Trauma care including abdominal trauma is a big challenge. It is associated with high morbidity and mortality and continues to be a public health problem worldwide. The main aims of our study were to assess the patterns and outcomes of our patients, and to describe our experience in management of abdominal trauma. This descriptive retrospective study was conducted in general surgery department at National Centre Hospital of Nouakchott in Mauritania. We recruited patients presented at our department with abdominal trauma (2012-2016). Out of 100 cases, 92% were men. Mean age: 22.78 years (5-70 years). Eighty percent of patients suffered of penetrating abdominal trauma. Stab injuries were the most frequent mechanism (60%). The commonest organ injury was small intestine (16%). Mortality has been strongly related to road traffic accidents. Cares of severe abdominal traumas are not common in our hospital, due to lack of required overall data. Emergency health system is needed to better care of trauma patients in Mauritania.
Le carcinome épidermoïde primitif (CEP) ou carcinome de cellules squameuses du sein est une tumeur maligne rare des cancers mammaires. D'origine métaplasique, son histogenèse et son pronostic sont controversés ainsi que sa présentation clinique et mammographique n'ont pas de particularité par rapport aux autres cancers. Le CEP du sein se caractérise par une évolution rapide et un traitement non codifiée. Le but de ce travail est de rapporter les aspects cliniques et évolutifs d'un nouveau cas de CEP avec une revue de littérature.
RésuméIntroductionLes complications postopératoires ne sont pas rares; certaines sont transitoires, d'autres peuvent être graves, mais elles sont toutes importantes pour les patients. L'une des plus importantes lacunes dans la recherche chirurgicale est le manque de consensus sur le résultat préféré, comment la mesurer ou l'évaluer.MéthodesNous rapportons une étude rétrospective des complications post opératoires survenues au service de chirurgie générale du centre hospitalier national de Nouakchott. Huit cents trente-quatre patients opérés pendant sept mois (1er janvier 2017 au 31 juillet 2017). Les paramètres démographiques et cliniques ont été étudiés, analysés statistiquement sur le logiciel SPSS 20.RésultatsIl s'agit de 834 patients dont 426 (51,1%) hommes. L'âge moyen: 34,81 ans (1-90ans). Quatre cents trente-deux (51,2%) patients opérés en urgence. Le sexe ratio (H/F): 1.04. L'ethnie arabo berbère représentait (77,8%). La pathologie appendiculaire (41,12%), pathologie hépatobiliaire (17,76%), pathologie de la paroi abdominale (16,1%). La pathologie thyroïdienne (5,6%). Cent quatre-vingt-trois (21,94%) patients ont développé des complications postopératoires dont 4 (2,1%) décès. Le grade II clavien-Dindo est le plus représenté avec 82,5% des compliquées et représente 17,91% de tous les opérés. L'infection du site opératoire a été de 62.8% de toutes les complications.ConclusionCette étude a montré que la classification de Clavien-Dindo peut être appliquée pour les patients ayant subi une chirurgie élective et une chirurgie d'urgence. Nous pensons que le manque de suivi et le manque de moyen de lutte contre l'infection et le non-respect rigoureux des mesures d'asepsie et d'antisepsie jouerait un rôle important.
Introduction: Primary open angle glaucoma (POAG) is an anterior optic neuropathy of chronic and progressive course, characterized by perimeter alteration and excavation of the specific optic disc. This neuropathy is usually accompanied by ocular hypertonia. The iridocorneal angle remains open in gonioscopy. POAG is the primary cause of irreversible blindness in adults around the world, posing a real public health and quality of life problem as well as an economic problem. The progressive and irreversible loss of vision makes POAG a disease that can lead to blindness. The main objective of our study is to describe the epidemiological, clinical and therapeutic aspects of primary open angle glaucoma in the ophthalmology department of the National Hospital Center of Nouakchott. Materials and Methods: It was a prospective descriptive study of 6 months (March 1 st 2017 to August 30 th 2017), on patients with a POAG with the presence of at least one of the three signs (intraocular pressure > 21 mmHg, papillary cup/disc vertical excavation ≥ 0.5 and a field altered apart from all other causes). All glaucoma patients seen during the study period benefited from a complete eye examination. The studied variables were the family history of glaucoma, age, intra ocular pressure (IOP) and pachymeter. Results: The mean age was 58.7 years. About 2/3 of the patients had a lower pachymeter to normal (63% of cases), a genetically thinner cornea results in an underestimation of the IOP measurement. The male was the most represented with a sex ratio M/F (1.42), the main characteristic factors were family history of glaucoma (39.7%), artery hypertension, diabetic and headache. The success rate of surgery was 69.8%, while 11% of our patients had refused any kind of treatment, no complications were noted, Conclusion: POAG is a multifactorial condition which can lead to blindness if not early diagnosed or if treatment is poorly conducted, hence the impor
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