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Acute Renal Failure in COVID-19 Patients in Intensive Care at the chu du point g in Mali

Open Journal of Nephrology 2023年第4期13卷 385-394页

作者： Diallo Boubacar Coulibaly Nouhoum Dicko Hammadoun Berthe Modibo Beye Seydina Alioune Niangado Rokiatou Bassirou Keita Mohamed Coulibaly Youssouf Department of Anaesthesia-Resuscitation and Emergencies CHU Point G Bamako Mali Department of Nephrology and Haemodialysis CHU Point G Bamako Mali

Introduction: SARS-CoV-2 (Severe Acute Respiratory Syndrome Corona-virus 2) causes an acute respiratory disease with interstitial and alveolar pneumonia, which can affect several organs including the kidneys [1] [2] [3]. As Mali is no stranger to this pandemic, we report our experience of the management of cases of kidney failure observed in the COVID-19 intensive care unit at the point g University Hospital Centre (chu). The aim of this work was to characterise acute renal failure in COVID-19 patients in intensive care, describing the management methods used and determining the vital prognosis. Materials and Methods: This was a retrospective descriptive study, covering an 18-month period from April 2020 to September 2021. We included all patients admitted to the COVID-19 intensive care unit on the basis of a positive RT-PCR and/or the presence of ground-glass images on thoracic computed tomography. Results: We selected 232 patients admitted for COVID-19. Acute Renal Failure (ARF) developed in 71 patients (30.6%). The stages of AKI according to KDIgO were Stage 1 in 28.2%, Stage 2 in 18.3% and Stage 3 in 53.5%. The mean age was 63.96 years, with a standard deviation of 16.6, and males accounted for the majority (71.8%). Organic ARF was found in 80.3% of cases. Risk factors and comorbidities for ARF included advanced age (60.6%), male sex (71.8%), hypertension (52.1%), diabetes (21.1%), invasive mechanical ventilation (71.8%) and septic shock (56.3%). Extra renal purification (haemodialysis) was used in 29.6% of patients. Admission to intensive care ranged from 7 days to 14 days in 43.7% of cases. More than half the patients (52.1%) were in critical condition on admission. Death occurred in 76.1% of patients. Conclusion: ARF appears to occur more frequently in patients with severe COVID-19. It is associated with a poor prognosis.

关键词： COVID-19 Acute Renal Failure Intensive Care Unit

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Voluminous goiters in Surgery B of chu of point g: Diagnostic Aspects

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Surgical Science 2019年第9期10卷 310-315页

作者： S. Diallo O. Sacko L. Soumaré M. Coulibaly A. Kanté B. Coulibaly B. Togola B. Bengaly D. Ouattara S. Sanogo J. Saye C. A. S. Touré S. Koumaré M. Camara S. Keita M. Sissoko D. Traoré N. Ongoiba Service of Surgery B of CHU Point G Bamako Mali Service of Surgery A of CHU Point G Bamako Mali Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology Bamako Mali

Purpose: To describe the aspects of the positive diagnosis of large goiters. Patients and Methods: We conducted a retrospective and prospective study including 115 patients from January, 2009 till December, 2014 (6 years) in Central Hospital of University of point g in Bamako (Mali). The diagnosis of large goiters was based on the measurements of the anterior neck swelling. Thus large goiter was defined as any goiter including the height or width was greater than or equal to 10 cm (centimeters). Results: We operated 115 cases of large goiters on 760 goiters operated either 15.1%. The average age of patients was 44, 43 years ±14, 3 with extremes of 9 and 80 years. There was 101 women (87.8%) and 14 men (12.2%) with a sex ratio of 7.2 in favor of women. The signs of compression were dyspnea in 40% of cases (46/115), dysphonia in 13.0% (15/115), and dysphagia in 8.6% (10/115). The average height of goiter was 12.1 cm ± 3.5 cm with extremes of 10 and 29 cm and the average width was 14.4 cm ± 5.4 cm with extremes of 10 and 32 cm. Thyroid ultrasound found large goiters multinodular in 100%. Cervical radiography found the tracheal deviation in 48.2% (42/87), tracheal compression in 20.6% (18/87), plunging goiters in 11.5% (10/87). Cytology found a benign goiter in 97.4% of cases (112/115), malignant (thyroid cancer) in 2.6% of cases (3/115). Conclusion: Diagnosis of large goiters was based on the measurement of the swelling in our context. The signs of compression are the severity of this condition.

关键词： Voluminous goiters Thyroid Diagnosis

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Surgical Treatment of Secondary Hyperparathyroidism in Surgery B of chu of point g

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Surgical Science 2019年第10期10卷 355-361页

作者： S. Diallo O. Sacko M. Sissoko A. Kanté A. Coulibaly L. Soumaré B. Coulibaly M. Camara D. Traoré N. Ongoiba Service of Surgery B CHU Point G Bamako Mali Service of Surgery A CHU Point G Bamako Mali Laboratory of Anatomy Faculty of Medicine and Odontostomatology Bamako Mali.

Purpose: To describe the epidemiological, clinical and therapeutic aspects of secondary hyperparathyroidism inrenal failure chronic. Patients and methods: We collected 11 cases of hyperparathyroidism secondary to renal failure terminal operated in the Service of surgery B of the Central Hospital University of point g between December 2016 and November 2018. Results: The sex ratio was 0.22 in favor of women. The average age of the patients was 43 or 27 years with extremes of 63 and 25 years. Secondary hyperparathyroidism in renal failure chronic represented 1.9% of interventions to cold in the Service of surgery B. 100% of patients (11/11) were haemodialysis. 100% of the patients had clinical and biological signs. 45.5% (5/11) had radiological signs. The average rate of parathyroid hormone was 2413.51 pg/ml with extremes of 1264 pg/ml and 3616 pg/ml. The reference value was 15 - 65 pg/ml. The surgical technique of choice was the 7/8th parathyroidectomy in 100% of cases. The postoperative were simple in 81.8%, and complicated in 18.2%. There were no death. The average duration of postoperative follow-up was 6 months. After surgery, 50% of patients (5/10) had normal levels of parathyroid hormone and 50% (5/10) made a persistent hyperparathyroidism. Conclusion: Secondary hyperparathyroidism is a frequent complication in renal insufficient chronic in hemodialysis. Surgery is indicated in the resistant cases of medical treatment. The 7/8th parathyroidectomy is the surgical technique of choice. The rate of post operative complications is higher in our context.

关键词： Secondary Hyperparathyroidism Treatment Surgery

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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). Palliative surgery concerned the majority of our

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

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Pericardial Drainage by Xyphoidian Route at the CHU Point G

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Open Journal of Thoracic Surgery 2021年第1期11卷 11-17页

作者： Mamadou Diakité Abdoulaye Kanté Bréhima Coulibaly Mamadou Almamy Keita Mariam Daou Demba Yattera Samba Sidibe Souleymane Coulibaly Boureima Dembele Alou Sangaré Mariam Sacko Nouhoun Diallo Ilo Bella Diall Cardiology Department University Hospital Center (CHU) Point G Bamako Mali Faculty of Medicine of Odonto-Stomatology (FMOS) Bamako Mali Department of Surgery B University Hospital Center (CHU) Point G Mali

Tuberculosis is a public health problem in Mali. Pulmonary localization is the most frequent and extra-pulmonary involvement, in particular serous, is possible. In this study, we analyze our results of surgical pericardial drainage in tuberculous pericarditis. g>Methodologyg>: We carried out a retrospective study at the CHU Point G over a period of five years from January 2012 to December 2017. The histological examination carried out on all the surgical specimens made it possible to retain the diagnosis of tuberculous pericarditis. g>Resultsg>: We identified and operated on 49 cases of tuberculous pericarditis, i.e. 70% of the pericardial drainage performed during the same period. The average age was 31.5 years (28 men and 21 women). The most common clinical signs were dyspnea (61.2%), chest pain (26.6%) and fever (12.2%). Pericardial drainage with pericardial biopsy was performed by xiphoid route in all of our patients. The mortality and morbidity rates were 4.1% and 8.2%, respectively. g>Conclusiong>: Pericardial tuberculosis attacks are frequent in Mali. The etiological diagnosis is based on the histology of the pericardial biopsy which can only be obtained surgically.

关键词： Tuberculous Pericarditis Pericardial Biopsy Surgical Drainage

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The Pericarditis in chu of point g and Luxembourg: Clinical Aspects and Etiologies

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Open Journal of Thoracic Surgery 2018年第4期8卷 68-73页

作者： Abdoulaye Kante Brehima Coulibaly Mamadou Diakite Mamadou Almamy Keita Drissa Traore Brehima Bengaly Siaka Diallo Mariam Daou Babou Bah MoustaphIssa Magane Tata Toure Bakary Keita Birama Togola Drissa Ouattara Souleymane Sanogo Timbely guidere Nouhoum Ongoiba general Surgery Department CHU Point GBamakoMali Department of Cardiology CHU Point GBamakoMali Department of Neurology Gabriel Toure Teaching HospitalBamakoMali Anesthesia Service and Resuscitation Department CHU Gabriel ToureBamakoMali

The authors bring back 70 cases of pericarditis brought together between 2012 and 2017 in the service of surgery B of the CHU Point G and to the Hospital Mother-Child, the Luxembourg in Mali. The average age of the patients is 31.5 years with extremes of 2 years and 84 years. The tubercular etiology widely comes to mind with 49 cases. The diagnostic contributions of the echocardiography are analyzed. The accent is put on good tolerance hemodynamic of the tubercular pericarditis. The forecast depends essentially on the etiology and on the diagnostic delay;indeed the tamponade pericardium can be inaugural or complicated;the evolution of the pericarditis is burdened of a heavy mortality (4.2% in our series). On the other hand the passage in the chronicity complicates essentially pericarditis seen late (8.6% in our series).

关键词： Etiology of the Pericarditis Aspect Private Hospital chu g-Spot and Luxembourg

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Complications of goitre Surgery in “A” Surgery at the chu of point g

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Surgical Science 2021年第3期12卷 46-52页

作者： Moussa Sissoko Mahamadou Coulibaly Oumar Sacko Sekou Koumaré Adaman F. Traoré Soumaîla Keïta Sidiki Keita Siaka Diallo Mossa Camara Lamine Soumaré Adama K. Koïta A. Camara H. Dicko D. goïta Zimogo Zié Sanogo general Surgery “A” Department Hospital Point-G. Bamako Mali

Total or partial thyroidectomy has been proposed as the initial treatment for benign euthyroid oiter. The aim of this study is to determine the complications associated with surgical procedures for goiter, based on our experience. Material and method: A retrospective study over 10 years concerning 409 patients operated on for goiters in the department with 48 cases of complications. Results: 409 patients operated on for goiter in the department with 48 cases of complications (11.82%). The per- and post-operative complications were: hemorrhage (18: 4.40%), recurrent lesions (1;0.24%), 8 cases of infection (1.96%), 5 cases of transient hypocalcemia (1.22%) and phonation disorders 9 cases (2.20%). Conclusion: Complications from goiter surgery seem to be more related to thyroid disease and the surgeon’s experience than to the surgical procedure. Better knowledge of the factors leading to complications will improve the outcome of goiter surgery.

关键词： goiter Complications Surgery Bamako

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Surgical Management of a Case of Splenic Necrosis at point g chu in Bamako

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Surgical Science 2021年第4期12卷 103-106页

作者： Moussa Sissoko Mahamadou Coulibaly Sékou Koumaré Oumar Sacko Sidiki Keïta Soumaila Keita Siaka Diallo Lamine Soumaré Adama F. Traoré Adama Koïta Moussa Camara Aboubacar Camara Hammadoun Dicko Djibril Sangaré Zimogo Z. Sanogo general Surgery “A” Department Hospital Point-G. Bamako Mali

Splenic infarction is a rare condition (1/500,000 and 1/100,000) but potentially fatal. The prognosis depends on the diagnostic delay and above all on the speed of treatment. It usually occurs in a particular area such as myeloproliferative syndrome, sickle cell anemia, thalassemia etc. The objective of this work was to report a clinical case of necrosis of the spleen.

关键词： Splenic Necrosis “A” Surgery CHU Point G

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Clinical and Epidemiological Aspects of Hepatocellular Carcinoma at the Internal Medicine Department of point “g” Teaching Hospital in Mali

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Open Journal of gastroenterology 2023年第7期13卷 250-255页

作者： ganda Soumaré Sanra Déborah Sanogo Abdoulaye Maiga Ouatou Mallé Mamadou Mallé Ibrahima A. Dembélé Mamadou Cissoko Mamadou M. Coulibaly Assétou Kaya Soukho Mamadou Dembélé Abdel Kader Traoré Alassane Traore Hamar Alassane Traore gastroenterology Department CHU du Point G Bamako Mali Internal Medicine Department CHU du Point G Bamako Mali

Liver cancer is the malignant transformation of liver cells. It develops in 90% of cases of cirrhosis, more rarely on chronic non-cirrhotic liver disease, and exceptionally in a healthy liver. This study aimed to investigate the clinical aspects of Hepatocellular Carcinoma (HCC). It was a retrospective descriptive study covering 10 years, focusing on HCC cases seen in outpatient and inpatient settings at the Internal Medicine Department. We recorded 153 cases out of 7021 patient records, resulting in a hospital frequency of 2.17%. The male-to-female ratio was 3.5. The mean age was 52.37 ± 14.34 years. The most common presenting complaint was pain in 16.3% of cases. A history of jaundice was found in 25.5% of cases. Alcohol consumption was observed in 15.38% of cases. The main physical sign found was hepatomegaly in 76% of cases. HBsAg was positive in 33.3% of cases. Alpha-fetoprotein levels were above 400 IU/ml in 50.81% of cases. Patients classified as CHILD PUgH A represented 39.72% of cases. Abdominal ultrasound revealed portal thrombosis associated with heterogeneous multinodular hepatomegaly in 11% of cases. Cytology confirmed HCC in four out of six patients who underwent the examination. We recorded 63 deaths out of 111 hospitalized patients. Complications included encephalopathy, hematemesis, and ascites in 48 patients. Hepatocellular carcinoma remains a significant public health issue. Its predominance in men and its occurrence in adults with factors such as viral infections and ethylism mean that prevention of this pathology could greatly reduce its incidence.

关键词： Hepatocellular Carcinoma (HCC) point g University Hospital Bamako Mali

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Maternal and Perinatal Prognosis of the Cesarean at CHU Point G, Bamako, Mali

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Open Journal of Obstetrics and gynecology 2021年第11期11卷 1461-1469页

作者： Coulibaly Ahmadou Seydou Z. Dao Cissouma Assétou Sima Mamadou Kanté Ibrahim Ousmane Mamadou S. Traoré Koné Konimba Diarra Drissa Sissoko Hamadi Théra Thiounkani Traore Youssouf Obstetric gynecology Department of the University Hospital Center (chu) point g Bamako Mali Obstetric gynecology Department of the Reference Health Center of Commune II Bamako Mali Pediatric Department of Sikasso Hospital Sikasso Mali Obstetric gynecology Service of the Reference Health Center of Commune III Bamako Mali Obstetric gynecology Department of the University Hospital (chu) gabriel Touré Bamako Mali

Objective: In light of numerous obstetric evacuations to the point g University Hospital and taking into account the practice of cesarean section for many years in the service, it seemed necessary to us to make our co... 详细信息

g>Objectiveg>: In light of numerous obstetric evacuations to the Point G University Hospital and taking into account the practice of cesarean section for many years in the service, it seemed necessary to us to make our contribution to the study of cesarean section by putting emphasis on maternal and perinatal prognosis in the Obstetric Gynecology Department of the Point G university hospital. Method and materials: We conducted a retrospective cross-sectional study in the Gynecology and Obstetrics Department of the Point G University Hospital, from January 01, 2018 to December 31, 2018. The Point G University Hospital is a 3rd level center of reference in the field of obstetrics in Mali. There is no neonatal ward. The study included all women who gave birth in the gynecology and obstetrics department during the study period. All prophylactic and emergency Caesarean section records during the period in which management took place in the ward were included. The records of patients who had a prophylactic or emergency cesarean section in other health facilities and non-usable records were not included. Data were collected using a pre-established survey form. The variables analyzed were socio-epidemiological, clinical and prognostic. Data were analyzed using IBM SPSS software version 16.00. The Chi2 test and Fischer’s exact test were used to highlight risk factors. The significance level retained was p

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