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Introduction: Nowadays the treatment of Penetrating abdominal injuries is not tackle in the same process. The aim of this survey is to describe the epidemiological, clinical and therapeutic aspects. Materials and methods: This retrospective study on 4 years, from January 2006 to January 2010 about 70 cases of Penetrating abdominal injury, is realized in the general surgery department of the teaching hospital of Gabriel TOURE. Blunt abdominal injuries are not concerned. Results: The frequency was 1.2%. The patients were 12 to 59 years old. Themean age was 27.7 years old withsexratio of 9 for men.Almost 2 patients on 5 (38.36%) were living in the first and second areas the District of Bamako. Criminal injuries were the main circumstance encountered representing 70%. 2.9% of patient had psychiatric symptoms in their past medical story. 45.7% of patients use to take hard drugs. Epiploon and intestine was the main organs subject of evisceration. 17 patients 53 didn't benefit of surgery intervention. None necessary laparotomia and the post operatory morbidity rates were respectively 30.2% and 15.1%. Conclusion: The treatment of Penetrating abdominal injury is almost difficult. Effective selection of patients is helpful to avoid unnecessary laparotomia. [ABSTRACT FROM AUTHOR]

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Introduction: Intubation in urgency is characterized by a greater difficulty compared with intubation in situation regulated with the operating theatre suite. In urgency, the determination of the predictive anatomical factors of difficult intubation is secondary. The incidence of the complications of endotracheal intubations in urgency in the French system was 11,6% with a rate of failure to 0,5%. Objective was to study the incidents and accidents during endotracheal intubations in the service of reception of the urgencies with the CHU Gabriel TOURE of Bamako. Patients and method: It was about a prospective cross-sectional study from October 2010 at September 2011 with the service of reception of the urgencies of the C.H.U. Gabriel Toure. All the intubes patients were included. All the patients had profited from a clinical evaluation and examinations paraclinic. A clinical monitoring was carried out in the 24 hours first hours after the accident. The statistical test which was used for the comparison of our results was Khi 2 with a threshold of significance fixed at P<0,05. Results For the period of study 120 cases of accidents and incidents were colliges on 320 intubes patients is a frequency of 37,5%. The age bracket 15- 29 was prevalent with 30,8 %. the sex ratio was 2,3 in favour of the men). The patients had died in the 24 Hours in 44,3 % of the cases. The patients admitted for cranial traumatism had presented alone undesirable events in 50% of the cases against 50 % for the other joined together reasons for admission. Conclusion The accidents during endotracheal intubation in urgency are considerable whose acquisition of adapted material and a good formation would decrease [ABSTRACT FROM AUTHOR]