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Copyright of Mali Médical is the property of Mali Medical, Faculte de Medecine, de Pharmacie et d'Odonto-stomatologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: To describe the epidemiological, clinical and therapeutic aspects of acute surgical abdomens at the Koutiala Reference Health Center. Patients and method: This was a prospective and descriptive study from August 1, 2017 to May 31, 2018. It included all patients operated on for acute abdomen in the General Surgery Department of the Koutiala Reference Health Center. The study did not include the nonoperated surgical acute abdomens, the non-surgical acute abdomens. Clavien-Dindo classification was used to evaluate complications. Results: One hundred patients were registered. Acute surgical abdomens accounted for 8.4% of consultations (n = 1190), 27.7% of surgical procedures (n = 361) and 70% of surgical emergencies (n = 142). The average age was 34.4 years ± 18.5. Men were in the majority with 70%. The mean duration of change in symptomatology was 4.8 days ± 5.4. Patients consulted for abdominal pain (100%), fever (60%), vomiting (88%) and discontinuation of materials and gases (32%). The physical examination noted abdominal distension (53%), abdominal contracture (36%), abdominal defense (56%) and pain in the cul de sac of Douglas (95%). X-rays of the abdomen without preparation and abdominopelvic ultrasonography contributed to the diagnosis in 46% of cases and 18% of cases, respectively. Acute appendicitis (35%) was the most common etiology followed by acute peritonitis (31%) and acute intestinal obstruction (15%). We performed an appendectomy in 45 patients (45%), resection anastomosis (15%) and excision-suture (13%). The average duration of hospitalization was 4.7 days. The morbidity was 12%. According to the Clavien-Dindo classification, 9 patients were grade III and 3 grade V. The mortality was 3%. Conclusion: Acute surgical abdomens are the most common emergencies in our practice. The diagnosis is clinical and para-clinical most often. Morbidity and mortality remain elevated. The outcome of treatment depends on early management and mastery of abdominal surgery techniques. [ABSTRACT FROM AUTHOR]

Summary: Objective: The aim was to evaluate the results of surgical treatment of occlusion of the sigmoid colon due to volvulus. Patients and Methods: This was a retrospective study from 1996 to 2010 of all patients undergoing surgery for sigmoid volvulus in surgical wards of the University Hospital of Bamako. Results: A total of 417 patients were identified including 379 men and 38 women. The mean patient age was 45.7±18.3 years. The general condition of the patients was good in 70.5% and altered in 29.5% of cases. Colonic necrosis was present in 80 patients (19.2%). Single-stage resection with immediate anastomosis was performed in 149 patients (35.73%). Two-stage surgery was performed in 268 cases (64.27%). The initial stage of the two-stage procedure was colostomy in 167 cases and simple detorsion in 101 cases. The surgical approach had an impact on mortality in patients who were in poor general condition. Single-stage surgery resulted in higher mortality (12/149; 8.05%) than two-stage surgery (5/268; 1.87%), and the difference was statistically significant (P =0.0005). Conclusion: Single-stage surgery for sigmoid volvulus carries a high risk of death when it is performed in patients with poor general condition. Indications for surgery must take into account the patient's general condition and the viability of the torsed sigmoid colon. [Copyright &y& Elsevier]

Objective: Study the therapeutic aspects and prognosis of volvulus of the sigmoid colon in the surgical departments A and B. Patients and methods: Our study was retrospective from january 2000 to december 2009 (10 years). All patients who underwent sigmoid volvulus were taken into account. Results: We recorded 96 patients operated for volvulus of sigmoid 882 cases of bowel obstruction or a rate of 10.9%. The average age was 47.2 years ± 18, 9. In per-operative, there was necrosis of colon in 16.7% (14). Performed surgical treatment modalities were: sigmoidectomy with primary anastomosis in 29.2% (28), followed by sigmoidectomy and colostomy anastomosis secondary in 60.4 % (58) and 10.4 devolvulation simple % (10/ 96). The immediate postoperative period were marked by a morbidity rate of 7.3% (7/) and a mortality rate of 7.3% (7). Conclusion: In spite of various therapeutic modalities of volvulus of the sigmoid colon, the rates of postoperative morbidity and mortality are rising in the general surgery of the teaching Hospital of Point G. [ABSTRACT FROM AUTHOR]

Copyright of Mali Médical is the property of Mali Medical, Faculte de Medecine, de Pharmacie et d'Odonto-stomatologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Mali Médical is the property of Mali Medical, Faculte de Medecine, de Pharmacie et d'Odonto-stomatologie and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To Evaluate the management of postoperative pain in the teaching hospital of Point G. Patients and methods: We carried out an exploratory study in 2008 year. Criteria inclusion of the personnel: to be agent in one of the departments of surgery or anaesthesia reanimation, laid out to fill out the questionnaire proposed. Criteria inclusion of the patient: to be operated and hospitalized in one of the departments of surgery and anaesthesia reanimation. Results: It was collected 600 patients and 113 personnel. 92% of the patients profited from postoperative analgesia. The time of treatment after the request was long in 92%. The medical personnel and nursing personnel did not receive specific training on the pain in respectively 55% and 70%. We noted an absence of informational support, consensual protocols pre-established, written and validated on the postoperative pains assumption of responsibility. Conclusion: The treatment of the postoperative pains knows important gaps within the teaching hospital of Point G and the insufficiencies are on all the levels. [ABSTRACT FROM AUTHOR]

Summary: Objective: To study diagnostic pitfalls, morbidity and mortality of adult intussusception. Patients and methods: Retrospective study of adult patients records operated between 1979 and 2007 with the diagnosis of adult intussusception. Results: We found 41 cases of adult intussusception. The mean age was 35.2 years (standard deviation (SD)=7.1). The delay between onset and medical consultation was 15 days. The diagnosis was made pre-operatively in 11 cases. Abdominal ultrasound showed an abdominal mass in 11 cases. Ileo-ileal intussusception was most frequent (16 cases). Intussusception was secondary in 24 cases. There were seven instances of intestinal necrosis. Intestinal resection was performed in 34 cases. Surgical site infection occurred in four patients, three patients died. Conclusion: The pre-operative diagnosis of acute intestinal intussusception is difficult. Morbidity and mortality rates are high. Improved diagnostic investigations in developing countries could improve the prognosis of this condition. [ABSTRACT FROM AUTHOR]