ambroise Paré’s decision to publish his first work on this subject, “La manière de traiter les Plaies” (The Way of Treating Wounds) in 1545. Objective: To evaluate the therapeutic methods we practice and to describe the impact of the pathology on socio-economic and professional development. Patients and Method: This was a retrospective study carried out at the Fousseyni Daou Hospital in Kayes from January 1, 2018, to December 31, 2020. We included all patients with an ulcero-necrotic wound on immunocompetent terrain hospitalized in the department. Patients with ulcerative necrotic wounds of diabetes, HIV, or cancerous origin were not included. The parameters studied were: etiologies, local care, sequelae, and socio-economic and professional aspects. Results: We collected 57 patients of whom 43 were men and 14 were women, i.e. a sex ratio of 3. The mean age was 40.7 years with a standard deviation of 8.4 with extremes (7 years and 80 years). The average consultation time was 25.1 days. The most represented socio-professional stratum was agropastoralism in 37 cases (65%). The predominant etiological factor was neglected traumatic wounds in 34 cases (59.6%). The site was the lower limb in 39 cases (68.5%). The germ found was Staphylococcus aureus in 21 cases (36.8%). The particularity during local care was the use of table sugar in 9 cases (15.7%) and maggot therapy in 2 cases (3.5%). Hyperthermia was the clinical sign of aggravation in 22 cases (38.6%) and we diagnosed 2 cases (3.5%) of tetanus. The mortality rate was 15.7% (9 cases) and 30 cases (52.7%) of sequelae after recovery. The average length of hospitalization was 38 days. Hospital care was provided by the social welfare service in 35 cases (61.4%). Nineteen (19) patients (39.5%) were unable to resume their socio-professional activity. Conclusion: Ulcero-necrotic wounds are complex to manage and can h

关键词： Ulcero-Necrotic Wound Surgery Disability Socio-Economic

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Prognosis of the Patients in Resuscitation Field in Mali

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Open Journal of Anesthesiology 2019年第12期9卷 213-220页

作者： Broulaye Massaoule Samake Andre Kassogue Blaise Adelin Tchaou Aichata Konate Fadima Koureissi Tall lassina goita Seydina Alioune Beye Hamadoun Dicko Mamadou Karim Toure Mohamed Keita Dieneba Doumbia Service of Anesthesia and Resuscitation Teaching Hospital Gabriel Toure BamakoMali Service of Anesthesia Resuscitation and EmergenciesAcademic Hospitable Center and Department of the Bourgou/AliboriParakouBenin Service of Anesthesia Resuscitation and Emergency of the Academic Hospitable Center of KatiKatiMali Service of Anesthesia Resuscitation and the Emergencies of the Center Hospitable Academic Point GBamakoMali Service of Anesthesia Resuscitation and Emergency of the Academic Hospitable Center Luxemburg BamakoMali

Introduction:The patients whose vital prognosis is immediately threatened by one or several serious organs failures and consecutive to various pathologies are admitted in resuscitations(IUC).The rates of morbi-mortality are raised in ***:To study the prognostic *** and Methods:It was about a transverse survey from January 2015 to April 2016 in the unit of polyvalent resuscitation of the service of anesthesia resuscitation of the academic hospital center of Gabriel *** included all patient admitted for medico-surgical pathologies of more than three hours of *** was about a consecutive recruitment of *** Chi^(2) and Fisher tests were used for the comparison of our results with a p value=0.05 considered as *** consent of the patients or parents was *** survey didn’t include a potentially dangerous ***:During the period,624 patients have been collected of which:50.4%were medical pathologies,19.4%surgical pathologies and 30.2%of gynéco-obstetric *** least a complication had occurred in 11.2%.Mortality was of 27%.The sex-ratio was of *** middle age was of 31.88±17,2 years with extremes of 2 years and 80 *** met complications were:the scab,the syndrome of acute respiratory distress(ARD),the urinary infection,the pneumopathie,the shock,thrust hypertensive,stops cardio circulatory with respectively 35.1%,26.6%,22.3%,6.4%and 3.2%.The middle length of stays was of 4.83±5.32 days with extremes of 1 day to 29 ***:The complications under hospitalization in unit(IUC)of resuscitation in Mali are a major challenge in term of prevention and *** potentially non serious pathologies complicate themselves and compromise the vital prognosis.

关键词： Morbimortality Resuscitation Academic Hospitable Center Mali

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Perioperative Materno-Fetal Morbimortality Related to the Caesarean in the Hospital Setting in Mali

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Open Journal of Obstetrics and Gynecology 2020年第12期10卷 1693-1701页

作者： Samaké Broulaye Massaoulé Tchaou Blaise Adélin goita lassina Kassogué André Bocoum Amadou Beye Seydina Alioune Monkam Yamadjeu Goliath Kéta Bakary Dabo Aminata Traoré Youssouf Tall Fadima Kouréissi Dicko Hamadoun Kéita Mohamed Tékété Ibrahim Department of Intensive Care Unit at the University Hospital Gabriel Touré Bamako Mali Department of Anesthesia-Resuscitation and Emergency University and Departmental Hospital Center Borgou Alibori Parakou Benin Department of Gyneocology at the University hospital Gabriel Touré Bamako Mali Department of Emergency Care and Intensive Care Unit at the University hospital Kati Mali Department of Intensive Care Unit at the University Hospital Point G Bamako-Mali Bamako Mali

Introduction: During childbirth by Caesarean, several types of anesthesia can be used. The Caesarean, the most practiced surgical delivery technique in obstetrics, has a risk for complications for both the pregnant women and newborns. Objective: To evaluate the importance of the complications due to Caesarean in the Teaching hospital Gabriel Toure. Patient and Methods: We conducted a cross sectional survey in the departments of intensive care unit and gyneco-obstetric from January to August 2017 in the University hospital Gabriel Touré of Bamako. Our study population was pregnant women who gave birth to children by Caesarean. We included all cases of preventive and emergent Caesarean under loco-regional or general anesthesia. Data were compiled from the obstetrical files of the patients, the anesthetic consultation registry and the databasis of the department of gyneco-obstetric. The test of khi2 of Pearson was used for the comparison of our results with a value of p The consent of the patients or parents was gotten. The survey didn’t include a potentially dangerous act.

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