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Priapism in Children with Sickle Cell Disease: Description of a Series 28 Cases at CHU Conakry
Keita Doubany Mariame,
Guirassy Mariama II,
Keita Seydou,
Diakité Moussa,
Touré Balla Moussa,
Fofana Naby,
Camara Mama Aissata,
Fofana Houssein,
Touré Aboubacar
Issue:
Volume 11, Issue 4, August 2023
Pages:
77-80
Received:
12 June 2023
Accepted:
3 July 2023
Published:
11 July 2023
Abstract: Introduction: the objective of this study was to describe the epidemiological, clinical, therapeutic and evolutionary aspects of priapism in children with sickle cell disease. Methodology: this was a descriptive retrospective study, lasting 6 years from January 1,2017 to December 31, 2022, carried out at the pediatric surgery unit of the Ignace Deen national hospital and at the SOS center drepa of morykanteyah. Itcovered 28 records of sickle cell patients aged 0 to 15 years. Results: we recorded 28 cases of priapism out of 1050 sickle cell patients, a frequency of 2.66%. The average age of patients was 9.79 years with the extremes of 5 and 14 years, 54% of cases were homogygous, pain and rigidity of the penis were the most frequent clinical signs, i e 100%. The duration of symptom evolution was greater than 36 hours in 53.57%. It was an acute priapism in 54% with a nocturnal occurrence in 57%. 39.29% had suffered 1 to 2 episodes of priapism in their history. The medical treatment involved analgesics, rehydration and oral etilefrine in 85.71%, 32.14% and 21.43% respectively. Intracavernous injection of etilefrine was the most used method with 35.71% success rate, while bilateral incision of the corpora cavernosa (distal Al-Ghorab shunt) was the ultimate remedy with 100% success rate. hit. Detumescence was obtained the same day in 60.71%. Fibrosis of the corpora cavernosa and relapse were the complications found. Conclusion: priapism in children with sickle cell disease is a relatively frequent urological emergency, early consultation and adequate care could reduce complications.
Abstract: Introduction: the objective of this study was to describe the epidemiological, clinical, therapeutic and evolutionary aspects of priapism in children with sickle cell disease. Methodology: this was a descriptive retrospective study, lasting 6 years from January 1,2017 to December 31, 2022, carried out at the pediatric surgery unit of the Ignace Dee...
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Invagination of Transformed Confluence Cysts of Lobar Ducts into the Common Hepatic Duct
Dryazhenkov Gennady Ivanovich,
Dryazhenkov Igor Gennadievich,
Balnykov Sergei Igorevich,
Kalashyan Eduard Vaziri,
Sheronin Sergey Vladislavovich
Issue:
Volume 11, Issue 4, August 2023
Pages:
81-86
Received:
25 May 2023
Accepted:
25 June 2023
Published:
24 July 2023
Abstract: Rationale: Cystic transformation of the bile ducts is rare. There are no publications on the complication of this pathology in the form of invagination of hepatic duct cysts. The search for optimal methods of surgical treatment of transformed cysts continues. Objective: To analyze the surgical treatment of patients with bile duct cysts, their complications and the choice of optimal methods of surgical correction depending on the localization of cysts. Material and methods: The 40–year experience of treating 15 women and 1 man with cystic transformation of the bile ducts is presented. There were 2 rare observations – the invagination of fragments of partially excised walls of confluence cysts of lobar ducts through their iatrogenic defect into the common hepatic duct. The main diagnostic methods were ultrasound, endoscopic retrograde cholangiopancreatography, magnetic resonance cholangiopancreatography. Results: For intrahepatic cysts, left-sided hemihepatectomy (1), resection of 2 and 3 segments of the liver with simultaneous excision of all walls of the hepaticocholedoch cyst, hepaticoejunoanastomosis with isolated jejunum according to Roux (1) was performed. Invagination of fragments of partially excised walls of cysts confluence of lobar ducts through their iatrogenic defect into the common hepatic duct was eliminated using disinvagination through hepaticotomy (1) and resection of hepatic ducts with invaginate with the creation of a bigepaticoejunoanastomosis into the intestinal ring of the isolated jejunum (1). The walls of the cysts of the ducts of the subhepatic localization were completely excised (11) using bigepaticoejunoanastomosis into the intestinal ring of the isolated jejunum (2), hepaticoejunostomy according to Roux (9). Cystoenteroanastomosis according to Brown was performed in 2 patients. Regarding the membranous intra-current septa, their excision (1) and resection of the stenosed left hepaticoejunoanastmosis (1) were required. There were no fatal outcomes. Unresectable tumors of the subhepatic space were found in 2 patients 13 and 15 years after complex excision of cysts with hepaticoejunostomy. Conclusion: We use active surgical tactics: complete excision of the cyst walls, the creation of a hepaticoejunoanastomosis using an isolated intestinal loop according to Roux and a resection technique for single-lobar liver lesion with cysts. Diagnosis of invagination of cystic fragments into the ducts requires highly informative equipment, treatment requires specialized surgical care.
Abstract: Rationale: Cystic transformation of the bile ducts is rare. There are no publications on the complication of this pathology in the form of invagination of hepatic duct cysts. The search for optimal methods of surgical treatment of transformed cysts continues. Objective: To analyze the surgical treatment of patients with bile duct cysts, their compl...
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Indications and Results of the Hartmann Operation in the General Surgery Department of the Hospital National Ignace Deen Chu De Conakry
Kondano Saa Yawo,
Konaté Adama,
Diallo Mariama Ciré,
Camara Mariama,
Camara Naby Laye Youssouf,
Oulare Ibrahima,
Barry Boubacar,
Koundouno Aly Mampaan,
Kourouma Mohamed,
Kamano Faya Anatole,
Ould Sidaty Ahmed El Heiba,
Soumaoro Labilé Togba,
Touré Aboubacar
Issue:
Volume 11, Issue 4, August 2023
Pages:
87-90
Received:
26 June 2023
Accepted:
17 July 2023
Published:
27 July 2023
Abstract: Introduction: The aim was to determine the indications and evaluate the results of the Hartmann procedure in the general surgery department of the CHU Ignace Deen. Material and Methods: Five-year retrospective descriptive study (January 2018 to December 2022) carried out in the general surgery department of the Ignace Deen National Hospital. All complete records of patients undergoing Hartmann surgery were included in the study. The variables were sociodemographic, clinical, therapeutic and prognostic. Univariate and bivariate analysis was used to determine prognostic factors. Results: We collated 32 cases involving a Hartmann procedure out of 3164 hospitalisations, representing (1%) of the department's total activity. The mean age was 48 years, with extremes of 18 and 80 years. Symptoms were dominated by abdominal pain (81%), abdominal distension (75%), abdominal guarding (68%) and fever (21%). Pelvic colonic volvulus was the main indication (50%), followed by colorectal tumours (19%). The average length of hospitalisation was 16.5 days. The outcome was favourable in 90% of cases. We recorded 3 deaths. Prior abdominal surgery and the existence of bridges were morbidity and mortality factors in our study. Conclusion: Pelvic colon volvulus with necrosis was the main indication for this procedure. The Hartmann procedure represents an alternative operation in an emergency situation, with satisfactory results.
Abstract: Introduction: The aim was to determine the indications and evaluate the results of the Hartmann procedure in the general surgery department of the CHU Ignace Deen. Material and Methods: Five-year retrospective descriptive study (January 2018 to December 2022) carried out in the general surgery department of the Ignace Deen National Hospital. All co...
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Management of Abdominal Wounds at the Ignace Deen National Hospital of Conakry (Guinea)
Ansoumane Conde,
Mohamed Saliou Bangoura,
Djiba Camara,
Fode Cisse,
Aminata Fofana,
Ibrahima Sory Camara,
Labile Togba Soumaoro,
Aboubacar Toure
Issue:
Volume 11, Issue 4, August 2023
Pages:
91-93
Received:
28 July 2023
Accepted:
15 August 2023
Published:
28 August 2023
Abstract: Introduction: the aim of this study was to report our experience in the management of abdominal wounds in the general surgery department of the Ignace Deen national hospital of Conakry (Guinea). Patients and Methods: This was a retrospective, descriptive study covering a 3-year period (January 2020 to December 2022) of consecutive records of patients admitted and managed for abdominal wounds in our department. Results: We collected 50 cases representing 33.1% of all traumatic abdominal emergencies (n=151). The mean age was 25.8 ±12 years. We noted a male predominance (78%). Criminal assault was the most frequent circumstance of occurrence (76%). The causal agent was a knife (44%) or a firearm (32%). Wounds were penetrating in 84% of cases. Clinical presentation was parietal wound (n=8; 16%), hemoperitoneum syndrome (n= 20; 40%), evisceration (n=10; 20%) and peritonitis (n=12; 24%). Lesions of the small intestine (38%) and omentum (28%) were the most common. Simple excision-suture (24%) was the most common procedure. Follow-up was uneventful in 82% of cases; however we recorded a morbidity of 6% and an overall mortality of 12%. Conclusion: Wounds of the abdomen are frequent, concern a young population and are often the result of a criminal assault in our context. They cause visceral lesions that can be life-threatening.
Abstract: Introduction: the aim of this study was to report our experience in the management of abdominal wounds in the general surgery department of the Ignace Deen national hospital of Conakry (Guinea). Patients and Methods: This was a retrospective, descriptive study covering a 3-year period (January 2020 to December 2022) of consecutive records of patien...
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