RESUMO
La chirurgie à coeur cardiaque est un mode de traitement des pathologies cardio-vasculaires et médicales. Elle n'est plus pratiquée en République Démocratique du Congo (RDC) depuis plusieurs décennies. Nous rapportons le cas clinique d'une fillette de 12 ans admise aux Cliniques Universitaires de Kinshasa pour atélectasie totale du poumon gauche, soignée auparavant comme une tuberculose pulmonaire, et dont le bilan a révélé un faux anévrysme géant de l'aorte descendante. Devant cette urgence, la seule thérapie possible, la chirurgie cardio-vasculaire, n'a pas été possible suite au manque d'équipements adéquats en RDC. Elle est décédée 4 jours après son diagnostic pendant qu'elle réalisait les formalités pour une évacuation sanitaire à l'étranger. La prise en charge d'urgence, notamment la chirurgie à coeur ouvert reste encore un challenge dans notre pays. Elle passe nécessairement par l'équipement de nos hôpitaux, surtout ceux de niveau tertiaire, et par l'amélioration du niveau socio-économique de nos populations
Assuntos
Procedimentos Cirúrgicos Cardiovasculares , Relatos de Casos , República Democrática do Congo , Atelectasia Pulmonar , Equipamentos CirúrgicosRESUMO
Background: Computer technology is now a well established resource in medicine and medical sciences. Surgery in developed countries has taken great advantage of this resource. This review is intended to highlight important aspects of computers in surgery and also encourages surgeons in Nigeria to acquaint themselves with its influences. Methods: Publications from local and international journals as well as standard surgical texts were reviewed. Results: The role of computers in surgery spans the areas of patient care, training, research, communication as well as surgical administration. Though a compliment to the surgeon, it has its problems including overwhelming information requiring careful scrutiny; computer fraud, hacking and viruses; copyright laws; the 'threat' of a well-informed patient population; and the risk of over dependence. Surgery in Nigeria and most of African is yet to maximize its benefits. Conclusion: The application of computers in surgery will in the near future make surgical knowledge and practice become more simplified and less time with increased productivity will be required even for highly technical procedures
Assuntos
Computadores , Equipamentos Cirúrgicos , Procedimentos Cirúrgicos OperatóriosRESUMO
Objective The surgical scar is of great importance both to the patient and surgeon. For the patient an ugly scar may not only present a cosmetic problem but in some cases it may also impair function; and the surgeon is always confronted with the problem of possible litigation. This study was undertaken to evaluate the effect of different suture materials and skin suture techniques on surgical scars. Patients and Methods Three suture materials (chromic catgut 3/0; silk 3/0 and nylon 3/0) and two skin closure techniques (transcutaneous interrupted mattress and subcuticular continuous running sutures) were compared in a randomized partially blinded fashion using a groin skin crease incision. The resulting scars were graded after two years using a conceived three-level scale. Results Subcuticular nylon sutures gave the best cosmetic results followed by subcuticular chromic catgut. Transcutaneous interrupted mattress silk sutures left the worst scars followed by subcuticular continuous running silk sutures. Conclusion The use of suture materials for skin closure is still the norm in developing countries. We therefore suggest that for any particular suture material; the subcuticular continuous running technique should be used and whenever possible the suture material of choice should be nylon