Subject(s)
Ovarian Cysts/pathology , Ovarian Cysts/surgery , Adult , Cote d'Ivoire , Female , Humans , Treatment OutcomeABSTRACT
Laparoscopic surgery is now a widely accepted modality for gastrointestinal surgery. In this report the authors evaluate their four-year experience with laparoscopic surgery in a total of 494 patients in Abidjan, Ivory Coast. Cholecystectomy and appendectomy were the main indications in this series. However laparoscopic surgery has a wide range of applications in Black Africa not only for elective indications such as evaluation of chronic abdominal pain and digestive cancer but also emergency indications such as peritonitis and abdominal trauma.
Subject(s)
Gastrointestinal Diseases/surgery , Laparoscopy/statistics & numerical data , Adolescent , Adult , Aged , Aged, 80 and over , Child , Cote d'Ivoire , Female , Genital Diseases, Female/surgery , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
The purpose of this report is to describe two cases involving a 43-year-old man and a 41-year-old woman who underwent laparoscopic surgery for dolichocolon causing severe constipation. In both cases the procedure consisted of left colectomy with colorectal anastomosis. There was no operative mortality or morbidity. The outcome on constipation was good. This study demonstrates the utility of laparoscopy for treatment of dolichocolon in carefully selected patents.
Subject(s)
Colectomy , Constipation/surgery , Video-Assisted Surgery , Adult , Female , Humans , MaleABSTRACT
Objective : The aim of this study was to analyse the coelioscopic surgery in appenditis. Method : We done a retrocpective study concerning 150 coelioscopic surgery in appenditis during 42 months. Result : In the study period we done more than three times coelioscopic sergery. In our study we includ 86 femals (57,3%) and 64 males (42,7%). The mean reason of surgery was tipical clinical appenditis in 124 cases (82,6%), chronic abdominal ack in 10 cases and other reasons for the last 16 cases. The appendice was take of by the "external method" in 76 cases (50,6%) "internal method" in 9 cases (6%) and the two methods in 61 cases (40,6%). In 33 cases (21,3%) the surgery of appendice was associeted with other surgery. In term of morbidity we notice three cases of parietal abces (2%). Any mortality was notice in our serial. Conclusion : Ceolioscopic sergery is a good and pratical method in appenditis tratment it allows the minimizing of hospitalisation stay.
ABSTRACT
The authors report the first case of Crohn's disease in Côte-d'Ivoire. A 20-year-old Ivorian man presented chronic diarrhea and weight loss over six years. Ulcerated lesions were found throughout the colon extending to the terminal ilieum but not involving the rectum. Diagnosis of Crohn's disease was established on radiological and histological findings. Treatment consisted of total colectomy with ileorectal anastomosis. This case is of special interest because of the extremely low incidence of Crohn's disease in black Africa.
Subject(s)
Crohn Disease/diagnosis , Adult , Cote d'Ivoire , Humans , MaleABSTRACT
The authors rep o rt the fi rst case of Crohn's disease in Cote-d'Ivo i re. A 20-ye a r-old Ivo rian man presented chronicdiarrhea and weight loss over six ye a rs. Ulcerated lesions we re found throughout the colon extending to the terminal ilieum but not involving the rectum. Diagnosis of Crohn's disease was established on ra d i o l ogical and histological findings. Treatmentconsisted of total colectomy with ileorectal anastomosis. This case is of special interest because of the extremely low incidence of Crohn's disease in black Africa
Subject(s)
Crohn DiseaseABSTRACT
The authors report on a case of Darier-Ferrand's dermatofibroma on forehead. It was a very uncommon localization. They stress on the specific treatment applied: forehead cranioectomy and scalp plasty, made compulsory after several exercises and their reappearances.
Subject(s)
Facial Neoplasms/surgery , Fibroma/surgery , Adult , Facial Neoplasms/epidemiology , Facial Neoplasms/pathology , Fibroma/epidemiology , Fibroma/pathology , Forehead , Humans , Male , Surgical FlapsABSTRACT
A retrospective study of 16 cases of ileo sigmoid knot, treated at Treichville Hospital in Abidjan Côte-d'Ivoire, is reported by the authors between 1970 and 1989. This pathology is not so seldom and concerned 14 men and 2 women from 14 years old to 61 years old with an average of 42 years. The more precise description of the physiopathology of this occlusion allows to classify this pathology as an independent entity from the other types of volvulus. The physiopathologic knowledge described allow a more precise diagnostic approach and a better codified therapeutic attitude.
Subject(s)
Ileal Diseases/diagnosis , Intestinal Obstruction/diagnosis , Sigmoid Diseases/diagnosis , Adolescent , Adult , Colectomy , Female , Humans , Ileal Diseases/physiopathology , Ileal Diseases/surgery , Intestinal Obstruction/physiopathology , Intestinal Obstruction/surgery , Male , Middle Aged , Retrospective Studies , Sigmoid Diseases/physiopathology , Sigmoid Diseases/surgeryABSTRACT
Buruli's ulcer is a real disease of public health. In Ivory Coast, 50 patients were treated from February 1987 to August 1991. It realizes a real destruction of skin and subcutaneous tissues. The germ is Mycobacterium ulcerans. The preferential localisation is the limbs in children of 14 years old. Large ulcer with polycyclic margin are treated by extended excision and thin skin grafts. But deformities persist after the surgical treatment. Hospitalisation is long and drugs are expensive.
Subject(s)
Mycobacterium Infections, Nontuberculous/surgery , Skin Transplantation , Skin Ulcer/surgery , Adolescent , Adult , Child , Child, Preschool , Cote d'Ivoire , Female , Humans , Infant , Male , Middle Aged , Mycobacterium Infections, Nontuberculous/microbiology , Skin Ulcer/microbiologyABSTRACT
The skin expansion by inflatable prosthesis is a recent method to resolve insufficient tissue a short series of 7 cases. But the authors think that despite these inconveniences this technique needs to be largely diffused and used judiciously.
Subject(s)
Prostheses and Implants/standards , Surgery, Plastic/methods , Tissue Expansion/methods , Adolescent , Adult , Female , Humans , Male , Middle Aged , Silicone Elastomers , Silicones/therapeutic use , Tissue Expansion/instrumentation , Tissue Expansion/standardsABSTRACT
The authors report their experience in vascular and nervous microsurgery. They remark that there is a long time between the emergency reception of the wounded person and the appeal to plastic surgery. They deplore also the bad collaboration between the different department of emergency surgery. Finally they emphasize that the scarcity of cases is due to insufficient information of different departments of emergency surgery in microsurgery era.
Subject(s)
Amputation, Traumatic/surgery , Arm Injuries/surgery , Microsurgery/methods , Reperfusion/methods , Replantation/methods , Adult , Cote d'Ivoire , Female , Hospitals, University , Humans , Male , Microsurgery/standards , Reperfusion/standards , Replantation/standards , Surgery Department, Hospital/organization & administration , Surgery Department, Hospital/standardsABSTRACT
Pheochromocytoma exists in black African countries with the same frequency observed in other places. The characteristics of our series of nine patients are the followings: an average age of 19, 6 years old, a sex-ratio of 1, 25, a paroxysmal high blood pressure for six patients, no MEN neither malignant tumors, the measures of V.M.A. done positively eight times, a retropneumoperitoneum scan, seven arteriographies, three echographies which were consistently positive, one death post surgery by collapsus consecutive to tumor excision, only one contralateral recurrence and positive followings in all other cases.
Subject(s)
Adrenal Gland Neoplasms/epidemiology , Pheochromocytoma/epidemiology , Adrenal Gland Neoplasms/complications , Adrenal Gland Neoplasms/surgery , Adult , Africa/epidemiology , Black People , Female , Humans , Hypertension/etiology , Male , Pheochromocytoma/complications , Pheochromocytoma/surgery , Sex RatioABSTRACT
La chirurgie laparoscopique fait partie integrante de l'arsenal therapeutique en chirurgie digestive. Les auteurs font le bilan de quatre annees d'experience a propos de 494 patients operes par cette methode a Abidjan; Cote d'Ivoire. Si les indications essentielles sont representees par les cholecystectomies et les appendicectomies; le champ d'application de la coeliochirurgie est interessant en Afrique Noire tant en chirurgie reglee (exploration laparoscopique des douleurs abdominales chroniques et des cancers digestifs) qu'en chirurgie d'urgence (peritonite; contusion abdominale)
Subject(s)
Appendectomy , Cholecystectomy , LaparoscopyABSTRACT
La chirurgie laparoscopique fait partie integrante de l'arsenal therapeutique en chirurgie digestive. Les auteurs font le bilan de quatre annees d'experience a propos de 494 patients operes par cette methode a Abidjan; Cote d'Ivoire. Si les indications essentielles sont representees par les cholecystectomies et les appendicectomies; le champ d'application de la coeliochirurgie est interessant enAfrique Noire tant en chirurgie reglee (exploration laparoscopique des douleurs abdominales chroniques et des cancers digestifs) qu'en chirurgie d'urgence (peritonite; contusion abdominale)
