ABSTRACT
Les anomalies congenitales constituent l'une des principales causes de la mortalite infantile dans le monde et particulierement dans les pays en developpement. Objectif principal etait de repertorier toutes les malformations observees dans les trois centres Hospitaliers Universitaires d'Abidjan et a l'institut de cardiologie et les Objectifs secondaires de : - Repertorier leurs caracteristiques epidemiologiques ; - Hierarchiser les pathologies malformatives en fonction de leurs frequences ; - Etablir la mortalite globale de ces pathologies malformatives ; - Etablir la letalite de chacune de ces pathologies malformatives. Patients et methode. Il s'agissait d'une etude retrospective et descriptive sur 10 ans. Les donnees etudiees etaient celles epidemiologiques repertoriees a partir des dossiers medicaux et registres dans les 3 CHU d'Abidjan. Les nouveau-nes de 0 a 28 jours traites pour une anomalie congenitale pendant la periode d'etude etaient la population etudiee. Les donnees ont ete traitees et analysees par les logiciels epi info et Excel. Resultats. De 1996-2006; 1496 nouveaux nes presentant 1589 anomalies congenitales ont ete recenses dans les centres hospitaliers universitaires d'Abidjan. Il s'agissait de nouveau-nes; de meres agees de moins de 35 ans dans 33 des cas; multigestes dans 20 des cas; multipares dans 18 des cas. Les grossesses ont ete regulierement suivies dans 22 des cas et une echographie obstetricale a ete effectuee dans 1 cas sur 4. Le diagnostic prenatal des anomalies congenitales a ete effectue dans 1;5 des cas. Le diagnostic des anomalies congenitales a ete fait dans 79 ;5 des cas a la naissance. Les anomalies congenitales observees etaient : Orthopediques : 33; Neurologiques : 18; Digestives : 14; Faciales : 12;5; Parietales : 12; Urogenitales : 10; Cardiaques : 0;5. - La mortalite globale etait de 52. Les malformations digestives; parietales et neurologiques sont les plus letales Conclusion. les anomalies congenitales existent et sont relativement importantes dans nos structures hospitalieres. Leur diagnostic prenatal reste faible. Elles sont dominees par les anomalies orthopediques. Leur mortalite reste elevee. La mortalite est grevee par une letalite plus importante des pathologies congenitales viscerales
Subject(s)
Congenital Abnormalities/classification , Congenital Abnormalities/diagnosis , Congenital Abnormalities/epidemiology , MortalityABSTRACT
Circumcision is the most common surgical procedure carried out in boys in our countries. It is performed by medical members but also by traditional practitioners. Circumcision is considered as a benign operation but its complications are common, sometimes severe and the treatment delicate. Authors reported 35 cases of circumcision's complications in boys, aged of 2 days to 14 years old who were circumcised by traditional practitioners and by medical members. The most frequent complications were urinary meatus stenosis (17 cases), haemorrhage (5), total glans section (3), urethral fistula (3), and incomplete circumcision (3). These complications were caused by traditional practitioners in 19 cases, paramedical members in 11 cases, and 5 cases by physicians. Among these complications, fistula and amputation had required delicate surgical procedure. All the stenosis were treated by meatal plasty and fistula were sutured with one recurrence. Partial glans section underwent Mathieu's procedure and the total sections were referred to the plastic surgeon. Authors recommend surgical procedure for circumcision which must be performed in medical center or by well trained practitioners.
Subject(s)
Circumcision, Male/adverse effects , Adolescent , Child , Child, Preschool , Circumcision, Male/statistics & numerical data , Cote d'Ivoire , Humans , Infant , Infant, Newborn , Male , Medicine, Traditional , Retrospective StudiesABSTRACT
OBJECTIVE: To describe epidemiology and to bring back the results of the treatment of the fractures of the forearm fracture. POPULATION AND METHOD: During 3 years and 3 months, we studied the forearm fractures of the children from 0 to 15 years. For each one of them, we studied, the age, the sex, the aetiology and the characteristics of the fracture, the treatment carried out and their evolution. RESULTS: Sixty-nine forearm fractures were listed, the frequency was 23 fractures per years. The sex ratio was 2,63 and the average age was 8 years and 2 months with 13 month and 15 years as extremes. The accidents of play accounted for 93% of the aetiologies. The cutaneous injuries were associated to the fracture in 30 cases (43%). The fractures with displacement was observed in 25 cases (36%), green steak fracture in 21 case (30%), fracture without displacement in 13 case (19%) and other displacements 10 cases (15%). The treatment was orthopaedic (reduction and immobilisation) in 97% of the cases. We observed 3 cases (4%) of secondary displacements under plaster and 6 cases (9%) of the vicious cal. CONCLUSION: The orthopaedic treatment is usually indicated for the Key words: fractures with anatomical restitution. The failures of the orthopaedic treatment need to be treated surgically.