Hernies ombilicales étranglées chez l’enfant au Burkina Faso: différences avec les pays développés

Bandré, Emile; Kaboré, R.; Sanou, A.; Ouédraogo, I.; Soré, O; Tapsoba, T.L.; Nebie, B.; Wandaogo, A; Bachy, Bruno

doi:10.1007/s13149-010-0039-y

Cited by 8 publications

(11 citation statements)

References 9 publications

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“…This equates to potentially five million DALYs averted by upscaling hernia repairs in Ghana alone. Other LMICs have also reported significant opportunities to reduce the burden of hernia by avoiding the nearly 20 per cent of hernias that present as emergencies and the associated 5–10 per cent mortality rate. As elective hernia repair costs only €4–10 (US $6–13; exchange rate 27 September 2013) per DALY averted, comparable with, or more affordable than, the provision of insecticide‐treated bed nets, oral rehydration salts or antiretroviral therapy, it should be considered a fundamental component of public health systems.…”

Section: Resultsmentioning

confidence: 99%

Global disease burden of conditions requiring emergency surgery

Stewart

Khanduri

McCord

et al. 2014

Journal of British Surgery

427

336

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Background: Surgical disease is inadequately addressed globally, and emergency conditions requiring surgery contribute substantially to the global disease burden.Methods: This was a review of studies that contributed to define the population-based health burden of emergency surgical conditions (excluding trauma and obstetrics) and the status of available capacity to address this burden. Further data were retrieved from the Global Burden of Disease Study 2010 and the University of Washington's Institute for Health Metrics and Evaluation online data. Results:In the index year of 2010, there were 896 000 deaths, 20 million years of life lost and 25 million disability-adjusted life-years from 11 emergency general surgical conditions reported individually in the Global Burden of Disease Study. The most common cause of death was complicated peptic ulcer disease, followed by aortic aneurysm, bowel obstruction, biliary disease, mesenteric ischaemia, peripheral vascular disease, abscess and soft tissue infections, and appendicitis. The mortality rate was higher in high-income countries (HICs) than in low-and middle-income countries (LMICs) (24·3 versus 10·6 deaths per 100 000 inhabitants respectively), primarily owing to a higher rate of vascular disease in HICs. However, because of the much larger population, 70 per cent of deaths occurred in LMICs. Deaths from vascular disease rose from 15 to 25 per cent of surgical emergency-related deaths in LMICs (from 1990 to 2010). Surgical capacity to address this burden is suboptimal in LMICs, with fewer than one operating theatre per 100 000 inhabitants in many LMICs, whereas some HICs have more than 14 per 100 000 inhabitants. Conclusion:The global burden of surgical emergencies is described insufficiently. The bare estimates indicate a tremendous health burden. LMICs carry the majority of emergency conditions; in these countries the pattern of surgical disease is changing and capacity to deal with the problem is inadequate. The data presented in this study will be useful for both the surgical and public health communities to plan a more adequate response.

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Section: Resultsmentioning

confidence: 99%

Global disease burden of conditions requiring emergency surgery

Stewart

Khanduri

McCord

et al. 2014

Journal of British Surgery

427

336

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“…Congenital malformations of the digestive system were the most frequently associated malformations (35.3% of associated malformations, 9.7% of the total sample) and consisted mostly of umbilical hernia, a common malformation in black African children [27, 28]. Congenital malformations of the musculoskeletal system were the next most common malformations (19.6% of associated congenital malformations, 5.4% of the total sample).…”

Section: Discussionmentioning

confidence: 99%

Congenital malformations and medical conditions associated with orofacial clefts in children in Burkina Faso

et al. 2017

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BackgroundOrofacial clefts are usually isolated cases but can be associated with other congenital malformations that are either recognised or unrecognised syndromes. The reported prevalence and pattern of such associated malformations, however, vary among studies. Objectives: To assess the frequencies and aetiologies of congenital malformations and associated medical conditions in children with orofacial clefts in Burkina Faso (Western Africa).MethodsA retrospective descriptive study was carried out at the El Fateh-Suka Clinic in Ouagadougou, Burkina Faso. All children who attended surgery for the repair of a cleft lip and/or palate were included in this study.ResultsThe frequency of congenital malformations associated with cleft lip and/or palate was 39/185 (21.1%). In the group with multiple congenital malformations of unknown origin (34 patients; 18.4%), 66.7% had cleft lip and palate, followed by isolated cleft lip (27.4%) and isolated cleft palate (5.9%). The digestive system (35.3%), the musculoskeletal system (19.6%), and eye, ear, face, and neck (15.7%) were the most affected systems. In the group of syndromic malformations (five patients; 2.7%), amniotic band syndrome (one patient), Van der Woode syndrome (one patient), Goltz syndrome (one patient), and holoprosencephaly (two patients) were identified. Medical conditions included anaemia (39.4%), infections (9.2%), malnutrition (7.5%), and haemoglobinopathies (4.3%).ConclusionsCongenital malformations and medical co-morbidities were frequent in children with OFCs. Further studies and a National Malformations Registry are needed to improve the comprehension of OFCs in Burkina Faso.

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“…Le diamètre du collet constitue un facteur important dans la prise en charge des hernies car il est inversement proportionnel au risque d'étranglement (Koura, 1996) (Ngom, 2016) (Bandré 2010).…”

Section: Aspects Thérapeutiquesunclassified

“…L'intestin grêle était l'organe le plus retrouvé dans le sac herniaire dans notre étude et dans celle de Bandré (Bandré 2010). Par contre, pour Angate (Angate, 1972), l'épiploon et le colon étaient les viscères les plus fréquemment retrouvés.…”

Section: Aspects Thérapeutiquesunclassified

Hernies Ombilicales Étranglées De L’enfant Au Centre Hospitalier Régional De Ziguinchor (Sénégal)

Diouf

Omar

Ibrahima

et al. 2017

ESJ

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The umbilical hernia is a well-known pathology even though, its strangulation has been subject to much controversy. The aim of this work is to report our experience in the management of strangulated hernia of the child at the Ziguinchor regional hospital and to compare our results with those of the literature through a retrospective and descriptive study over a four years period. During the study period 24 patients with high male predominance were received. The mean age of the patients was 2.1 years. 45% of patients had a chronic cough. The average time for consultation was 27.6 hours. A notion of abdominal abrupt was found in 45% of the cases. The vast majority of patients arrived at the hospital during the dry season. Abdominal pain and vomiting were the main symptoms. An occlusive syndrome was present in about half of the patients. The diameter of the collar of the hernia varied between 1.5 and 2.5 cm and no intestinal necrosis was found during exploration. The surgery was simple in the majority of cases. Umbilical hernia is a reality in under-developed environment some factors promotes its complications.

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Hernies ombilicales étranglées chez l’enfant au Burkina Faso: différences avec les pays développés

Cited by 8 publications

References 9 publications

Global disease burden of conditions requiring emergency surgery

Global disease burden of conditions requiring emergency surgery

Congenital malformations and medical conditions associated with orofacial clefts in children in Burkina Faso

Hernies Ombilicales Étranglées De L’enfant Au Centre Hospitalier Régional De Ziguinchor (Sénégal)

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