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中华医学杂志(英文版) 1935年第11期49卷 1241-1250+1287页

作者： Y. Y. LIN S.H. Tsou department of obstetrics and gynecology and department of Roentgenology The National Medical College of Shanghai

1. Seven cases of escape of lipiodol into the utero-ovarian venous system are reported, among which two cases were recorded as symptomless, three showed symptoms of mild lipiodol pulmonary embolism, and two showed haemorrhagic infarctions in addition.2. The mechanism of lipiodol pulmonary *** infarction is described.3. The causes of the escape of lipiodol into the uteroovarian venous system are discussed.4. The preponderating tendency of the oil to pass into the veins on the right side is pointed out.5. Suggestions to avoid as far as possible the escape ot the oil into the uteroovarian venous system are presented.

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Misuse of prophylactic antibiotics and prevalence of postoperative wound infection in obstetrics and gynecology department in a Sudanese hospital

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Health 2014年第2期6卷 158-164页

作者： Abubaker Ibrahim Elbur M. A. Yousif Ahmed S. A. El Sayed Manar E. Abdel-Rahman department of Cardiothoracic Surgery Al-Shaab Teaching Hospital Khartoum Sudan Faculty of Mathematical Sciences University of Khartoum Khartoum Sudan Faculty of Pharmacy Gezira University Wad Madani Sudan Pharmacy Practice Research Unit (PPRU) College of Pharmacy Taif University Taif KSA Pharmacy Practice Research Unit (PPRU) College of Pharmacy Taif University Taif KSA

Purpose: This study was conducted to audit prophylactic antibiotic use and to quantify the rate of wound infection. Methods: Across-sectional prospective study was conducted in the obstetrics and gynecology department in Khartoum Teaching Hospital, Sudan during March 1st to 31st October 2010. All Patients (aged >18 years) were included. Results: Overall 725 patients were included. The performed surgical procedures were 751;of these 578 (76.9%) were Caesarean sections. Overall rate of wound infection was 7.8%. The rate of wound infection among patients operated on for caesarean section and abdominal hysterectomy was 8.3%, and 9.2%, respectively. Multivariate logistic analysis showed that body mass index [BMI] ≥ 30 kg/m2 OR 2.1, 95% CI (1.1 - 4.0), (P = 0.019) was the major independent risk factor for occurrence of wound infection. Evaluation of prescriptions’ parameters against the stated criteria showed that 113 (15.8%) patients were given antibiotics with adequate spectrum of activity, 611 (85.3%) given sub-dose/s, 83 (11.6%) received the first preoperative dose/s in a proper time window, and 716 (100%) had prophylaxis for extended duration. Overall conformity to the stated criteria for the evaluation of prescription’s parameters was not achieved in all prescriptions. Conclusions: In this setting, antibiotics were irrationally used and wound infection rate was high, and the situation calls for multiple interventions to correct the situation, through the activation of the infection control committee in the hospital and development of antimicrobial subcommittee to develop policies for the use and auditing of prophylactic antibiotics.

关键词： Prophylactic Antibiotics Wound Infection obstetrics and gynecology Sudan

Epidemiological and Prognostic Aspects of Obesity and Pregnancy in the gynecology-obstetrics department at the Sylvanus Olympio University Hospital Center (CHU SO) in Lomé

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Open Journal of obstetrics and gynecology 2023年第1期13卷 88-96页

作者： Komlan Alessi Andele Ameyo Ayoko Ketevi Baguilane Douaguibe Akila Bassowa Dédé Régine Diane Ajavon Kodjo Fiagnon Abdoul Samadou Aboubakari Koffi Akpadza department of gynecology and obstetrics Sylvanus Olympio University Hospital Center Lome Togo department of gynecology and obstetrics Campus University Hospital Center Lome Togo department of gynecology and obstetrics Regional Hospital Center Kara Togo department of gynecology and obstetrics Kara University Hospital Center Kara Togo

Introduction: Obesity and pregnancy is a major public health problem worldwide, both maternal and fetal. Objective: This is to describe the epidemiological and prognostic aspects of obesity and pregnancy in the gynecology-obstetrics department at the Sylvanus Olympio University Hospital Center (CHU SO) in Lomé. Methodology: This was a descriptive cross-sectional study concerning obesed pregnant women. The survey was conducted from the 1st to the 30th of June 2022 at the CHU SO. Results: We enrolled 55 obese pregnant women. The frequency of obesity and pregnancy was 5.14%. Resellers were represented at 41.8%. The average age was 31 years old. As risk factors, 85.5% claimed to have a fatty diet and 76% did not practice sports. The gestational pathologies found during pregnancy were hypertension in 47.4% of cases, preeclampsia in 24.6% and gestational diabetes in 7%. Caesarean section was the way of delivery in 63.6% of cases and those who gave birth vaginally presented a tear of the soft tissues in 85% of cases. Birth weight was abnormal (low weight and excess weight) in 61.8% of cases. Conclusion: The association between obesity and pregnancy constitutes an important risk factor for the mother and the fetus.

关键词： Obesity Pregnancy CHU SO Togo

Surgical Activities in the gynecology-obstetrics department of the Teaching Hospital Yalgado-Ouédraogo of Ouagadougou: Assessment of One Year of Practice from January 1<sup>st</sup>, 2015 to December 31<sup>st</sup>, 2015

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Open Journal of obstetrics and gynecology 2018年第14期8卷 1501-1509页

作者： Dantola Paul Kain Issa Ouédraogo Yobi Alexis Sawadogo Evelyne Komboigo Sibraogo Kiemtoré Adama Ouattara Hyacinthe Zamané Blandine Thiéba department of obstetrics and gynecology Yalgado Ouedraogo Teaching Hospital in Ouagadougou Ouagadougou Burkina Faso department of obstetrics and gynecology Teaching Hospital in Ouahigouya Ouahigouya Burkina Faso

Objective: The objective of our study was to study the surgical activities carried out in the gynecology-obstetrics department of the CHU-YO (Teaching Hospital Yalgado Ouédraogo) from January 1st 2015 to December 31st, 2015. Patients and Methods: This dealt with a cross-cutting descriptive and analytic study with retrospective data collection. Our study has included the female patients who underwent surgery in the operating room and whose medical records were usable. Results: 45% of female patients admitted in the concerned department underwent a surgery. The average age of patients was estimated at 28.02 years ±7 years with extremes of 13 years and 80 years. Obstetrical surgery has involved 89.9% of cases. Female patients have received a loco-regional anesthesia in 92.7% of cases. Emergency surgical operations accounted for 88.8% and caesarean section was the main surgical operation carried out in 87.1% of cases. The mortality rate of the overall surgical operations was 1.04%. Conclusion: A better availability of labile blood products is more likely to reduce the mortality rate of surgical operations under the threshold of 1%.

关键词： Surgery Caesarean Section Prognosis Mortality Rate

Bacteriology of Healthcare-Associated Infections in the gynecology and obstetrics department of CHU Gabriel Touré

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Open Journal of obstetrics and gynecology 2019年第10期9卷 1336-1346页

作者： Amadou Bocoum Seydou Fané Youssouf Traoré Siaka Amara Sanogo Ibrahim Kanté Aminata Kouma Mamadou Sima Abdoulaye Sissoko Ibrahima Ongoiba Soumana Oumar Traore Ibrahima Tegueté Maténé Sacko Daouda Camara Alassane Traoré Assitan Wane Niani Mounkoro Amadou Dolo gynecology-obstetrics department of CHU G. Touré Bamako Mali gynecology-obstetrics Service of CHU of Point G Bamako Mali gynecology-obstetrics department of CHU of Kati Bamako Mali gynecology-obstetrics Service of Referral Health Center of Kati Kati Mali gynecology-obstetrics Service of Referral Health Center of Commune V Bamako Mali Gynécology-Obstétrics department of CHU of Mali Bamako Mali

Introduction: Healthcare-associated infections (HAIs) are a public health issue. An infection is said to be associated with the care if it occurs during or after the care of a patient, and if it was neither present nor incubation at the beginning of the care. Objective: The purpose of this work was to study the bacteriology of infections associated with obstetric care in the gynecology-obstetrics department of CHU Gabriel Touré. Patients and Methods: This is an epidemiological, descriptive, analytical study conducted in the gynecology-obstetrics department of the CHU Gabriel Touré, from April 11th, 2016 to August 29th, 2016 (5 months). Data collection focused on the clinical and laboratory characteristics of healthcare-associated infections in patients during their hospitalization. Included in the study were any patients hospitalized in the gynecology and obstetrics department who agreed to participate in the study. The criteria used to diagnose the associated infection were those of the Atlanta CDC. Operative wound monitoring was done up to the 30th postoperative day. Results: We have recorded 200 patients, out of whom 138 were operated on and 23 cases of bacterial infection associated with care (11.50%). The average age of the patients was 32.52 years ± 13.36 years against 29.36 years ± 10.28 years for the patients who did not present the infection. Seven point five percent of the evacuated patients had an infection associated with care. The most common types of infection were surgical site infection (60.86%), urinary tract infection (26.08%), endometritis and sepsis with 13.04% each. The isolated organisms were all resistant to Amoxicillin, to Amoxicillin + Clavulanic acid (88.88%) and to Ciprofloxacin (77.77%). The average duration of hospitalization for patients who developed the infection was 14.70 days. The lethality was 1.50%. The average cost of management of patients who developed the surgical site infection was 119,837 FCFA. Conclusion: The bacterial infe

关键词： Bacterial Infection Resistances Gabriel Touré University Hospital Antibiotics obstetrics

Tubal Ligation under Local Anesthesia in a Country with Limited Resources: 56 Cases of Wife and Husband’s Experience in the gynecology-obstetrics department of Ignace Deen National Teaching Hospital, Conakry, Guinea

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Open Journal of obstetrics and gynecology 2020年第3期10卷 348-356页

作者： I.Sylla M.H.Diallo O.Baldé F.B.Diallo I.S.Baldé A.D.Diallo Telly Sy department of gynecology-obstetrics at Ignace Deen National Hospital ConakryGuinea department of gynecology-obstetrics at Donka National Hospital ConakryGuinea Visceral Surgery department Donka National HospitalConakryGuinea

Tubal ligation is a surgical sterilization procedure that provides permanent and reliable contraception to women.?Tubal obstruction is a method of permanent birth control that can be performed after mini-laparotomy under local anesthesia. Objective:?To determine the outcome of tubal sterilizations by mini-laparotomy under local anesthesia performed in clients who underwent the surgical operation in the Maternity Ward of Ignace Deen National Hospital. Patients and Methods:?The gynecology and obstetrics department of Ignace Deen National Hospital was used as the place for the study. The study involved all the women seeking voluntary surgical contraception. This was a retrospective study of a descriptive type carried out from January 1, 2017 to December 31, 2018. A consent form was filled out and signed by spouses after an interview and a systematically carried out pre-operative clinical and para-clinical assessment. Results:?During the study period, 56 tubal ligations were performed i.e. 4.72 percent of all family planning methods. The recruiting for the surgical contraception involved clients whose typical profile is that of women with an average age of 35, mostly housewives (35.71%), major multiparous (69.63%) with 6 living children on average. Married women made up the bulk of the recruiting i.e. 96.44%. Unmarried women made much more use of other methods. Indications of personal convenience were the most frequently encountered common reason. Among medical causes, high blood?pressure concerned the majority of cases: 38% of the indications. Surgical contraception in between was more practiced than the post-partum one. The recorded complication was the parietal hematoma due to a lack of hemostasis and it accounted for 1.79% of cases. The progress was uncomplicated in?98.68% of cases. Forty couples (71.42%) expressed their feelings of satisfaction against only 6 cases of regret (10.71%). Conclusion:?The surgical contraception has become a requirement for modern couple

关键词： Tubal Ligation Local Anesthesia Conakry Ignace Deen

Sexual Experience of Women after Gynecological Hysterectomy in the department of obstetrics and gynecology of Yalgado Ouedraogo Teaching Hospital, Burkina Faso

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Open Journal of obstetrics and gynecology 2019年第9期9卷 1273-1283页

作者： Der Adolphe Somé Rélwendé Barnabé Yaméogo Souleymane Ouattara Dantola Paul Kain Béwendin Evélyne Komboigo Blandine Thiéba Bonané department of gynecology Obstetrics and Reproductive Medicine Souro Sanou University Teaching Hospital Bo-bo-Dioulasso Burkina Faso department of obstetrics and gynecology Yalgado Ouedraogo University Teaching Hospital Ouagadougou Burkina Faso

Objective: To study the sexual experience of women after gynecological hysterectomy in the obstetrics and gynecology department of Yalgado Ouedraogo University Teaching Hospital in Burkina Faso. Patient and Method: We conducted a cross-sectional study from October 1, 2016 to March 30, 2017. It included any patient who had a gynecological indication for a hysterectomy in the department of obstetrics and gynecology of Yalgado Ouedraogo University Teaching Hospital (CHU-YO) during the study period. A total of 85 patients were included. We collected information from the consultation records, clinical records, and operating room registries and by surveying the patients themselves. Result: The frequency of hysterectomy in the gynecological period was 3.9%. The mean age of the patients was 51.71 (extremes: 35 and 66 years) and the mean parity was 4.8. Married women were the majority. Fibromyoma and genital prolapse accounted for 56.47% and 23.53% respectively of operative indications. Regarding postintervention sexuality, 29.41% of women declared no longer having sexual desire. Also, they complained of vaginal dryness (31.8%), decreased frequency of orgasm (42.3%), dyspareunia (37.65). Sexual dysfunction was present in 82.35% of women. There was a statistically significant difference between global sexual functioning and geographic origin, educational attainment, socio-economic level, surgical approach, preintervention sexual counseling, women’s psychological profile and their emotional relationship with their spouses. Conclusion: The psychosexual soundness of hysterectomy is important. A diagnosis of sexual disorders prior to the intervention and psychological follow-up throughout the therapeutic process of the pathology indicative of a hysterectomy is necessary for successful postoperative sexuality.

关键词： Sexual Experience Gynecological Hysterectomy Satisfaction Ouagadougou Burkina Faso

Obstetrical Fistula: Clinical, Therapeutic and Prognostic Aspects at the gynecology and obstetrics department of Borgou University Hospital Center in Benin

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Open Journal of obstetrics and gynecology 2018年第11期8卷 1052-1062页

作者： Kabibou Salifou Adrien Dayi Fanny Hounkponou Sambo Tamou Imorou Rachidi Sidi Eusèbe Alihonou UFR of gynecology and obstetrics Faculty of Medicine University of Parakou Parakou Benin UFR of gynecology and obstetrics Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin

Introduction: Obstetric Fistula (OF) is a tragedy and a public health problem (physical, social, moral and psychological). Objective: To determine the clinical, therapeutic and prognostic aspects of obstetric fistula at CHUD/B-A maternity ward in 2016. Study Method: This is a descriptive, analytic study with prospective data collection from March 07 to December 31, 2016. Patients with obstetric fistula were the study population. Results: A total of 37 patients were treated including 35 operated, the other two not operated for pyuria and bladder calculus after examination under spinal anesthesia. The average age was 36.6 ± 10.5 years with the extremes of 21 years and 65 years. The mean age of onset of Obstetric Fistula (OF) was 28.9 ± 6.5 years. Patients came from southern Benin (51.4%), were married (67.6%), peasant (35.1%) and out of school (81.1%). The types of OF were vesico-vaginal fistula (VVF) (62.2%), urethro-vaginal fistula (24.3%), vesico-uterine fistula (VUF) (5.4%), and uretero-vaginal fistula (2.7%). The fistula site was supra trigonal (54.1%), urethral (18.9%), trigonal (10.8%), vesico-uterine (10.8%), cervical urethral (2.7%), ureteroid vaginal (2.7%). Fistulas were complex (70.3%), complicated (24.3%) and simple (5.4%). The vaginal route was one of the first routes (64.9%). The operative techniques used were CHASSAR MOIR hysterorrhaphy (74.3%). The cure with continence was 68.6%. Conclusion: OF is observed in young women of childbearing age. VVF is the most common. The management is surgical with several operating techniques. Healing is possible. Hence the importance of paying special attention to these patients for their care.

关键词： Obstetric Fistula Continence Hysterorrhaphy Vesico-Uterine Fistula Benin

Epidemiological, Diagnostic and Therapeutic Aspects of Breast Cancer in the gynecology and obstetrics department of the CHU Gabriel Touré from 2020 to 2022

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Advances in Breast Cancer Research 2023年第3期12卷 97-113页

作者： Sirama Diarra Moussa Samake Amaguiré Saye Brehima Dembélé Birama Traoré Souleymane B. Dembélé Déssé Diarra Yely Dianéssy Abdou Guiré Bakarou Kamate gynecology and obstetrics department of the District Hospital of Commune IV Bamako Mali General Surgery department of the Commune IV District Hospital Bamako Mali obstetrics gynecology Service of the CSREF of San Bamako Mali Anatomo-Pathology and Cytology department of the Point G University Hospital Bamako Mali

In Mali, breast cancer remains a real health problem in the absence of an adequate and adapted health policy for their early diagnosis and their often late or even non-existent treatment. Objectives: This study aimed to study the epidemiological, diagnostic, and therapeutic aspects of breast cancer to write the clinical aspects of breast cancer in the gynecology-obstetrics department of the CHU Gabriel Touré from 2020 to 2022. Methodology: This was a retrospective and descriptive study of 219 cases of breast cancer that were diagnosed in the gynecology and obstetrics department of the CHU Gabriel Touré in Bamako, from 2020 to 2022. Results: The annual frequency was 77.2 cases per year, the average age 45.55 years with extremes of 16 to 85 years;housewives represented 92.7%;multiparas were reported at 57%. Considering the history, the personal history of benign breast pathology was 55.6%. Regarding the localization, the left breast was the most affected with 53.9%, and the tumor was found in the supero-external quadrant in 53.9%. The cancer was metastatic in 81.28%. The diagnosis biopsy + histology contributed to 98.6%. The histological type was invasive carcinoma of non-specific type in 95%. As for the histoprognostic grade of SBR studied, grade II was predominant at 46%, grade III at 34.95%. The therapeutic strategy was chemotherapy in 83.1%. Neoadjuvant chemotherapy followed by surgery in 10%, primary surgery in 6.4%, radiotherapy in 0.5%. Conclusion: The major challenges in the fight against breast cancer in Mali remain a better organization of the system for early diagnosis, the establishment of a screening program, early diagnosis in women from the age of 40 and also adequate care.

关键词： Epidemiology Diagnosis Therapeutics Breast Cancer Bamako (Mali)

Factors of Low Birth Weight Risk in the department of gynecology-obstetrics of the Ignace Deen National University Teaching Hospital in Conakry, Guinea

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Open Journal of obstetrics and gynecology 2019年第2期9卷 251-259页

作者： Abdourahamane Diallo Ibrahima Sory Baldé Ibrahima Sory Diallo Mamadou Hady Diallo Mamadou Cellou Diallo Elhadj Mamoudou Bah Ibrahima Koussy Bah Telly Sy Mathias Roth-Kleiner Mamadou Pathé Diallo obstetrics and gynecology department of the Ignace Deen National University Teaching Hospital Conakry Guinea Institute of Nutrition and Child Health (INCH) Donka Guinea obstetrics and gynecology department of Donka National University Teaching Hospital Conakry Guinea department Women-Mother-Child University Hospital and University of Lausanne Lausanne Switzerland

Introduction: The underweight at birth is recognized as a major cause of morbidity and mortality in childhood. Objective: To identify maternal and obstetric sociodemographic factors associated with low birth weight. Patients and Methods: This is a retrospective study of analytical type that examined the records of women who gave birth in the obstetrics and gynecology department of Ignace Deen National University Teaching Hospital from 1st December 2016 to 30th April 2017. The analysis was made with the R version 3.3.1 software. We did a univariate and multivariate analysis. Outcomes: Out of the 1633 live births of single pregnancies that occurred during the study period, 109 children were born with a low weight (<2500 g) corresponding to a rate of 6.7%. In univariate analysis, we found a significant association between low birth weight and maternal single status (p = 0.019), maternal weight less than 60 kg (p = 0.038), primary parity (p = 0.018), maternal history of abortion (p = 0.001), history of preterm birth (p < 0.001), arterial hypertension (p < 0.001), anemia (p < 0.001) and malaria (p < 0.001). In multivariate analysis, the variables associated with low birth weight were: history of preterm delivery with OR of 8.5 [1.8 - 40.1], history of abortion (OR = 4.4 [1.4 - 13.9]), malaria (OR = 23.8 [6.1 - 92.5]), anemia (OR = 11.8 [3.7 - 38.2]) and high blood pressure (OR = 5.4 [1.6 - 17.9]). Conclusion: The decrease in frequency of low birth weight in Guinea will be done by improving the quality of prenatal care with an emphasis on screening, prevention and treatment of malaria, anemia and high blood pressure during pregnancy, prevention of abortion and premature birth.

关键词： Risk Factors Low Birth Weight Ignace Deen Newborn to Term