Pub Date : 2023-07-28DOI: 10.36349/easjms.2023.v05i06.006
Fryse francois Mve Okoue, Abdessalam Bouassria, H. E. Bouhaddouti, Bachir Benjelloun, O. Mouaqit, Abdelmalek Ousadden, K. Taleb
Intraluminal textiloma is caused by the retention of surgical textile material in the digestive tract (compress, drape). Textiloma is found intraluminally due to an inflammatory process that causes necrosis and progressive passage of the material through the digestive tract wall. It can be found anywhere along the digestive tract, from the stomach to the colon. The symptoms are not very specific and vary from transit disorders to intestinal obstruction. Morphological examination is frequently used to make a diagnosis. The treatment depends on the locasation and consists of textiloma extraction. We present two (2) clinical aspects of postoperative digestive intraluminal migration of an abdominal field following digestive surgery in this study. The extremely rare nature of these two cases, as well as the diagnostic errors and management methods of this postoperative complication, prompt us to discuss them.
{"title":"Intraluminal Digestive Textiloma: Two Case Reports","authors":"Fryse francois Mve Okoue, Abdessalam Bouassria, H. E. Bouhaddouti, Bachir Benjelloun, O. Mouaqit, Abdelmalek Ousadden, K. Taleb","doi":"10.36349/easjms.2023.v05i06.006","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i06.006","url":null,"abstract":"Intraluminal textiloma is caused by the retention of surgical textile material in the digestive tract (compress, drape). Textiloma is found intraluminally due to an inflammatory process that causes necrosis and progressive passage of the material through the digestive tract wall. It can be found anywhere along the digestive tract, from the stomach to the colon. The symptoms are not very specific and vary from transit disorders to intestinal obstruction. Morphological examination is frequently used to make a diagnosis. The treatment depends on the locasation and consists of textiloma extraction. We present two (2) clinical aspects of postoperative digestive intraluminal migration of an abdominal field following digestive surgery in this study. The extremely rare nature of these two cases, as well as the diagnostic errors and management methods of this postoperative complication, prompt us to discuss them.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125659727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-26DOI: 10.36349/easjms.2023.v05i06.005
D. S, D. I, K. S, D. A, K. M, M. K, C. M, F. D, K. D, D. A, C. S, D. A
The ileosigmoid node is a rare surgical emergency. We report a case of intestinal obstruction by ileosigmoid node that occurred in a young adult patient himself accompanying another patient. Management was early and confirmation was intraoperative.
{"title":"Acute Intestinal Occlusion by Ileo-Sigmoid Node: About a Case","authors":"D. S, D. I, K. S, D. A, K. M, M. K, C. M, F. D, K. D, D. A, C. S, D. A","doi":"10.36349/easjms.2023.v05i06.005","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i06.005","url":null,"abstract":"The ileosigmoid node is a rare surgical emergency. We report a case of intestinal obstruction by ileosigmoid node that occurred in a young adult patient himself accompanying another patient. Management was early and confirmation was intraoperative.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128509978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-23DOI: 10.36349/easjms.2023.v05i05.003
G. B, Olatunbosun T. H., I. I, M. A, K. E, A. I, A. I, A. H., Alasia O. M, I. Y., A. O. O, H. F., Iheagwam R. B, D. C, I. C, O. Z, A. S, C. H., O. M., Kianen S
Economic and financial sector play a vital role in the determination of population size in any country across the globe. When these sector are not properly handle resulting in scarce resources, thereby luring people to engage in activity that are not of interest, particularly sex without consent. The aim of this study is to evaluate Cashless Policy as Determinant of Sexual Exploitation among Reproductive Age Women in South-South Nigeria. This is a cross-sectional study involving 260 females who are within the age of 18 to 42 years. Consent was sorted from the participants before giving them the questionnaires. A well-structured questionnaire was administered to participants. Each participant had one questionnaire to fill appropriately and independently after instructions were given to them by the researchers. The study lasted for a period of 3 months. The study revealed that 20(7.70%%) of the respondents were within 18-22 years, 152(58.50%) 23-27years, 6(2.30%) 28-32 years while 82(31.50%) were within 33-37 years. Again, the study revealed that 44(16.90%) had primary education, 88(33.80%) had secondary education, and 128(49.20%) had tertiary education respectively. 214(82.30%) participants were single while 46(17.70%) were married. 40(15.40%) of the respondents were doing farming, 64(24.60%) trading and 156(60.00%) were unemployed. 82.3% of the respondents did not have access to money and 81.5% were exploited sexually. 80.8% were forced to have sex while 81.5% yield to the sexual exploitation.78.5% were Victims of sexual exploitation. The findings also shows that 92(35.40%) of the respondents had complication of unwanted pregnancy, 84(32.30%) had sexually transmitted disease, 40(15.40%) had psychological trauma, and 44(16.90%) did not have any complications from sexual exploitation. Data were obtained and analyzed using SPSS version 23 and P value < 0.05 was said to be significant.
经济和金融部门在决定全球任何国家的人口规模方面发挥着至关重要的作用。当这些部门处理不当导致资源稀缺，从而引诱人们从事不感兴趣的活动，特别是未经同意的性行为。本研究的目的是评估无现金政策作为尼日利亚南南育龄妇女性剥削的决定因素。这是一项横断面研究，涉及260名年龄在18到42岁之间的女性。在给参与者发放问卷之前，对他们的同意进行了排序。对参与者进行了一份结构良好的问卷调查。每个参与者都有一份问卷，在研究人员给他们指示后，他们要适当地、独立地填写。研究时间为3个月。研究发现，18-22岁的有20人(7.70%)，23-27岁的有152人(58.50%)，28-32岁的有6人(2.30%)，33-37岁的有82人(31.50%)。同样，研究显示，44人(16.90%)接受过初等教育，88人(33.80%)接受过中等教育，128人(49.20%)接受过高等教育。214人(82.30%)为单身，46人(17.70%)为已婚。从事农业的有40人(15.40%)，从事贸易的有64人(24.60%)，失业的有156人(60.00%)。82.3%的受访者无法获得资金，81.5%的受访者受到性剥削。被迫发生性行为的占80.8%，屈服于性剥削的占81.5%，性剥削的受害者占78.5%。调查结果还显示，92人(35.40%)有意外怀孕并发症，84人(32.30%)有性传播疾病，40人(15.40%)有心理创伤，44人(16.90%)没有任何性剥削并发症。数据的获取和分析使用SPSS version 23, P值< 0.05为显著性。
{"title":"Cashless Policy as Determinant of Sexual Exploitation among Women in South-South Nigeria","authors":"G. B, Olatunbosun T. H., I. I, M. A, K. E, A. I, A. I, A. H., Alasia O. M, I. Y., A. O. O, H. F., Iheagwam R. B, D. C, I. C, O. Z, A. S, C. H., O. M., Kianen S","doi":"10.36349/easjms.2023.v05i05.003","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i05.003","url":null,"abstract":"Economic and financial sector play a vital role in the determination of population size in any country across the globe. When these sector are not properly handle resulting in scarce resources, thereby luring people to engage in activity that are not of interest, particularly sex without consent. The aim of this study is to evaluate Cashless Policy as Determinant of Sexual Exploitation among Reproductive Age Women in South-South Nigeria. This is a cross-sectional study involving 260 females who are within the age of 18 to 42 years. Consent was sorted from the participants before giving them the questionnaires. A well-structured questionnaire was administered to participants. Each participant had one questionnaire to fill appropriately and independently after instructions were given to them by the researchers. The study lasted for a period of 3 months. The study revealed that 20(7.70%%) of the respondents were within 18-22 years, 152(58.50%) 23-27years, 6(2.30%) 28-32 years while 82(31.50%) were within 33-37 years. Again, the study revealed that 44(16.90%) had primary education, 88(33.80%) had secondary education, and 128(49.20%) had tertiary education respectively. 214(82.30%) participants were single while 46(17.70%) were married. 40(15.40%) of the respondents were doing farming, 64(24.60%) trading and 156(60.00%) were unemployed. 82.3% of the respondents did not have access to money and 81.5% were exploited sexually. 80.8% were forced to have sex while 81.5% yield to the sexual exploitation.78.5% were Victims of sexual exploitation. The findings also shows that 92(35.40%) of the respondents had complication of unwanted pregnancy, 84(32.30%) had sexually transmitted disease, 40(15.40%) had psychological trauma, and 44(16.90%) did not have any complications from sexual exploitation. Data were obtained and analyzed using SPSS version 23 and P value < 0.05 was said to be significant.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127661941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-23DOI: 10.36349/easjms.2023.v05i05.004
I. Samri, A. Arsalane, I. Zaytoune, A. Zidane
Male breast cancer is a rare disease (about 1% of breast cancers) with a poor prognosis. The diagnosis is most often late and lesions are treated in advanced stages. The aim of this study was to analyze the clinical, histological, therapeutic and prognostic characteristics of male breast cancer. This was a retrospective study of 05 patients collected in the thoracic surgery department of the Marrakech military hospital. The average age of our patients was 66.2 years. The average consultation time was 11.8 months, and self-care of a breast nodule was the main reason for consultation in 60% of cases. Invasive ductal carcinoma was the predominant histological type in 66.7% of cases. Multimodal therapeutic management consisted of mastectomy followed by adjuvant treatment with chemotherapy, radiotherapy and/or hormone therapy depending on the stage of the tumor and histological characteristics. The hormone dependence of these tumors is proven in 60% of cases. Five-year survival is currently being evaluated. Node invasion, invasion of the dermis and the TNM, clinical stage are factors that significantly influence the occurrence of metastases. None of these risk factors were found to be significant in terms of overall survival.
{"title":"Male Breast Cancer: About 05 Cases","authors":"I. Samri, A. Arsalane, I. Zaytoune, A. Zidane","doi":"10.36349/easjms.2023.v05i05.004","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i05.004","url":null,"abstract":"Male breast cancer is a rare disease (about 1% of breast cancers) with a poor prognosis. The diagnosis is most often late and lesions are treated in advanced stages. The aim of this study was to analyze the clinical, histological, therapeutic and prognostic characteristics of male breast cancer. This was a retrospective study of 05 patients collected in the thoracic surgery department of the Marrakech military hospital. The average age of our patients was 66.2 years. The average consultation time was 11.8 months, and self-care of a breast nodule was the main reason for consultation in 60% of cases. Invasive ductal carcinoma was the predominant histological type in 66.7% of cases. Multimodal therapeutic management consisted of mastectomy followed by adjuvant treatment with chemotherapy, radiotherapy and/or hormone therapy depending on the stage of the tumor and histological characteristics. The hormone dependence of these tumors is proven in 60% of cases. Five-year survival is currently being evaluated. Node invasion, invasion of the dermis and the TNM, clinical stage are factors that significantly influence the occurrence of metastases. None of these risk factors were found to be significant in terms of overall survival.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123588339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-23DOI: 10.36349/easjms.2023.v05i05.002
A. Lachyan, P. Goyal, P. Verma, Saima Furqan, M. H. Siddiqui, Y. Gupta
During the COVID-19 pandemic, antenatal care (ANC) clinics monitored pregnant women for HIV testing as part of a surveillance program for the virus, especially in the lockdown period (2020–2021) worldwide. To guide community-wide HIV interventions and prevent mother-to-child transmission, studies on the demographics of expectant mothers who test positive for HIV can be used as proxies. During the COVID-19 epidemic, we planned to examine HIV testing among pregnant women receiving antenatal. Overall, no demographic factors were discovered to be significantly linked to HIV prevalence. However, studies on demographic traits, past HIV testing, and the COVID-19 pandemic found that young, less educated, primigravida, rural, and low socioeconomic level women comprised most of those who underwent tests. During the COVID-19 pandemic, there was a correlation between age, education level, employment position, parity, and HIV testing among pregnant women.
{"title":"A Review Paper on HIV Testing Among Pregnant Women Receiving Antenatal Care During the COVID-19 Pandemic","authors":"A. Lachyan, P. Goyal, P. Verma, Saima Furqan, M. H. Siddiqui, Y. Gupta","doi":"10.36349/easjms.2023.v05i05.002","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i05.002","url":null,"abstract":"During the COVID-19 pandemic, antenatal care (ANC) clinics monitored pregnant women for HIV testing as part of a surveillance program for the virus, especially in the lockdown period (2020–2021) worldwide. To guide community-wide HIV interventions and prevent mother-to-child transmission, studies on the demographics of expectant mothers who test positive for HIV can be used as proxies. During the COVID-19 epidemic, we planned to examine HIV testing among pregnant women receiving antenatal. Overall, no demographic factors were discovered to be significantly linked to HIV prevalence. However, studies on demographic traits, past HIV testing, and the COVID-19 pandemic found that young, less educated, primigravida, rural, and low socioeconomic level women comprised most of those who underwent tests. During the COVID-19 pandemic, there was a correlation between age, education level, employment position, parity, and HIV testing among pregnant women.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132321363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-13DOI: 10.36349/easjms.2023.v05i06.004
Mohit Kumer Pramanik, A. Biswas, M. Akter, Tasnim Mahmud, Tarim Mahmood
Objective: To find out the relationship between hematological parameters and disease severity among COVID-19 patients. Methods: This cross-sectional analytical study was conducted in the COVID unit of Dhaka Medical College and Hospital (DMCH). The study was conducted from October 2020 to September 2021. Patients diagnosed with COVID-19 infection detected by real-time reverse transcriptase-polymerase chain reaction (RT-PCR) admitting in the Corona unit of DMCH, Dhaka, Bangladesh. Purposive sampling technique was applied to collect the samples. 96 patients were included for the study. Result: In case of severity of patients, 17 (17.7%) patients had mild illness, 29 (30.2%) had moderate illness and 50 (52.1%) patients had severe illness due to COVID-19 infection. Furthermore, according to gender, the proportion of male patients (70.0%) were significantly more in severe group compared to mild/moderate group (47.8%). Moreover, the mean age of the patients in severe group (56.2± 14.3) were significantly higher than the mean age of the patients in mild/moderate group (48.7±12.5) as p=0.007. Patients in severe group had significantly higher neutrophil count than mild/moderate group (p<0.001). On the other hand, patients in severe group had significantly lower lymphocyte, eosinophil and platelet count than mild/moderate group (p<0.05). The neutrophil-to-lymphocyte ratio (NLR) was significantly higher in severe group compared to mild/moderate group (p<0.001).
{"title":"Hematological Parameters and its Association with Disease Severity among COVID-19 Patient","authors":"Mohit Kumer Pramanik, A. Biswas, M. Akter, Tasnim Mahmud, Tarim Mahmood","doi":"10.36349/easjms.2023.v05i06.004","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i06.004","url":null,"abstract":"Objective: To find out the relationship between hematological parameters and disease severity among COVID-19 patients. Methods: This cross-sectional analytical study was conducted in the COVID unit of Dhaka Medical College and Hospital (DMCH). The study was conducted from October 2020 to September 2021. Patients diagnosed with COVID-19 infection detected by real-time reverse transcriptase-polymerase chain reaction (RT-PCR) admitting in the Corona unit of DMCH, Dhaka, Bangladesh. Purposive sampling technique was applied to collect the samples. 96 patients were included for the study. Result: In case of severity of patients, 17 (17.7%) patients had mild illness, 29 (30.2%) had moderate illness and 50 (52.1%) patients had severe illness due to COVID-19 infection. Furthermore, according to gender, the proportion of male patients (70.0%) were significantly more in severe group compared to mild/moderate group (47.8%). Moreover, the mean age of the patients in severe group (56.2± 14.3) were significantly higher than the mean age of the patients in mild/moderate group (48.7±12.5) as p=0.007. Patients in severe group had significantly higher neutrophil count than mild/moderate group (p<0.001). On the other hand, patients in severe group had significantly lower lymphocyte, eosinophil and platelet count than mild/moderate group (p<0.05). The neutrophil-to-lymphocyte ratio (NLR) was significantly higher in severe group compared to mild/moderate group (p<0.001).","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127176540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-11DOI: 10.36349/easjms.2023.v05i06.002
Issaka Diarra, B. B, D. M, M. Amadou, T. Amadou, M. Konaté, I. Ibrahima, Diakite Diakite, D. T, Alassane Traoré, Tidiani Diarra, K. D, K. O, Kanté Lassana, A. Togo
In Mali, particularly in CHU Gabriel TOURE, organization of block activities is always problematic due to operative programming ignorance by staff of sector and other proximity, thus causing a blow to the good functioning of block. Objectives: Determine the knowledge level of staff intervening in block; to describe the existence of block operative charter functioning, know the existence of block operative components, Analyze the unrolling operative program. Methodology: We carried out a prospect, descriptive and transversal study to CHU Gabriel TOURE close to staff practicing to the operative blocks and other relation services; the sampling was probabilistic, based on systematic random technic. Result: Decisional proceedings and coordination in the block are ignored by the all respondent staff (100%). 50, 57% of respondent staff have witnessed the inobservance of hygiene rules concerning the patient, professionals, staffs in training, visitors, equipments, locals and environment. 75, 87% of respondents have testified a specify date and hour existence of programming meetings, but which are not surely respected according to 58, 63% of those same respondents. As far as 72, 44% have testified a fix hour existence to the bloc opening while.77, 01% have found regular hour inexistence to the startup of program. It also exists that a room is defined for each specialty working in the block say 65, 52% of respondent staff. 63, 22% of respondents affirmed that there is no own channel pour patient and material. Moreover it states that none of investigated staff does not know the responsible of block team coordination (100%). There are no established punishments at the block also supporting modalities of dysfunction and conflicts, respectively say 57, 48% and 70, 12% of respondent staff. 100% of respondents testified collegiality’s absence in operative; programming meeting and that 51,72% of respondent staff judged that topics reading are not done during programming meeting ...
在马里，特别是在朱加布里埃尔图雷，由于部门和其他邻近地区的工作人员对执行方案的无知，组织街区活动总是有问题，从而对街区的良好运作造成打击。目的:确定阻断干预人员的知识水平;描述块操作包机功能的存在性，了解块操作组件的存在性，分析展开操作程序。方法:我们对CHU Gabriel TOURE近距离员工执业到手术块等关系服务进行了前瞻性、描述性和横向研究;抽样是基于系统随机技术的概率抽样。结果:所有应答人员(100%)都忽略了区块中的决策程序和协调。50.57%的受访员工目睹了在病人、专业人员、培训人员、来访者、设备、当地人和环境方面不遵守卫生规定的情况。75.87%的受访者证实了编程会议存在的具体日期和时间，但其中58.63%的受访者表示，这些会议肯定没有得到尊重。多达72,44 %的人证实了欧盟开放期间的固定时间存在。77,01%的人发现程序启动时间不正常。同样存在的是，一个房间被定义为在街区工作的每一种专业比如65%，52%的被调查者。63.22%的受访者肯定没有自己的渠道倾注病人和物资。此外，调查人员中没有人不知道负责街区小组协调(100%)。没有既定的惩罚措施也支持功能障碍和冲突的模式，分别有57.48%和67.12%的受访员工表示。100%的被调查者证实合议制在操作中缺席;在编程会议中，51.72%的被调查者认为在编程会议中没有进行主题阅读。
{"title":"Evaluation of the Operative Programming at the CHU Gabriel TOURE of Bamako-Mali","authors":"Issaka Diarra, B. B, D. M, M. Amadou, T. Amadou, M. Konaté, I. Ibrahima, Diakite Diakite, D. T, Alassane Traoré, Tidiani Diarra, K. D, K. O, Kanté Lassana, A. Togo","doi":"10.36349/easjms.2023.v05i06.002","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i06.002","url":null,"abstract":"In Mali, particularly in CHU Gabriel TOURE, organization of block activities is always problematic due to operative programming ignorance by staff of sector and other proximity, thus causing a blow to the good functioning of block. Objectives: Determine the knowledge level of staff intervening in block; to describe the existence of block operative charter functioning, know the existence of block operative components, Analyze the unrolling operative program. Methodology: We carried out a prospect, descriptive and transversal study to CHU Gabriel TOURE close to staff practicing to the operative blocks and other relation services; the sampling was probabilistic, based on systematic random technic. Result: Decisional proceedings and coordination in the block are ignored by the all respondent staff (100%). 50, 57% of respondent staff have witnessed the inobservance of hygiene rules concerning the patient, professionals, staffs in training, visitors, equipments, locals and environment. 75, 87% of respondents have testified a specify date and hour existence of programming meetings, but which are not surely respected according to 58, 63% of those same respondents. As far as 72, 44% have testified a fix hour existence to the bloc opening while.77, 01% have found regular hour inexistence to the startup of program. It also exists that a room is defined for each specialty working in the block say 65, 52% of respondent staff. 63, 22% of respondents affirmed that there is no own channel pour patient and material. Moreover it states that none of investigated staff does not know the responsible of block team coordination (100%). There are no established punishments at the block also supporting modalities of dysfunction and conflicts, respectively say 57, 48% and 70, 12% of respondent staff. 100% of respondents testified collegiality’s absence in operative; programming meeting and that 51,72% of respondent staff judged that topics reading are not done during programming meeting ...","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130431316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-11DOI: 10.36349/easjms.2023.v05i06.003
D. I, D. S, K. Ballo, B. Sylla, Y. Sanogo, M, Kassogué, Seydou Karembé, B. Coulibaly, M. Kanthe, D. Koné, O, A. Togo
We report a case of bowel evisceration following uterine perforation after an abortive manoeuvre by unqualified personnel. After the procedure, there was abundant vaginal bleeding and a complication was encountered: small bowel evisceration approximately 1 metre long via the vagina, certainly following the seizure of these small bowels and their successive traction which led first to the uterine cavity, then the vagina and finally to the vulva. Given the author's fear, the patient was referred urgently for treatment. After a transfusion of two units of blood and a triple laparotomy, a 1 m resection of the small intestine with end-to-end anastomosis was performed; suture of the uterine perforation and curettage of the cavity. The patient was discharged from the centre 10 days after surgery. Conclusion: This case shows the clandestine nature of induced abortions, which are responsible for multiple complications, including visceral lesions and uterine perforations.
{"title":"Transvaginal Evisceration Following Uterine Perforation by Abortion Procedure: About a Case Treated at the Reference Health Center of Commune 1 of Bamako","authors":"D. I, D. S, K. Ballo, B. Sylla, Y. Sanogo, M, Kassogué, Seydou Karembé, B. Coulibaly, M. Kanthe, D. Koné, O, A. Togo","doi":"10.36349/easjms.2023.v05i06.003","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i06.003","url":null,"abstract":"We report a case of bowel evisceration following uterine perforation after an abortive manoeuvre by unqualified personnel. After the procedure, there was abundant vaginal bleeding and a complication was encountered: small bowel evisceration approximately 1 metre long via the vagina, certainly following the seizure of these small bowels and their successive traction which led first to the uterine cavity, then the vagina and finally to the vulva. Given the author's fear, the patient was referred urgently for treatment. After a transfusion of two units of blood and a triple laparotomy, a 1 m resection of the small intestine with end-to-end anastomosis was performed; suture of the uterine perforation and curettage of the cavity. The patient was discharged from the centre 10 days after surgery. Conclusion: This case shows the clandestine nature of induced abortions, which are responsible for multiple complications, including visceral lesions and uterine perforations.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125141566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-09DOI: 10.36349/easjms.2023.v05i06.001
B. Ballo, D. Sangaré, M. Diakité, H. Berthé, O. Koné, A. Kassogué, A. Dembe
Objective: Analyze the epidemiological, anatomo -clinical, therapeutic and evolutionary aspects of iatrogenic obstetric fistulas linked to a gynecological/obstetric procedure (caesarean section, hysterectomy, myomectomy, use of forceps, treatment of uterine prolapse, or vaginal surgery). Patients and Methods: This was a descriptive prospective study, concerning 62 patients hospitalized in the Urology department of the Point-G University Hospital from January 5, 2010 to June 30, 2014 for iatrogenic obstetric fistulas. The epidemiological, anatomo -clinical, therapeutic and evolutionary aspects were analyzed. Results: Iatrogenic obstetric fistulas were found in 19% of patients out of 321 cases of urogenital fistulas hospitalized in urology. The average age was 32 years with extremes of 15 and 52 years. The revealing clinical signs were: permanent loss of urine (87.10%), loss of urine while standing (9.70%), loss of urine while lying down (3.20%). Gynecological/obstetric procedures: caesarean section n= 39, hysterectomy n= 15, myomectomy n= 1, use of forceps n= 5, cure of uterine prolapse, vaginal surgery n= 1) were the most common causes. Type V fistulas were the most encountered with 74.20% and among these V fistulas, retro-trigonal fistulas were the most represented with 37.80% of cases followed by uretero-vaginal fistulas (31.10%) and vesico-uterine fistulas (15.60%). The upper route was used in 41 cases; followed by the low way in 18 cases and the mixed way in 3 cases. Trigono -cervico-uterine duplication was performed in 23 cases followed by uretero -vesical reimplantation in 19 cases. The treatment was satisfactory in 55 cases, i.e. 88.70% (no leakage) and poor in 7 cases.
{"title":"Management of Iatrogenic Obstetric Fistulas in the Urology Department of CHU Point G, Apropos of 62 Cases","authors":"B. Ballo, D. Sangaré, M. Diakité, H. Berthé, O. Koné, A. Kassogué, A. Dembe","doi":"10.36349/easjms.2023.v05i06.001","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i06.001","url":null,"abstract":"Objective: Analyze the epidemiological, anatomo -clinical, therapeutic and evolutionary aspects of iatrogenic obstetric fistulas linked to a gynecological/obstetric procedure (caesarean section, hysterectomy, myomectomy, use of forceps, treatment of uterine prolapse, or vaginal surgery). Patients and Methods: This was a descriptive prospective study, concerning 62 patients hospitalized in the Urology department of the Point-G University Hospital from January 5, 2010 to June 30, 2014 for iatrogenic obstetric fistulas. The epidemiological, anatomo -clinical, therapeutic and evolutionary aspects were analyzed. Results: Iatrogenic obstetric fistulas were found in 19% of patients out of 321 cases of urogenital fistulas hospitalized in urology. The average age was 32 years with extremes of 15 and 52 years. The revealing clinical signs were: permanent loss of urine (87.10%), loss of urine while standing (9.70%), loss of urine while lying down (3.20%). Gynecological/obstetric procedures: caesarean section n= 39, hysterectomy n= 15, myomectomy n= 1, use of forceps n= 5, cure of uterine prolapse, vaginal surgery n= 1) were the most common causes. Type V fistulas were the most encountered with 74.20% and among these V fistulas, retro-trigonal fistulas were the most represented with 37.80% of cases followed by uretero-vaginal fistulas (31.10%) and vesico-uterine fistulas (15.60%). The upper route was used in 41 cases; followed by the low way in 18 cases and the mixed way in 3 cases. Trigono -cervico-uterine duplication was performed in 23 cases followed by uretero -vesical reimplantation in 19 cases. The treatment was satisfactory in 55 cases, i.e. 88.70% (no leakage) and poor in 7 cases.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"100 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125182258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-08DOI: 10.36349/easjms.2023.v05i05.001
S. A, G. M, I. K, Bako, D, O. Z, Younssa, M, Amadou Boubacar, N, J. L, S. R
Aim of the study: The purpose of this article is to report the experience of the General Reference Hospital in the surgical management of abdominal emergencies. Patients and Methods: This was a prospective study over 3 years 5 months (08/12/2017 to 31/05/2021) which concerned patients operated for an abdominal emergency at the General Reference Hospital of Niamey. Results: We had 170 patients operated for an abdominal emergency (8.37%), with a male predominance (61.50%) and a sex ratio of 1.59. The average age was 36.08 years with a standard deviation of 17.46 and extremes of 2 to 79 years. Non-traumatic abdominal emergencies dominated with 96.47%. Abdominal ultrasound was performed in 92.35% (n=157) of patients and abdominal CT scan in 35.88% (n=61). General anesthesia was performed in 97.06% of cases (n=165). The approaches were laparotomy in 72.35% (n=123) and laparoscopy in 27.65% (n=47). The most reported intraoperative diagnoses were acute appendicitis 40.59% (n=69) followed by acute peritonitis 18.82% (n= 32) and acute cholecystitis 13,53% (n= 23). The main procedures performed by laparoscopy were appendectomies, cholecystectomies and acute peritonitis in respectively 15.29%, 10.59% and 1.76% of cases. Postoperative complications represented 2.35% (n=4) in laparoscopy and 9.41% (n=16) in laparotomy. Conclusion: Abdominal emergencies at the Reference General Hospital are frequent and postoperative complications are few especially at laparoscopy, which is a first way to encourage in our context; It gives better surgical outcomes than conventional surgery.
{"title":"Management of Abdominal Surgical Emergencies at the General Reference Hospital, What Place for Laparoscopic Surgery?","authors":"S. A, G. M, I. K, Bako, D, O. Z, Younssa, M, Amadou Boubacar, N, J. L, S. R","doi":"10.36349/easjms.2023.v05i05.001","DOIUrl":"https://doi.org/10.36349/easjms.2023.v05i05.001","url":null,"abstract":"Aim of the study: The purpose of this article is to report the experience of the General Reference Hospital in the surgical management of abdominal emergencies. Patients and Methods: This was a prospective study over 3 years 5 months (08/12/2017 to 31/05/2021) which concerned patients operated for an abdominal emergency at the General Reference Hospital of Niamey. Results: We had 170 patients operated for an abdominal emergency (8.37%), with a male predominance (61.50%) and a sex ratio of 1.59. The average age was 36.08 years with a standard deviation of 17.46 and extremes of 2 to 79 years. Non-traumatic abdominal emergencies dominated with 96.47%. Abdominal ultrasound was performed in 92.35% (n=157) of patients and abdominal CT scan in 35.88% (n=61). General anesthesia was performed in 97.06% of cases (n=165). The approaches were laparotomy in 72.35% (n=123) and laparoscopy in 27.65% (n=47). The most reported intraoperative diagnoses were acute appendicitis 40.59% (n=69) followed by acute peritonitis 18.82% (n= 32) and acute cholecystitis 13,53% (n= 23). The main procedures performed by laparoscopy were appendectomies, cholecystectomies and acute peritonitis in respectively 15.29%, 10.59% and 1.76% of cases. Postoperative complications represented 2.35% (n=4) in laparoscopy and 9.41% (n=16) in laparotomy. Conclusion: Abdominal emergencies at the Reference General Hospital are frequent and postoperative complications are few especially at laparoscopy, which is a first way to encourage in our context; It gives better surgical outcomes than conventional surgery.","PeriodicalId":446681,"journal":{"name":"EAS Journal of Medicine and Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124437285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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