Les complications de la cœliochirurgie dans le service de gynécologie A de l’hôpital général de Yaoundé, Cameroun

Nguefack, Charlotte Tchente; Mboudou, Emile Télesphore; Tejiokem, Mathurin Cyrille; Doh, A. S.

doi:10.1016/j.jgyn.2009.06.008

Cited by 7 publications

(3 citation statements)

References 17 publications

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“…We reviewed in this study 208 cases of laparoscopy at the Yaoundé General Hospital indicated for female infertility. In previous studies carry out in Cameroon and Senegal, infertility was the most frequent indication for laparoscopy [5] [7] [11]. Adhesions involving the fallopian tube are considered as causes of infertility [12].…”

Section: Discussionmentioning

confidence: 99%

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon

Ngowa

Kasia

Nkongo

et al. 2015

IJCM

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Background: Infertility is a global problem, but the highest prevalence is in low resource countries, particularly in sub-Saharan Africa where tubal damage following pelvic infection is the commonest cause. Objectives: This study aimed to assess contribution of laparoscopy as a diagnostic and therapeutic tool in infertile women in our setting. Methods: A descriptive review of complete medical records of 208 women who underwent laparoscopy at the Gynaecology Unit of Yaoundé General Hospital from December 2007 to December 2012. Results: Two hundred and eight women were enrolled in this study. Mean age was 32.6 ± 11.25 years. Infertility was secondary in 71.6% of cases; 125 (60.1%) women were married and 116 (55.8%) had a positive serology of Chlamydia trachomatis infection. The most frequent findings during diagnostic laparoscopy were: pelvic adhesions (83.7%), hydrosalpinx (21.6%), pyosalpinx (4.8%), perihepatic adhesions (25.5%), uterine fibromas (22.6%), pelvic endometriosis (13%) and ovarian abnormalities (10.1%). The surgical procedures during laparoscopy were: adhesiolysis (79.7%), tuboplasty (35.0%), salpingectomy (8.2%), ovarian cystectomy (5.8%) and myomectomy (1.9%). Three (1.4%) cases of uterine perforation and 1 (0.5%) case of laparoscopy conversion to laparotomy were observed. Conclusion: Diagnostic laparoscopy revealed that tubal lesions and pelvic adhesions were still the major causes of female infertility in developing countries. Adhesiolysis and tuboplasty were the most frequently performed surgical procedures during laparoscopy. Therefore, training in endoscopic

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Section: Discussionmentioning

confidence: 99%

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon

Ngowa

Kasia

Nkongo

et al. 2015

IJCM

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“…It can only exclude infections less than 4 months old in the case of high avidity, as low or intermediate avidities can persist beyond 4 months. Assessing the date of infection according to gestational age is therefore difficult in African countries such as Benin or other countries where the date of first prenatal consultation is often late and follow-up irregular [ 1 , 7 , 21 ]. Thus, in our study, most women (72.3%) were included at the 2nd or 3rd trimester of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

“…Thus, in our study, most women (72.3%) were included at the 2nd or 3rd trimester of pregnancy. These situations may be related to several sociocultural factors such as maternal age ≤ 18 years, primary and secondary level of education, lack of abortion history, lack of monthly income, lack of knowledge of the date of last menstrual period, and lack of awareness of beginning prenatal consultations [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Seroepidemiology of toxoplasmosis in pregnant women and detection of infection acquired during pregnancy in Cotonou, Benin

Amagbégnon,

Dechavanne,

Dambrun

et al. 2023

Parasite

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Assessing the prevalence of toxoplasmosis in pregnant women and the associated risk factors is the first step in defining policy for the prevention of congenital toxoplasmosis in a given population. An epidemiological study was conducted during prenatal consultations at the CHU-MEL of Cotonou (Benin) between September 2018 and April 2021 and recruited 549 pregnant women to determine the seroprevalence and potential factors associated with Toxoplasma gondii infection. Toxoplasma gondii IgG/IgM antibodies were detected using an enzyme-linked fluorescence assay (ELFA) technique, an IgG avidity test and an IgG/IgM comparative Western blot to diagnose the maternal toxoplasmosis serological status, the possibility of an infection acquired during pregnancy and congenital infection, respectively. Concomitantly, the participants answered a questionnaire investigating potential risk factors. Toxoplasmosis seroprevalence was estimated at 44.4% (95% CI 40.3–48.6) and the factors significantly associated with T. gondii seropositivity were: age over 30 years, multigravid women and contact with cats. The possibility of an infection acquired during the periconceptional period or the first trimester of pregnancy concerned six women [1.1% (95% CI 0.5–2.0)]. However, due to the low rate of serological controls in seronegative women, a significant proportion of women first tested during the 3rd trimester of pregnancy, and an insufficient sample size, the incidence of primary infection during pregnancy could not be determined. No cases of congenital transmission occurred in the newborns from the suspected cases of primary infection.

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Premiers résultats de la cœlioscopie gynécologique au Centre hospitalier universitaire (CHU) de Dakar : série prospective de 128 cas

Mbaye

Cissé

Guèye

et al. 2012

Journal of Obstetrics and Gynaecology Canada

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Les complications de la cœliochirurgie dans le service de gynécologie A de l’hôpital général de Yaoundé, Cameroun

Cited by 7 publications

References 17 publications

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon

Seroepidemiology of toxoplasmosis in pregnant women and detection of infection acquired during pregnancy in Cotonou, Benin

Premiers résultats de la cœlioscopie gynécologique au Centre hospitalier universitaire (CHU) de Dakar : série prospective de 128 cas

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Les complications de la cœliochirurgie dans le service de gynécologie A de l’hôpital général de Yaoundé, Cameroun

Cited by 7 publications

References 17 publications

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaound&#233; General Hospital, Cameroon

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaound&#233; General Hospital, Cameroon

Seroepidemiology of toxoplasmosis in pregnant women and detection of infection acquired during pregnancy in Cotonou, Benin

Premiers résultats de la cœlioscopie gynécologique au Centre hospitalier universitaire (CHU) de Dakar : série prospective de 128 cas

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Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon

Contribution of Laparoscopy in the Management of Female Infertility in Low Resource Countries: A Review of 208 Cases at the Yaoundé General Hospital, Cameroon