Background: Burns are the leading causes of disability-adjusted life-years (DALYs) lost in low-and middleincome countries.The survival outcome in the Douala General Hospital was lower than the survival outcome predictions in high income countries.

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Background: Circumcision is the oldest and most common surgical procedure in the world. One out of three adult males is subjected to this procedure at some point in their lives. Circumcision is done for different reasons, most often to meet religious and/or cultural obligations. Though rare, there exist medical indications for this procedure. As in all surgical procedures, there are early or late complications or morbidities associated with circumcision ranging from mild to severe. The factors that influence the rate of occurrence of complications include: the surgical technique applied, the degree of asepsis during the procedure, and the expertise of the practitioner carrying out the procedure. Case Presentation: This is the case of a 20-year-old black male. He presented in the emergency department of the Douala Laquintinie Hospital (DLH) two hours after circumcision with persistent bleeding from the penile wound. This was performed by a traditional healer using the technique of guillotine. Examination of the external genitalia revealed a wound on the penis with loss of skin over the whole penile shaft. Under spinal anesthesia, a reconstruction intervention which involved a single step scrotal skin flap advancement over the penile shaft was done. We noted satisfactory healing process with a pleasing aesthetic appearance of the penis. He confirmed satisfactory penile erection and sexual activity two months after hospital discharge. Conclusion: Circumcision is a simple surgical procedure that can result to life threatening complications or high morbidity more often when performed by an unskilled practitioner. Education of the population on the safer sites of circumcision can help in the prevention and early management of complications.

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Background: Hirschsprung disease is a developmental disorder characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. Hirsch sprung disease is common in the paediatric age group (neonatal period). They represent worldwide 1/1500-1/7000 newborn. The male: female ratio is 4:1. Case Report: We report the case of Hirsch sprung diseases diagnosed in a one month old neonate who presented with abdominal distension and recurrent constipation since birth. The past history was relevant for delay emission of meconium. A rectosigmoid contrast enema transition zone was observed and a diagnosis of hirschsprung disease was made. The patient was treated through asingle stage operation, trans-anal pull throughin YGOPH. Conclusion: Accurate reporting and creation of registry and data bases are important measures to curb the mortality and morbidity associated with this paediatric surgical condition