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Research Article
Precose Post-Operative Complications of Abdominal Surgery at the Communal Medical Center of Ratoma (CMC Ratoma)
Diawara Mohamed Albert*,
Keita Doubany Mariame,
Guirassy Mariama II,
Fofana Naby,
Camara Soriba Naby,
Fofana Houssein,
Toure Aboubacar
Issue:
Volume 12, Issue 5, October 2024
Pages:
105-109
Received:
23 June 2023
Accepted:
8 August 2023
Published:
20 September 2024
Abstract: Introduction: Postoperative complications are incidents or accidents that may occur after any surgical intervention. They lead to the aggravation of the previous situation by their morbidity and even their mortality. The objective of this work was to study the early postoperative evolution in the digestive surgery and Maternity departments at the CMC of Ratoma. Methodology: This was a descriptive prospective study over a period of (6) months from July 01, 2021 to December 31, 2021 carried out in the surgery and maternity departments of the Ratoma municipal center. Results: we operated on 403 patients in the surgery and maternity departments of the CMC in Ratoma, of which 50 cases, or 12%, developed early postoperative complications. The age group of 20-30 years was the most affected 22 cases or 44% with an average age of 29.5 years, extremes of 3 years and 85. The female sex was dominant 36 cases or 78% of cases with a sex ratio of 3.5. The majority of patients 26 or 56% were operated on in the maternity ward, where caesarean section was the most performed surgical procedure. Emergencies were represented in 26 cases or 56% of surgical interventions, infection of the surgical site was the most common postoperative complication in 40 cases or 80%. All our suppurated patients benefited from a pus sample for cytobacteriological examination and were treated according to the result of the antibiogram plus local care. 72% of our patients were followed on an outpatient basis. The evolution was favorable in 44 of our patients, i e. 88%, and unfavorable in 6 of our patients, i e. 12%, including ISO, evisceration and death each in 2 cases, i e. a common rate of 4%. Conclusion: Early postoperative complications were frequent at CMC Ratoma. Surgical site infections were the main early OCC presented by the patients. The management was medical and surgical. The evolution was favorable in most cases, however we recorded a few cases of death.
Abstract: Introduction: Postoperative complications are incidents or accidents that may occur after any surgical intervention. They lead to the aggravation of the previous situation by their morbidity and even their mortality. The objective of this work was to study the early postoperative evolution in the digestive surgery and Maternity departments at the C...
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Research Article
Hemoperitoneum: Frequency, Management and Prognostic Factors in the General Surgery Department Hospital National Ignace Deen, CHU de Conakry, Guinea
Issue:
Volume 12, Issue 5, October 2024
Pages:
110-114
Received:
13 August 2024
Accepted:
4 September 2024
Published:
23 September 2024
Abstract: Aim: To report our experience in the management of haemoperitoneum in the general surgery department of the Ignace Deen National Hospital. Patients and methods: This was a retrospective descriptive and analytical study, covering a period of 5 years, from January 2017 to December 2021, carried out in the general surgery department of the Ignace Deen National Hospital. All records of patients admitted for hemoperitoneum were included. Results: During the five (5) years, 120 cases of hemoperitoneum were collected, representing 1.1% of all abdominal surgical emergencies. The mean age of the patients was 24 ± 16.83 years. The patients were predominantly male, with a sex ratio M/F: 1,05. The average admission time was 32.1 hours. Haemoperitoneum was traumatic in 58.33% of cases. Road traffic accidents accounted for 35.83% of cases. Treatment was surgical in 81 patients (69.23%). The main anatomopathological lesions found were: rupture of ectopic pregnancy (33.33%), rupture of the spleen (17.5%). The procedures performed were: salpingectomy (61.72%), splenectomy (23.45%). The prognostic factors were: age greater than 30 years, admission time greater than 48 hours, large haemoperitoneum. Post-operative management was straightforward in 92.50% of cases with a death rate of 4.17%. Conclusion: Hemoperitoneum is a frequent occurrence in the department. Treatment was surgical with hemostasis, salpingectomy and splenectomy. Prognostic factors were age, admission time and quantity of hemoperitoneum.
Abstract: Aim: To report our experience in the management of haemoperitoneum in the general surgery department of the Ignace Deen National Hospital. Patients and methods: This was a retrospective descriptive and analytical study, covering a period of 5 years, from January 2017 to December 2021, carried out in the general surgery department of the Ignace Deen...
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Research Article
The Study on Lymphatic Cysts Caused by Lymphadenectomy
Issue:
Volume 12, Issue 5, October 2024
Pages:
115-119
Received:
30 August 2024
Accepted:
18 September 2024
Published:
29 September 2024
Abstract: Background: Traumatic lymphatic cyst, also known as cystic lymphangioma, is a multidisciplinary disease, with congenital lymphatic cysts being more common. Lymphatic cysts lack specific clinical manifestations, and the vast majority of cases are incidentally discovered during auxiliary examinations or surgeries, making diagnosis challenging. Surgery is the most effective treatment for this condition, with a favorable prognosis. Lymphatic cysts caused by lymphatic injury are clinically rare. This study theoretically analyzes the clinical characteristics of lymphatic cysts resulting from lymphatic injury. Objective: To explore the mechanisms by which lymphatic injury leads to lymphatic cyst formation and provide guidance for clinical treatment measures. Methods: The study involves analyzing the principles of lymphatic injury and examining the process of lymphatic cystic transformation and cyst formation. Results: The causes of lymphatic injury include mechanical cutting, thermal energy conduction from electrocautery, needle puncture, and trauma. Conclusion: There are various mechanisms and causes of lymphatic injury, and lymphatic injury is common during surgery. When lymphatic vessels are identified during surgery, they should be managed similarly to blood vessel ligation and disconnection. Lymphatic cysts are prone to recurrence, and complete resection is an effective treatment for this condition. Puncture and subtotal resection have a high recurrence rate.
Abstract: Background: Traumatic lymphatic cyst, also known as cystic lymphangioma, is a multidisciplinary disease, with congenital lymphatic cysts being more common. Lymphatic cysts lack specific clinical manifestations, and the vast majority of cases are incidentally discovered during auxiliary examinations or surgeries, making diagnosis challenging. Surger...
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Research Article
Evaluation of Treatment Results for Male Hypogonadism in Patients with Varicocele and Without Varicocele in Can Tho City
Nguyen Trung Hieu,
Nguyen Trung Kien,
Dam Van Cuong,
Le Thanh Binh,
Tran Quoc Cuong,
Hoang Minh Tu,
Luong Tieu Yen*
Issue:
Volume 12, Issue 5, October 2024
Pages:
120-128
Received:
14 August 2024
Accepted:
5 September 2024
Published:
18 October 2024
DOI:
10.11648/j.js.20241205.14
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Abstract: Introduction: male hypogonadism is defined by the European Association of Urology 2022 as being associated with reduced testicular function, reduced androgen production, and/or impaired sperm production. Male hypogonadism has many causes and accompanying diseases such as diabetes, varicocele, etc. Male hypogonadism hadsymptoms of varicocele and had two treatment options: testosterone replacement therapy or surgical treatment of varicocele. Each method has different advantages and disadvantages, so we research to evaluate each treatment method’s results. Objectives: Evaluate the results of male hypogonadism treatment of testosterone replacement therapy or varicocele surgery. Material and methods: conducted a cross-sectional descriptive study in 111 men with symptoms of hypogonadism from January 2022 to the end of 2023. Result: The average age was 65.2 ± 2.4 years. The Androgen Deficiency in Aging Males (ADAM) questionnaire has the highest rate of 90.99% showing symptoms of decreased erection strength. Hypogonadism is associated with body mass index and diabetes. After treatment, the hypogonadism group with grade III varicocele had the lowest response to treatment. After treatment, total testosterone in blood levels in all treatments increased (p<0.001). Conclusion: Testosterone replacement therapy for hypogonadism without varicocele is the gold standard, and microsurgical treatment for hypogonadism with varicocele is the most effective.
Abstract: Introduction: male hypogonadism is defined by the European Association of Urology 2022 as being associated with reduced testicular function, reduced androgen production, and/or impaired sperm production. Male hypogonadism has many causes and accompanying diseases such as diabetes, varicocele, etc. Male hypogonadism hadsymptoms of varicocele and had...
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Oularé Ibrahima
