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Role of Laparoscopic Surgery in the Management of Female Infertility at the Department of Gynecology of Hôpital du mali

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Open Journal of Obstetrics and Gynecology 2020年第10期10卷 1430-1440页

作者： Mamadou Bakary Coulibaly Alassane Traoré Mody Abdoulaye Camara Bourama Kané Adama Sangaré Kalba Tembiné Ibrahima Tégueté Youssouf Traoré Service of Gynecology of hopital du mali Bamako Mali Service of Medical Imaging of hopital du mali Bamako Mali Service of Pediatric of hopital du mali Bamako Mali Service of Anesthesia and Resuscitation of hopital du mali Bamako Mali Service of Gynecology-Obstetrics CHU Gabriel TOURE Bamako Mali

Infertility is a socio-cultural drama in Africa, especially in mali and remains difficult for couples to overcome. Laparoscopy, also called minimally invasive surgery or keyhole surgery, is an operative technique that permits to explore the pelvis and perform an appropriate therapeutic procedure. The objective of our work was to assess the role of laparoscopic surgery in the treatment of female infertility at hopital du mali. It was a retrospective descriptive study that was conducted over a period of 5 years (January 2013 to December 2018). Any patients followed for infertility and who underwent laparoscopic surgery in the gynecology department over a period of two (2) years were included. The outcome of laparoscopic surgery was evaluated in terms of conception of pregnancy. We had collected 103 infertile patients out of 2984, with a frequency of 3.45%. The mean age of our patients was 30.2 years. Housewives and out-of-school women accounted for 68.93% and 54.37% respectively. Nulligravida represented 41.75%. Regarding infertility, it was primary in 41.75% and secondary in 58.25%, with an average duration of 6.2 years. Systematic chlamydial serology was positive in 62.14% of our patients. Hysterosalpingography (HSG) revealed bilateral tubal obstruction in 53.33% of cases. Laparoscopy found tubal adhesions in 97.80% of cases. Adhesiolysis was the main procedure performed with 84.47% bilateral tubal patency achieved in the methylene blue test. Among our patients who had contracted a pregnancy (22.99%), 85% had carried their pregnancies to term. Tubal damage was the main cause of infertility. Adhesiolysis remains the main laparoscopic procedure for treatment.

关键词： Laparoscopic Surgery Infertility hopital du mali

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Clinical and Therapeutic Aspects of Giant Fibroids at the Hôpital du mali about 30 Cases

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Open Journal of Obstetrics and Gynecology 2020年第6期10卷 778-789页

作者： Mamadou B. Coulibaly Alassane Traore Mody A. Camara Abdrahamane Togo Adama Sangaré Issa Ongoiba Kalba Timbine Amadou Sidibé Apérou Guindo Niani Mounkoro Ibrahim Teguete Youssouf Traore Moustaphe Toure Service of Gynecology of the hopital du mali Bamako Mali Service of Medical Imaging of the hopital du mali Bamako Mali Service of Anesthesia and Resuscitation of the hopital du mali Bamako Mali Service of Gynecology-Obstetrics of Gabriel TOURE Teaching Hospital Bamako Mali

The fibroids affect 20% to 25% of women of reproductive age and are 3 to 9 times more common in black women. We’ll talk about giant fibroids (GFs) when uterine height reaches or exceeds the navel. We have initiated this study in order to report the epidemioclinical and therapeutic aspects of giant fibroids at the Hopital du Mali. A descriptive retro-prospective study, conducted in the service of gynecology of the Hopital du Mali from November 2017 to December 2018 were included in this study, any patients, regardless of their age, having developed a fibroid, the uterin e height of the patient reaching or exceeding the umbilicus on physical examination and who were on surgical treatment. We had collected 30 cases of GFs out of the 92 patients who had undergone myomectomies, with a frequency of 32.60%. The age group 25 - 29 years accounted for 46.6% with an average age of 35 years. Housewives represented 50% and nulligravida made up 33% of our patients. Desire to become pregnant was the main reason for consultation in 34.4% of cases. The uterine height was between 25 and 29 cm on physical examination in 46.66% of cases. Myomectomy was performed in 76.64% and hysterectomy in 23.3% of cases. The size of the nuclei after surgery was over 25 cm in 48.66% of our patients. Conclusion: The giant fibroid (GF) is a common cause of myomectomy. The treatment is either hysterectomy or myomectomy and

关键词： Giant Fibroma Care Surgery Hôpital du mali

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Rupture of a Posterior Fossa Dermoid Cyst Overlying the Torcular with Extracranial Extension: Technical Note

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World Journal of Neuroscience 2015年第2期5卷 82-86页

作者： O. Coulibaly E. Komi L. Rifi Y. Sogoba M. Dama O. Diallo A. Melhaoui M. Boutarbouch Y. Arkha S. Derraz A. El Ouahabi A. El Khamlichi hopital des Spécialités Rabat Morocco hopital du mali Bamako Mali

Intracranial dermoid cysts are congenital benign neoplasms mostly diagnosed in the pediatric?hood and usually involve the midline structures. They count approximately less than 1% of all intracranial neoplasms and are believed to arise from ectopic cell rests incorporated in the closing neural tube. These dermoid cysts, especially those involving the posterior fossa and overlying the torcular, are uncommon. We report perhaps the first case of this entity in a third-year-old boy and discuss the physiopathogenesis, the imaging features and the best technical note to manage this cyst in this location.

关键词： Dermoid Cyst Torcular Angio Mri Technical Note

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Giant Intracranial Arachnoid Cyst Causing Acute Neurologic Symptoms

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World Journal of Neuroscience 2018年第3期8卷 363-369页

作者： Youssouf Sogoba Boubacar Sogoba Seybou Hassane Diallo Drissa Kanikomo Djenè Kourouma Oumar Coulibaly Issa Amadou Moustapha Mangané Hamidou Almeimoune Madani Thierno Diop Youssoufa Maiga Broulaye Samaké Djibo M. Diango Department of Neurosurgery Hopital Gabriel Touré Bamako Mali Department of Neurology Hopital Gabriel Touré Bamako Mali Department of Neurosurgery Hopital du Mali Bamako Mali Department of Pediatric Surgery Hopital Gabriel Touré Bamako Mali Department of Anesthesiology and ICU Hopital Gabriel Touré Bamako Mali

Intracranial arachnoid cysts (IAC) are benign lesions containing cerebrospinal fluid (CSF). Most of them are clinically silent and remain static in size. However some may present with mild and slow progressive symptoms caused by the cyst. The authors present the case of 54-year-old woman who presented with acute symptoms of severe headache, vomiting, and gait disturbance of 2 day’s duration. She had no history of head trauma. On admission, neurological examination revealed that the patient had a Glasgow Coma Scale score of 15, and a left side hemiplegia. A CT scan revealed a hypodense fluid collection in the right frontoparietal region that mimicked an arachnoid cyst. The symptoms were improved after an emergency marsupialisation via craniotomy.

关键词： Arachnoid Cyst Neuroendoscopy Microsurgical Fenestration

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Conservative Treatment in Grisel’s Syndrome Following Tonsillectomy

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World Journal of Neuroscience 2018年第1期8卷 38-43页

作者： Youssouf Sogoba Abdoulaye Barry Issa Amadou Boubacar Sogoba Drissa Kanikomo Seybou Hassane Diallo Oumar Coulibaly Youssoufa Maiga Siaka Soumaoro Dianguina dit Noumou Soumaré Kadidiatou Singaré Mohamed Keita Department of Neurosurgery Hopital Gabriel Touré Bamako Mali Department of Pediatrics Hopital de Kati Bamako Mali Department of Pediatric Surgery Hopital Gabriel Touré Bamako Mali Department of Neurology Hopital Gabriel Touré Bamako Mali Department of ENT Hopital Gabriel Touré Bamako Mali Department of Pneumonology Hopital du Point G Bamako Mali

Grisel’s syndrome is a rare complication that is characterized by non-traumatic atlantoaxial subluxation. It is most commonly seen in children after an upper respiratory tract infection or neck surgery, such as an adenoidectomy, tonsillectomy and mastoidectomy. Grisel’s Syndrome is characterized by torticollis and a limited range of motion of the neck with pain. Here the authors report a case of a malian 5-year-old girl with Grisel’s syndrome following tonsillectomy. The patient’s complaints were fully resolved after 2 weeks of conservative treatment.

关键词： Atlantoaxial Subluxation Grisel’s Syndrome Torticollis

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Unusual Brain Trauma Injury

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Open Journal of Modern Neurosurgery 2024年第3期14卷 218-227页

作者： Diallo Moussa Traoré Youssouf Kanikomo Drissa Diarra Sounkalo Izoudine B. Koumaré Sogoba Youssouf Sogoba Boubacar Diallo Oumar Gabriel Tour Teatching Hospital Bamako Mali Bocar Sidy Sall Teatching Hospital Kati Mali hopital du mali Teaching Hospital Bamako Mali

Unusual head trauma is rare with various mechanisms of occurrence. The injuries can be similar to those of road accidents but sometimes with significant complexities. The objective was to determine the frequency of this pathology in our practice, describe the different mechanisms and report the craniocerebral lesions caused by this type of trauma. Materials and Method: This was a descriptive study with retrospective collection spread over a period of 3 years. After selecting the files, the patients and/or their companions were contacted by telephone to inquire about them and then returned to the consultation for reassessment. Disease history and information were obtained from patients’ medical records. Result: The frequency of this pathology was 1.78% and his incidence was 0.4 cases per month. The average age of the patients was 13.47 years. All the victims were male. 41.17% of patients were in school. The mechanisms of trauma were the hoof blow 47.1%, the horn blow 29.4% and the stone blow 11.7% respectively. 23.5% of patients were confused and 11.7% children were in coma. One patient presented an anisocoria. The motor deficit was present in 5 cases. CT-scan made it possible to highlight a skull depressing fracture 58.8% and confirm a craniocerebral wound in 35.3%. The average time between patient admission to hospital and completion of surgery was 24.5 hours. The surgery had consisted of the trimming of cranio-cerebral wounds, exploration, duroplasty and lifting of skull depressing fracture. After 15 months of follow-up, the evolution was favorable in 53.3%, the morbidity was 33.4% and the mortality 17.6%. Conclusion: These are rare but serious conditions because they are fatal and disabling. An early and multidisciplinary management can hope to have a good favorable.

关键词： Brain Trauma Injury Insolite Unusual Skull Depressing Fracture Hoof Kick Horn Blows Stone Bows Motorcycle Gear Lever

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Primary Intramedullary Ewing’s Sarcoma: A Case Report and Review of the Literature

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Case Reports in Clinical Medicine 2015年第3期4卷 110-113页

作者： Oumar Coulibaly Rachid Gana Youssouf Sogoba Asmaa Regragui Rachid Maaqili Fouad Bellakhdar Department of Neurosurgery Hopital Ibn Sina Rabat Morocco Department of Neurosurgery Hopital du Mali Bamako Mali Center of Neuropathology Rabat Morocco

Ewing’s sarcoma, a group of primary neuroectodermal tumor (PNET), is an uncommon rare highly malignant tumor mostly affecting the bones of male patients, and accounts for approximately 10% of the primary malignant bone tumors, and occupies the second place after osteosarcoma in children’s less than 20 years. Primary intramedullary Ewing’s sarcoma is an extremely rare condition. Here, we present a case of a 16-year-old girl with progressive weakness of lower extremities, inability to walk, progressive low back pain, bilateral leg pain, paresthesia and urinary retention. Spinal MRI showed intramedullary abnormal signal focus from T11 to L3 vertebrae with moderate heterogeneous enhancement on T1 weighted sequences. After surgery, histological examination found a lot of small round-cell tumors with a high nuclear-cytoplasmic ratio, frequent mitoses and apoptotic nuclei suggesting a diagnosis of Ewing’s sarcoma and confirmed by CD99 reactivity. She had undergone adjuvant chemotherapy and irradiation and was free of symptoms since 02 years. Within this single pure case of intramedullary Ewing’s sarcoma, perhaps the 1st in the English literature, the authors described this extremely rare uncommon localization with a brief review of the literature.

关键词： Ewing Sarcoma Primary Intramedullary PNET Spinal MRI

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Emergency Caesarean Section in Adolescent Girls at the Referral Health Center in Commune I

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Open Journal of Obstetrics and Gynecology 2020年第2期10卷 298-310页

作者： Alassane Traore Mamadou B. Coulibaly Soumana O. Traore Modibo D. Soumare Seydou Fane Bourama Kane Mamadou Sima Saliou A. Traore Seydina A. Beye Yacouba L. Diallo Youssouf Traore Gynecology Service of hopital du mali Bam Bamako Mali Gynecology-Obstetrics Service Referral Health Center of Commune IV Bamako Mali Gynecology-Obstetrics Service Referral Health Center of Commune I Bamako Mali Gynecology-Obstetrics Service University Teaching Hospital (UTH) Gabriel Touré Bamako Mali Pediatric Service of hopital du mali Bamako Mali Gynecology Service UTH Point G Bamako Mali Anesthesia Resuscitation Service UTH Point G Bamako Mali Medicine and Endocrinology Service Hopital du Mali Bamako Mali.

Teenage pregnancy is common in mali due to the high rate of unwanted pregnancies and early marriages. The general objective of this study was to study emergency cesarean delivery in adolescent girls at the referral health center (RHC) in commune I of the district of Bamako. It was a descriptive study with prospective data collection from January 1 to December 31, 2018. Any adolescent girls in whom an emergency caesarean section was performed were included. The data were entered and analyzed on SPSS 20.3. Results: we have collected 616 adolescent parturients, 202 caesareans were performed in emergency, with a frequency of 32.8%. The average age was 17 with the extremes of 13 and 19. Early marriage was found out in 95.5% of our patients, 40 adolescent girls were primiparous (20%), 4 of whom had an inter-reproductive interval of less than a year. The main indications for cesarean section were fetal distress in 71 cases (35%), fetal-pelvic disproportion, scar uterus in the border pelvis (11% each), breech presentation in 15 cases (7%). Anemia (10.4%) was the main complication, followed by vascular pedicle attack (5.94%), infection of the operating site (1.5%) and a bladder wound (0.99%). Fetal mortality was 1.4% and neonatal 3.8%.?Conclusion:?the association between adolescence and caesarean section in emergency constitutes risk factors which increase maternal and neonatal morbidity and mortality. Fighting these factors improves the survival of the mother and the newborn.

关键词： Adolescent Cesarean Emergency Mortality

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Surgical Management of 4 Cases of Craniofacial Fibrous Dysplasia

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World Journal of Neuroscience 2021年第4期11卷 279-286页

作者： Youssouf Sogoba Moussa Diallo Boubacar Sogoba Djènè Kourouma Izoudine Blaise Koumaré Mamadou Diallo Oumar Coulibaly Mahamadou Dama Mamadou Salia Diarra Seybou Hassane Diallo Salimata Diallo Oumar Diallo Youssoufa Maiga Drissa Kanikomo Depatment of Neurosurgery H&#244pital Gabriel Touré Bamako Mali Department of Neurosurgery Hopital du Mali Bamako Mali Department of Neurosurgery Hopital Mère-enfant Bamako Mali Depatment of Neurology H&#244pital Gabriel Touré Bamako Mali

Background: Fibrous dysplasia is an uncommon skeletal disorder in which normal bone and marrow are replaced with fibro-osseous tissue. The disease comprises 2.5% of all bone tumors and 7.5% of all benign bone neoplasm. It is the progressive, slowly developing disease and the optimum treatment remains unclear in many cases. Aim: In this study, the authors report their experience in the surgical treatment of four cases of craniofacial fibrous dysplasia. Cases presentation: The study involved 4 patients with craniofacial fibrous dysplasia. There were 3 men and a woman. The patients were 10, 17, 20 and 8 years old. No patient had a focal neurological deficit. The CT scan appearance was compatible with Fibrous dysplasia in all patients. The site of disease was frontal in one case and parietal in the other 3 cases. Cosmetic surgical treatment was performed in all patients. Cranioplasty was performed in one patient and planned for the other three. Conclusion: Fibrous Dysplasia is a benign slow growing disease that may cause as well as clinical symptom and aesthetical discomfort. Radical resection, if possible, is the only technique to obtain resolution of the disease.

关键词： Fibrous Dysplasia Surgical Treatment Bone Tumor

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Bilateral Chronic Subdural Hematoma after Endoscopic Third Ventriculostomy in a Child: A Case Report and Review of the Literature

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World Journal of Neuroscience 2018年第1期8卷 44-49页

作者： Oumar Coulibaly Oumar Diallo Mahamadou Dama Bourama Kané Feng Zhou Youssouf Sogoba Drissa Kanikomo Department of Neurosurgery Hopital du Mali U.S.T.T.B Bamako Mali Department of Pediatrics Hopital du Mali U.S.T.T.B Bamako Mali The First Affiliated Hospital of Medical School of Zhejiang University Zhejiang China Department of Neurosurgery Hopital Gabriel Touré U.S.T.T.B Bamako Mali

Hydrocephalus had been managed by ventriculoperitoneal shunt (VPS) or endoscopic third ventriculostomy (ETV) since several years. But these two different technics had some complications that must be managed promptly to avoid eventual fatal evolution. Chronic subdural hematomas after ETV is among these complications and is a very rarely situation observed in our department. This rare event associated with malaria in a child is considered to have a high mortality. Here we report a rare case of bilateral chronic subdural hematoma occurring in a 4-month-old boy after ETV and we discuss the likely pathogenesis and the difficulties of management.

关键词： Hydrocephalus ETV Chronic Subdural Hematoma Malaria

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