Complications postopératoires de la cholécystéctomie laparoscopique chez l’enfant drépanocytaire homozygote : expérience d’un hôpital pédiatrique parisien

Triki, Z.; Nghe, Marie-Claire; Shaffii, Anoushée; Nivoche, Y.

doi:10.1016/j.arcped.2008.08.002

Cited by 3 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most participants had treated patients with sickle cell disease for abdominal and orthopaedic surgery. This result was consistent with data in the literature [ 3 , 13 , 14 , 15 ] which classify hepatobiliary, digestive, and bone complications as the most common surgical indications for patients with sickle cell disease.…”

Section: Discussionsupporting

confidence: 92%

“…This could explain why most anaesthesiologists are the only doctors involved in the perioperative management of patients with sickle cell disease. The non-emergency context of surgery, and optimal multidisciplinary perioperative management, associating anaesthesiologists, surgeons and haematologists, contributed in part to prevent the occurrence of postoperative complications linked to sickle cell disease in several studies [ 6 , 15 ]. This collaboration makes it possible to assess the severity and functional impact of the disease in patients with sickle cell disease, firstly according to the vaso-occlusive and transfusion history and secondly according to the degree of progression of degenerative complications [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Practices of Anaesthesiologists in the Management of Patients with Sickle Cell Disease: Empirical Evidence from Cameroon

et al. 2021

View full text Add to dashboard Cite

Patients with sickle cell disease are more likely to undergo surgery during their lifetime, especially given the numerous complications they may develop. There is a paucity of data concerning the management of patients with sickle cell disease by anaesthesiologists, especially in Africa. This study aimed to describe the practices of anaesthesiologists in Cameroon concerning the perioperative management of patients with sickle cell disease. A cross-sectional study was carried out over four months and involved 35 out 47 anaesthesiologists working in hospitals across the country, who were invited to fill a data collection form after giving their informed consent. The data were analysed using descriptive statistics and a binary logistic regression model. Among the 35 anaesthesiologists included in the study, most (29 (82.9%)) had managed patients with sickle cell disease for both emergency and elective surgical procedures. Most of them had never asked for a haematology consultation before surgery. Most participants (26 (74.3%)) admitted to having carried out simple blood transfusions, while 4 (11.4%) carried out exchange transfusions. The haemoglobin thresholds for transfusion varied from one practitioner to another, between <6 g/dL and <9 g/dL. Only 6 (17.1%) anaesthesiologists had a treatment guideline for the management of patients with sickle cell disease in the hospitals where they practiced. Only 9 (25.7%) prescribed a search for irregular agglutinins. The percentage of haemoglobin S before surgery was always available for 5 (14.3%) of the participants. The coefficient (0.06) of the occurrence of a haematology consultation before surgery had a significant influence on the probability of management of post-operative complications (coefficient 0.06, 10% level of probability). This study highlights the fact that practices in the perioperative management of patients with sickle cell disease in Cameroon vary greatly from one anaesthesiologist to another. We disclosed major differences in the current recommendations, which support the fact that even in Sub-Saharan countries, guidelines applicable to the local settings should be published.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

The Practices of Anaesthesiologists in the Management of Patients with Sickle Cell Disease: Empirical Evidence from Cameroon

et al. 2021

View full text Add to dashboard Cite

show abstract

“…1 Bili-IRM objectivant une sténose biliaire postopératoire siégeant sur le conduit hépatique commun systématique de cette lithiase biliaire chez le drépanocytaire, notamment homozygote, guide aujourd'hui les pédiatres dans ce diagnostic devant des douleurs abdominales chroniques dans un contexte ictérique [3,10]. Cette démarche permet une prise en charge plus précoce des enfants [2,11] bien qu'au Cameroun un dépistage de la lithiase biliaire sur ce terrain ne mette en évidence les calculs qu'une fois sur trois [12].…”

Section: Discussionunclassified

“…L'accroissement de la durée du séjour hospitalier des jeunes drépanocytaires s'explique essentiellement par le caractère fragile du terrain chez lequel surviennent souvent des complications médicales malgré la surveillance postopératoire immédiate préconisée en milieu de réanimation [2].…”

Section: Discussionunclassified

“…En raison des migrations des populations ou des regroupements familiaux, ces patients drépanocytaires d'origine subsaharienne sont de plus en plus fréquents en Europe. Si ce profil de terrain pathologique est habituel pour certaines équipes médicales des grandes capitales européennes comme Paris [2,3], il l'est moins en milieu suburbain ou rural. La cholécystectomie par voie mini-invasive chez l'enfant drépanocytaire nécessite des précautions au vu des risques lésionnels biliaires identiques à ceux de l'adulte [4], mais accrus par le terrain hématologique du patient, les petites dimensions et les éventuelles variations anatomiques congénitales.…”

Section: Introductionunclassified

See 1 more Smart Citation

Le traitement coelioscopique de la lithiase vésiculaire chez l’enfant drépanocytaire au Sénégal

Ndoye

Diop

Fall

et al. 2010

J Afr Hepato Gastroenterol

View full text Add to dashboard Cite

Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

et al. 2019

View full text Add to dashboard Cite

Children with sickle cell disease (SCD) require specific perioperative care, and clinical practice in this area remains poorly defined. We aimed to conduct a systematic, PRISMA-based review of the literature, available clinical guidelines and practice recommendations. We also aimed to extract any valuable information for the "best of available-evidence"-based prevention of perioperative adverse events in children with SCD, and highlight the most urgent priorities in clinical research. As data sources, USWe also included institutional, consortia and expert group guidelines. Included were reports/guidelines in English, French, German, and Italian. Excluded were reports on obstetrical and fetal management. We identified 202 reports/guidelines fulfilling the criteria outlined above. A majority focused on visceral, cardiovascular and orthopedic surgery procedures, and only five were multicenter randomized controlled trials and two prospective randomized studies. After grading of the quality of the evidence, the extracted data was summarized into clinical recommendations for daily practice. Additionally, we designed a risk-grading algorithm to identify contexts likely to be associated with adverse outcomes. In conclusion, we provide a systematic PRISMA-based review of the existing literature and ancillary practice and delineate a set of clinical recommendations and priorities for research.

show abstract

Complications postopératoires de la cholécystéctomie laparoscopique chez l’enfant drépanocytaire homozygote : expérience d’un hôpital pédiatrique parisien

Cited by 3 publications

References 5 publications

The Practices of Anaesthesiologists in the Management of Patients with Sickle Cell Disease: Empirical Evidence from Cameroon

The Practices of Anaesthesiologists in the Management of Patients with Sickle Cell Disease: Empirical Evidence from Cameroon

Le traitement coelioscopique de la lithiase vésiculaire chez l’enfant drépanocytaire au Sénégal

Perioperative care of children with sickle cell disease: A systematic review and clinical recommendations

Contact Info

Product

Resources

About