La hernie ombilicale de l'enfant noir africain: le danger évolutif

Harouna, Y.; Gamatie, Y.; Abdou, I.; Seibou, A.; Mounkaila, Harouna; Boureima, Moussa

doi:10.1016/s0929-693x(00)80142-6

Cited by 5 publications

(7 citation statements)

References 3 publications

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“…Abdominal surgical emergency is a frequent reason for consultation and admission, representing 20.8% of emergency consultations in some previous Senegalese studies [6]. Many authors agree that acute abdomen surgery represents the majority of the visceral surgeon's activity in Africa [5,8,9]. During our study period, there were 1228 emergency department consultations, including 275 abdominal surgical emergencies (22.3%).…”

Section: Discussionmentioning

confidence: 77%

“…Sigmoid volvulus represented the leading cause of these obstructions (33.3%), ahead of adhesions (28.6%). Several African authors describe this same predominance [5,19]. This is due to a higher prevalence of colon volvulus in Africa, which is linked to diet and the pelvic colon of Africans, which would be longer [20].…”

Section: Discussionmentioning

confidence: 99%

“…They are associated with significant mortality, mainly due to delays in consultation and administration of treatments [4]. These emergencies affect individuals of all ages and can be caused by different etiologies, among which appendicitis, peritonitis, and intestinal obstruction predominate [5]. A good knowledge of the epidemiological profile of these emergencies would make it possible to adapt medical interventions in order to improve access to care and the prognosis.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiological profile of abdominal surgical emergencies in adults at the Saint-Louis Regional Hospital (Senegal) between 2021 and 2022: a cross-sectional study

Ndong,

Moche,

Togtoga

et al. 2024

RPHB

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INTRODUCTION: Abdominal surgical emergencies are relatively common conditions, with a frequency varying between 20 and 22.7%. Understanding their epidemiological profile would help tailor medical interventions to improve access to care and prognosis. The objective of this study is to describe the epidemiological profile of abdominal surgical emergencies in adults at the Regional Hospital Center of Saint-Louis, Senegal.METHODS: A cross-sectional descriptive study was conducted from June 1, 2021, to May 30, 2022, in the General Surgery Department of the Regional Hospital Center of Saint-Louis, Senegal. It included all patients aged 15 years and above who presented with an acute abdomen (operated or not). The study collected sociodemographic, clinical, paraclinical, and therapeutic data.RESULTS: During the study period, 1,228 emergencies were received, of which 275 were abdominal surgical emergencies, resulting in an annual hospital incidence of 22.3%. Of these patients, 191 were male and 84 were female, with a male-to-female ratio of 2.3. The mean age was 39.6 years, with a standard deviation of 18.3 (ranging from 15 to 88 years). The majority of patients (80.0%) arrived at the hospital on their own, with the dominant means of transportation being personal vehicles (68.4%). The most common pathologies were appendicular pathologies (25.1%), followed by strangulated hernias (16.7%), peritonitis (16.7%), intestinal obstructions (15.3%), and abdominal traumas (12.7%). The mean waiting time for surgical management was 50.1 hours, ranging from 8 to 72 hours. General anesthesia was the most commonly used method (66.5%), and surgical treatment was the predominant approach (78.2%). The in-hospital mortality rate was 5.8%.CONCLUSION: The most affected patients were young men, and the most frequent emergency was appendicitis and its complications. Patients are mostly transported to the hospital on their own using personal vehicles. Despite the relatively low in-hospital mortality rate, the conditions for managing abdominal surgical emergencies remain limited.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Epidemiological profile of abdominal surgical emergencies in adults at the Saint-Louis Regional Hospital (Senegal) between 2021 and 2022: a cross-sectional study

Ndong,

Moche,

Togtoga

et al. 2024

RPHB

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“…It was performed in 55 of our patients and revealed appendicular involvement in 54 cases, representing a sensitivity of 98.2%. Some authors [10] [11] [28] [29] [30] believe that its sensitivity varies from 48% to 90% and its specificity from 83% to 100%. This sensitivity drops to 30% in front of an appendix perforated [11].…”

Section: Discussionmentioning

confidence: 99%

Epidemiological, Clinical, and Therapeutic Characteristics of Acute Appendicitis at the Reference Health Center in Commune I of the District of Bamako Mali

Tounkara,

Samake,

Bagayoko

et al. 2023

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Acute appendicitis is the most common abdominal surgical emergency. This work is a prospective study from January 2012 to December to analyze the epidemiological, clinical and therapeutic aspects of acute appendicitis in the Cs ref of commune I of the district of Bamako and the results obtained were then compared with those reported in other countries. Our study included 72 patients. The appendectomy surgical specimens were the subject of an anatomical pathology study at Point G University Hospital in Bamako in Mali, 1.4% of cases of which were healthy. All our operated patients received antibiotics (mono or dual antibiotics) with a post-operative hospitalization duration of 1.5 (36 hours) days on average. We recorded 6 complications such as parietal suppuration, i.e. 8.33% of cases. No 5th day syndrome or late complications were noted. The average length of hospitalization was 36 hours. Abdominal ultrasound; used as an additional examination was carried out in 55 of our patients or 76.39% of cases. We have not recorded any deaths. Raising awareness among patients about the dangers of complications motivated patients to undergo surgery as soon as possible.

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“…In Zambia, Holme et al found that the mean age of patients with OF was 22 years old [8]. Obstetric fistula occurs predominantly in young parturient: the very young age of the patient has been noted by several authors [8][9][10]. Previous studies have found a high rate of obstetrical complications in teenagers [11,12].…”

Section: Discussionmentioning

confidence: 99%

Obstetric Fistula: a retrospective study of 413 cases in Haut-Katanga Province, Democratic Republic of Congo

Nsambi¹,

Mukuku²,

Kakudji³

et al. 2020

Preprint

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Background: In developing countries, fistulae are generally caused by long obstructed labors. Obstetric fistula (OF) is a severe condition which can have devastating consequences for a woman’s life.This study aims to describe the socio-demographic and delivery characteristics of patients with OF in Haut-Katanga province in the Democratic Republic of Congo.Methods: This is a prospective descriptive study of 413 patients with OF in Haut-Katanga province during the period from September 2009 to December 2018.Results: At fistula occurrence, 53.3% of patients were younger than 20 years (mean age: 21.3 ± 6.7 years) and 65.8% were primiparous. More than half had primary education and 39.7% were illiterate; 70.2% of the patients were separated or divorced. Fistula developed after delivery at home in 239 (57.9%) of 413 women. A total of 393 (95.2%) women developed fistula after vaginal delivery. A total of 387 (93.7%) of the 413 women reported that the fetus did not survive the labor during which fistula developed. 92.3% had a vesico-vaginal fistula and the mean age of fistula was 6.5 years. Surgical repair was successful in 82.9%.Conclusion: Obstructed labor remains the most important cause of OF in Haut-Katanga. It is important to prevent OF arising from obstructive causes. The surgical treatment of OF will depend upon the type, size and location of fistula.

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La hernie ombilicale de l'enfant noir africain: le danger évolutif

Cited by 5 publications

References 3 publications

Epidemiological profile of abdominal surgical emergencies in adults at the Saint-Louis Regional Hospital (Senegal) between 2021 and 2022: a cross-sectional study

Epidemiological profile of abdominal surgical emergencies in adults at the Saint-Louis Regional Hospital (Senegal) between 2021 and 2022: a cross-sectional study

Epidemiological, Clinical, and Therapeutic Characteristics of Acute Appendicitis at the Reference Health Center in Commune I of the District of Bamako Mali

Obstetric Fistula: a retrospective study of 413 cases in Haut-Katanga Province, Democratic Republic of Congo

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