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  1. Artikel: Treatment of Haemorrhoidal Disease by Laser Haemorrhoidoplasty at Dakar Preliminary Study of 21 Patients.

    Diop, Balla / Ba, Pape Abdoulaye / Diouf, Ahmet / NDiaye, Baba / Phiri, Adamson / Sylla, Cheikna

    Journal of the West African College of Surgeons

    2022  Band 11, Heft 4, Seite(n) 33–37

    Abstract: Background: Surgical treatment of haemorrhoidal disease by laser haemorrhoidoplasty is a minimally invasive procedure that facilitates the postoperative course. Due to less aggression on the anoderm and the anal canal mucosa, it causes less significant ... ...

    Abstract Background: Surgical treatment of haemorrhoidal disease by laser haemorrhoidoplasty is a minimally invasive procedure that facilitates the postoperative course. Due to less aggression on the anoderm and the anal canal mucosa, it causes less significant postoperative pain and low morbidity compared with conventional excision according to the Milligan-Morgan or Fergusson procedure. We report, through a preliminary study, our data on laser haemorrhoidoplasty and discuss the indications and results.
    Materials and methods: This is a descriptive prospective study carried out on 21 patients operated on for haemorrhoidal disease by laser haemorrhoidoplasty with or without mucopexy.
    Results: The series was composed of 17 men and 4 women with a male/female ratio of 4.25:1. The average age was 39.6 years with a range of 27-62 years. The symptomatology was rectal bleeding in 16 cases (76%) and anal swelling in 18 cases (85.7%). These include grade 2 haemorrhoids in 2 cases (9.5%), grade 3 in 12 cases (57%), and grade 4 in 7 cases (33%). It was associated with an anal fissure in four cases (19%) and an anal fistula in three cases (14.2%). Mucopexy and laser coagulation were performed therapeutically in 13 cases (61.9%) and laser coagulation without mucopexy was performed in 8 cases (38%). The energy delivered was on average 1488 or 496 J per pile. It was associated with skin tag excision in 18 cases (85.7%), fissurectomy, sphincterotomy, anoplasty in 4 cases (19.2%), and fistulectomy for low anal fistula in 2 cases (9.5%). Piles retraction was judged sufficient in 17 patients (81%). The postoperative course was simple with no notable complaints in 16 patients (76%). Complications consisted of minimal bleeding in six cases (28%), significant bleeding in two cases with readmission, residual skin tag in six cases (28.5%), and subcutaneous fistula in two cases (9.5%). No recurrence of the symptoms of the haemorrhoidal disease was noted.
    Conclusion: Laser haemorrhoidoplasty is a minimally invasive alternative for the treatment of haemorrhoidal disease, especially for grade 2 and 3 haemorrhoids without major prolapse. Postoperative pain is minimal, and the risk of stenosis or incontinence is almost non-existent.
    Sprache Englisch
    Erscheinungsdatum 2022-07-29
    Erscheinungsland India
    Dokumenttyp Journal Article
    ISSN 2276-6944
    ISSN 2276-6944
    DOI 10.4103/jwas.jwas_97_22
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Une tachycardie à QRS large mal tolérée chez un nourrisson.

    Affangla, Désiré Alain / Leye, Mohamed / Simo, Angèle Wabo / D'Almeida, Franck / Sarr, Thérèse Yandé / Phiri, Adamson / Kane, Adama

    The Pan African medical journal

    2017  Band 27, Seite(n) 157

    Abstract: Poorly tolerated broad QRS complex tachycardia in a newborn poses problems with its diagnosis and emergency management. We report the case of a 35-day-old newborn with broad QRS complex tachycardia admitted because of cardiocirculatory distress. Doppler ... ...

    Titelübersetzung Poorly tolerated broad QRS complex tachycardia in a newborn.
    Abstract Poorly tolerated broad QRS complex tachycardia in a newborn poses problems with its diagnosis and emergency management. We report the case of a 35-day-old newborn with broad QRS complex tachycardia admitted because of cardiocirculatory distress. Doppler echocardiography showed morphologically normal heart. The patient received a loading dose of amiodarone but it didn't attenuate tachycardia. Normal sinus rhythm was restored after cardioversion through Lifeline semi-automatic external defibrillator. Maintenance therapy was based on oral amiodarone. The patient had normal sinus rhythm at 03 months of follow-up.
    Mesh-Begriff(e) Amiodarone/therapeutic use ; Anti-Arrhythmia Agents/therapeutic use ; Combined Modality Therapy ; Echocardiography, Doppler ; Electric Countershock/methods ; Electrocardiography ; Female ; Follow-Up Studies ; Humans ; Infant, Newborn ; Tachycardia/diagnosis ; Tachycardia/therapy
    Chemische Substanzen Anti-Arrhythmia Agents ; Amiodarone (N3RQ532IUT)
    Sprache Französisch
    Erscheinungsdatum 2017
    Erscheinungsland Uganda
    Dokumenttyp Case Reports ; Journal Article
    ZDB-ID 2514347-5
    ISSN 1937-8688 ; 1937-8688
    ISSN (online) 1937-8688
    ISSN 1937-8688
    DOI 10.11604/pamj.2017.27.157.10364
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  3. Artikel ; Online: La tachycardie atriale mal tolérée du nouveau-né: à propos d’un cas.

    Affangla, Désiré Alain / Sarr, Thérèse Yandé / Ndiaye, Malick / Diedhiou, Abib Laye / D'Almeida, Franck / Ba, Djibril Marie / Leye, Mohamed / Phiri, Adamson / Ngouala, Georges Antoine Bazolo Ba / Kane, Adama

    The Pan African medical journal

    2019  Band 34, Seite(n) 176

    Abstract: Poorly tolerated cardiac rhythm disorders in the newborn are a real emergency requiring early and adequate management. We here report the case of 15-day old newborn with atrial tachycardia associated with acute heart failure requiring electrical ... ...

    Titelübersetzung Poorly tolerated atrial tachycardia in a newborn: a case study.
    Abstract Poorly tolerated cardiac rhythm disorders in the newborn are a real emergency requiring early and adequate management. We here report the case of 15-day old newborn with atrial tachycardia associated with acute heart failure requiring electrical cardioversion.
    Mesh-Begriff(e) Acute Disease ; Electric Countershock/methods ; Heart Failure/diagnosis ; Heart Failure/therapy ; Humans ; Infant, Newborn ; Male ; Tachycardia, Supraventricular/diagnosis ; Tachycardia, Supraventricular/therapy
    Sprache Französisch
    Erscheinungsdatum 2019-12-04
    Erscheinungsland Uganda
    Dokumenttyp Case Reports
    ZDB-ID 2514347-5
    ISSN 1937-8688 ; 1937-8688
    ISSN (online) 1937-8688
    ISSN 1937-8688
    DOI 10.11604/pamj.2019.34.176.19883
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  4. Artikel: Pediatric Cranioencephalic Trauma in Senegal: A Consideration of 164 Cases

    Tine, Ibrahima / Kessely, Yannick Canton / Ndione, August / Mbengue, Ababacar / Phiri, Adamson / Diop, Abdoul Azize / Ka, Sidy

    Indian Journal of Neurosurgery

    2016  Band 05, Heft 01, Seite(n) 10–15

    Abstract: The cranioencephalic trauma (CET) is a worldwide public health problem. This study is aims to evaluate the epidemiologic, clinical, paraclinical, and types of treatment of CET in Senegalese children. The study includes children younger than 15 years, ... ...

    Abstract The cranioencephalic trauma (CET) is a worldwide public health problem. This study is aims to evaluate the epidemiologic, clinical, paraclinical, and types of treatment of CET in Senegalese children. The study includes children younger than 15 years, victims of CET from January 2008 to December 2012. The series included 164 patients. The average age was 4.96 years, with a sex ratio of 2.72. Patients were transported by unequipped medical ambulance and 65.8% of the case was discharged within the first 6 hours out of the 79.3%. Two causes of accidents were noted: domestic accident (DA) 56.6%, and road traffic accident (RTA) 29.9%. The initial loss of consciousness (ILC), vomiting, and seizures were reported in 49.5, 33.3, and 17.2% cases, respectively. The initial Glasgow Coma Scale (GCS) score was between 13 and 15 in 65.2%, and between 3 and 8 in 16.5% of the cases. The CT scan revealed that 38.1% of the injuries affected the bone whereas 34.75% were normal. Biologically, there was anemia in 51.2% of the cases and electrolyte imbalance in 16.46%. All patients received medical treatment. Surgery was performed in 21 (12.8%) of the patients. The short-term evaluation results were marked by early mortality in three (1.29%) cases. Pediatric CET is dominated by DAs accounting for a significant sequelae. A significant proportion of clinically benign CET patients shows significant lesions on CT scan. Prevention must be the priority.
    Schlagwörter child ; head trauma ; surgery
    Sprache Englisch
    Erscheinungsdatum 2016-02-22
    Verlag Neurological Surgeons' Society of India
    Erscheinungsort Stuttgart ; New York
    Dokumenttyp Artikel
    ZDB-ID 2698542-1
    ISSN 2277-9167 ; 2277-954X
    ISSN (online) 2277-9167
    ISSN 2277-954X
    DOI 10.1055/s-0036-1572370
    Datenquelle Thieme Verlag

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