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Breast Morphometry in Senegalese Women:Study on a Sample of 118 Subjects

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Advances in Breast Cancer Research 2020年第2期9卷 13-20页

作者： Ndeye Bigue Mar Assane Ndiaye Ainina Ndiaye Karim Yacouba Garba magaye gaye Sokhna Astou Gawane Thiam Issa Dior Seck Racky Wade Jean Marc Ndiaga Ndoye Mamadou Diop Abdoulaye Ndiaye Laboratory of Anatomy and Organogenesis Faculty of MedicinePharmacy and DentistryCheikh Anta Diop UniversityDakarSenegal Training and Research Unit in Health Sciences Assane Seck University of ZiguinchorZiguinchorSenegal

Nowadays, women are more and more resorting to breast surgery for the purposes of isolated esthetics or within the framework of a mammectomy for tumor with its cohort of psychological problems post mutilation often requiring reconstruction. In context of breast cancer increase in Senegal, we have carried out breast morphology in female subjects of the Sahelian type in order to contribute to the development of a morphological database for reconstruction, reduction or breast augmentation. It was a prospective study on 118 female subjects received at Cancer Institute for screening. They were divided into two groups (age ≤ 40 years and age?> 40 years). Subjects’?morphometric variables were collected in anatomical position and correlated with age, parity, obesity and genital activity using. Fifty six subjects (47.5%) were over 40 years of age. There were 40 multiparous (33.9%). Fifteen subjects (12.7%) and six subjects (5%) were obese and morbidly obese, respectively. Subjects in genital activity were 34 (29%). The overall average size of the areola was 4.3 ± 1.5 cm. The nipple was low located with an average of 7.2 ± 3.5 cm. The diameters mentioned above increased significantly with age and body mass index, for p-values ?0.05, with the exception of the vertical diameter. Breast diameters were greater in postmenopausal women. Morphometry of Sahelian-type women’s breast is strongly influenced by socio-demographic data, hence the need to take it into account during reconstruction, reduction or breast augmentation surgeries in Senegal.

关键词： Breasts Morphometry Surgery Sahelian Woman

The Configuration of the Femoral Arterial Bifurcation’s Influence on Its Atherogenesis

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Forensic Medicine and Anatomy Research 2020年第2期8卷 45-53页

作者： magaye gaye Papa Adama Dieng Ainina Ndiaye Racky Wade Sidy Diop Ndeye Fatou Sow Papa Amath Diagne Souleymane Diatta Salmane Ba Mourad Boufi Assane Ndiaye Amadou Gabriel Ciss Abdoulaye Ndiaye Laboratory of Anatomy and Organogenesis-FMPO-UCAD Dakar Senegal Thoracic and Cardiovascular Surgery Department-Fann CHNU Dakar Senegal Vascular Surgery Department North Hospital of Marseille Marseille France Laboratory of Anatomy and Organogenesis-UAS Ziguinchor Ziguinchor Senegal

Several theories point to the influence of the geometry of femoral arterial bifurcation in the formation and evolution of atherosclerosis plaques at the level of common, superficial and deep femoral arteries. The objective of this study is to correlate the degrees of calcifications of the femoral tripod with different morphological parameters, namely conicity, tortuosity, proximal and distal diameters of the arteries and angles between the common femoral artery (CFA) and the superficial femoral artery (SFA) and the profound femoral artery (PFA) and the superficial femoral artery. The results showed that only the tortuosity of the common femoral artery influences the formation of atherosclerosis plaque. These results allow us to predict the degree of calcification of the femoral tripod based on the tortuosity of the common femoral artery.

关键词： Tortuosity Calcification Atherosclerosis Femoral Arterial Bifurcation

Impact of Multifidus Muscle Morphometry on the Clinical Evolution of Chronic Low Back Pain

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Forensic Medicine and Anatomy Research 2023年第1期11卷 1-13页

作者： Ndèye Bigué Mar Aïnina Ndiaye Abdoulaye Ndoye Diop Gor Side Diagne Babacar Diao Souleymane Diao Racky Wade Issa Dior Seck Karim Yacouba Garba Sokhna Astou Gawane Thiam Mamadou Ndiaye magaye gaye Magatte gaye Sakho Jean Marc Ndiaga Ndoye Mamadou Diop Assane Ndiaye Abdoulaye Ndiaye Anatomy Laboratory/Joint Research and Diagnosis Unit Iba Der THIAM University of Thiès Thiès Senegal Laboratory and Organogen of Anatomy Cheikh Anta Diop University of Dakar Dakar Senegal Department of Radiology and Medical Imaging Gaston Berger University of Saint Louis Dakar Senegal Neurology Department Fann Hospital in Dakar Dakar Senegal Urology Service Ouakam Military Hospital Dakar Senegal Orthopedic Traumatology Service Idrissa Pouye Hospital of Grand Yoff-Dakar Dakar Senegal Neurosurgery Department Idrissa Pouye Hospital of Grand Yoff Dakar Senegal Anatomy Laboratory Assane Seck University of Ziguinchor Ziguinchor Senegal

Purpose: The multifidus muscle is an important extensor muscle of the lumbar spine. It plays a major role in the stability and realization of axial rotation movements of the thoraco-lumbar spine. Its atrophy by fatty degeneration would be at the origin of the occurrence of chronic low back pain which constitutes a public health problem in Senegal. Taking into account its anatomy is essential for the etiopathogenic analysis and the treatment of low back pain. The purpose of our work was to investigate the impact of multifidus muscle morphometry on the anatomy-clinical evolution of low back pain. Material and method: this was a prospective study over a period of 30 months from November 2019 to May 2022. It involved 100 patients seen in the neurology department of Fann Hospital for chronic low back pain and who had already had a scanner falling within the criteria for low back pain. We used 3D Slicer, SPSS 20, Excel 2016 software to model and analyze the morphometric data of the multifidus muscle after physiotherapy and control lumbar scans. Results: The sex ratio was 2.23. The average age of the patients was 45 ± 7 years. On the initial CT scan, according to the Hadar classification, we noted a predominance of grade 2 with 56% in L5/S1, followed by grade 1 with 32% and grade 3 with 14%. In L4/L5, the majority of patients, 67%, had grade 1. A conflicting circumferential disc bulge with the roots predominating in L5/S1 was present in 94% of men (p-value = 0.02). Before physiotherapy, the average volume of the multifidus was 193 mm3 ± 39, after physiotherapy it was 203 mm3 ± 42 with a progression rate of 5.2%. Clinically, severe type pain had regressed from 86% before physiotherapy to 0% after physiotherapy (p-value = 0.03). Conclusion: Taking into account the morphometry of the multifidus is an essential element in the management of chronic low back pain.

关键词： Morphometry Multifidus Low Back Pain Physiotherapy

Indications and Results of Repair of the Rhumatismal Valve in Children in Senegal concerning 63 Cases

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World Journal of Cardiovascular Surgery 2020年第5期10卷 51-58页

作者： Momar Sokhna Diop Papa Amath Diagne Ndeye Fatou Sow Papa Salmane Ba magaye gaye Pape Ousmane Ba Souleymane Diatta Moussa Seck Diop Mareme Soda Mbaye Pape Adama Dieng Amadou Gabriel Ciss Assane Ndiaye Thoracic and Cardiovascular Surgery Center Cheikh Anta Diop University Dakar Sénégal

In Africa, acute rheumatic fever is endemic. Cardiac involvement is one of the most common complications in the form of valvular heart disease representing all damages to the heart valves. It is in this perspective that we realized this study whose general objective was to evaluate the results of mitral repair surgery in children in Senegal and the specific objective was to state the indications for mitral repair surgery and assess the results in terms of morbidity and mortality. This is a retrospective and analytical monocentric study, in the thoracic and cardiovascular surgery department of FANN National University Hospital Center in Dakar. It took place over a period of 30 months. All the patients who underwent mitral surgery, aged less than 18 years were included. The total number of patients was 63, including 39 girls and 24 boys, a sex ratio of 0.62. The average age at the time of the surgery was 12 years old [5 - 17]. The functional symptomatology was dominated by the dyspnea found in all the patients. Cardiac ultrasound was diagnosed with mitral regurgitation in all patients. For all surgical procedures, the approach was a vertical midline sternotomy. The mitral valve was approached by left atriotomy in 40 patients (63.5%) and by transseptal way in 23 patients. All patients had undergone mitral valve repair associated or not with either aortic valve repair in 9 patients (14.2%), aortic valve replacement in 3 patients (4.8%), or one tricuspid valve repair in 31 patients (49%). The average duration of intubation was 6 hours [2 - 52]. The average length of stay in intensive care was 2 days. Postoperative complications have been observed. Surgery was performed in 10 patients with 3 mitral valve replacements, 2 aortic valve replacements, a double mitral and an aortic valve replacement associated with a tricuspid repair and in 4 cases a perfection of their mitral repair. Early and late surgical mortality was zero. The average follow-up time for our patients was 9

关键词： Mitral Valve Repair Acute Rheumatic Fever Senegal