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Etiologies, Clinical Presentation and Outcome of Adult Patients Presenting with Bowel Obstruction on a Virgin Abdomen

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Surgical Science 2023年第3期14卷 252-269页

作者： Georges Bwelle Motto Tim Fabrice Yannick Mahamat Ekani Boukar El-Alaoui Mounjid Khadija Emmanuella joseph cyrille chopkeng ngoumfe Arthur Essomba Department of Surgery and Specialties Faculty of Medicine and Biomedical Sciences The University of Yaounde 1 Yaounde Cameroon Departement of Visceral and Digestive Surgery Yaounde Central Hospital Yaounde Cameroon Departement of General Surgery Soa District Hospital Yaounde 2 Yaounde Cameroon

Context: Generally in Africa, BO remains the leading cause of acute abdomen. We therefore sought to study the current etiological factors of intestinal obstruction on a virgin abdomen or unhealed abdomen at the central hospital of Yaoundé in order to better understand the main causes and to better anticipate and improve the diagnosis, management and the evolution of intestinal obstruction on a virgin abdomen. Method: The patients were prospectively included from June 2021 to May 2022, these patients were recruited from the digestive and emergency surgery units of the Yaoundé Central Hospital during the study period and who met the inclusion criteria, with suspicion of partial or total intestinal obstruction or those with an intraoperative confirmed diagnosis were enrolled. Results: We recruited 73 patients including 43 (60.3%) men and 29 (39.7%) women whose mean age was 42.5 years with extremes ranging from 16 to 70 years. Most of them consulted after 72 hours, i.e. 65.2% of cases due to self-medication or even prior consultations in the lower level center at the Central Hospital of Yaoundé. The patients retained for this work presented in majority the symptoms according to the abdominal pains, the stop of the materials and gases;meteorism and vomiting. Abdominal wall hernias with incarcerated intestinal loops were the most common cause of intestinal obstruction in an unscarred abdomen in adults at 38.4% of cases, followed by digestive tumors 23.3% and adhesions 17.8%. Exceptionally, a cluster of roundworms was found as the cause of intestinal obstruction in two of our patients. Complications occurred in 25 patients or 31.5% of cases and were dominated respectively by nausea and hematoma (36%), local infections (24%) and malaria (24%). Death occurred in 5 of our patients, or 6.8% of cases, and was mostly caused by hypovolemic shock (40%) and pulmonary embolism (40%). Conclusion: Intestinal obstructions on the abdomen without scarring remain the prerogative of young

关键词： Acute Abdomen Intestinal Obstructions Etiologies

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Internal Lateral Sphincterotomy in Yaounde: Comparative Short-Term Results of Open versus Closed Techniques

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Surgical Science 2021年第11期12卷 374-380页

作者： Georges Bwelle Motto Yannick Mahamat Ekani Boukar Guy Aristide Bang joseph cyrille chopkeng ngoumfe Fabrice Tientcheu Tim Arthur Essomba Maurice Aurélien Sosso Department of Surgery and Specialties Faculty of Medicine and Biomedical Sciences The University of Yaoundé I Yaounde Cameroon Department of Visceral and Digestive Surgery Yaoundé Central Hospital Yaounde Cameroon Department of Surgery University of Buea Buea Cameroon

Background: Chronic anal fissure is a benign disorder which is associated with considerable discomfort. Aim of the Work: The aim of this study was to compare the post-operative results of open and closed internal lateral sphincterotomies in the short and medium term. Patient and Methods: We carried out a prospective randomized comparative study in the digestive and visceral surgery departments of Central Hospital of Yaounde over a period of 15 months. Patients were evaluated for each technique by several variables, including duration of surgery, post-operative pain, recurrence, surgical wound infection, gas and/or stool incontinence, and healing time with follow-up up to 12 months postoperatively. Results: A total of 63 patients underwent surgery within them we had 32 open lateral internal sphincterotomies (group

关键词： Anal Fissure Internal Lateral Sphincterotomy Open Technique Close Technique

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Outcomes and Quality of Life of Patients with a Digestive Stoma in Sub-Saharan Africa: Case of the Yaounde Central Hospital, Cameroon

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Surgical Science 2021年第11期12卷 381-389页

作者： Georges Bwelle Motto Guy Aristide Bang joseph cyrille chopkeng ngoumfe Yannick Mahamat Ekani Boukar Raissa Larissa Kom de Sendjong Bernadette Ngo Nonga Maurice Aurélien Sosso Department of Surgery and Specialties Faculty of Medicine and Biomedical Sciences The University of Yaoundé I Yaoundé Cameroon Department of Visceral and Digestive Surgery Yaoundé Central Hospital Yaoundé Cameroon Department of Surgery University of Buea Buea Cameroon

Introduction: The installation of a digestive stoma involves changes affecting all aspects of the patients’ lives. The objective of this study was to determine the impact of a digestive stoma on the quality of life of patients operated on at the Yaounde Central Hospital (YCH). Patients and Methodology: We conducted a prospective descriptive study over a period of 12 months from June 2018 to May 2019 in all patients with a digestive stoma for at least 3 months operated on at the YCH. The follow-up was done within 12 months. Quality of life was assessed using the stoma QOL (quality of life) and self-image using the BIS (Body Image Scale). Results: We collected a total of 34 patients, of whom 22 were male, giving an M/F sex ratio of 1.8. The average age of the patients was 42.8 years. The indications were tumoral in 44.11% of cases (n = 15) and non-tumoral in 55.88% of cases (n = 19). The colon was the most frequently ablated organ (n

关键词： Stoma Quality of Life Self-Image Cameroon

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Etiologies, Clinical Presentation and Outcome of Adult Patients Presenting with Bowel Obstruction on a Virgin Abdomen

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Surgical Science 2023年第3期

作者： Georges Bwelle Motto Tim Fabrice Yannick Mahamat Ekani Boukar El-Alaoui Mounjid Khadija Emmanuella joseph cyrille chopkeng ngoumfe Arthur Essomba

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