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Search Results: 1 - 10 of 30 matches for " Birama Togola "
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Premature Division of the Inferior Laryngeal Nerve in Surgery and in ENT and Cervico-Facial Surgery in Mali  [PDF]
Drissa Traoré, Abdoulaye Kanté, Youssouf Sidibé, Bréhima Bengaly, Bréhima Coulibaly, Babou Ba, Drissa Ouattara, Siaka Diallo, Mariam Daou, Birama Togola, Nouhoum Ongo?ba
Forensic Medicine and Anatomy Research (FMAR) , 2019, DOI: 10.4236/fmar.2019.71001
Abstract: The purpose of this study was to study the frequency of premature division of the inferior laryngeal nerve and its consequences in thyroid surgery. Methodology: We realized a forward-looking and retrospective study from January, 1979 till December, 2017 in the service of surgery B to the University hospital of the Point G of Bamako and in the service of ENT and cervico-facial surgery of the CHU “mother-child”, the Luxembourg of Bamako (Mali). All the patients operated in both services for mild goiters were included. Cancers and other thyroid pathologies were not included. The diagnosis of mild goiter was paused by the histological examination realized on all the surgical specimens. Results: On 2109 dissections of the lower laryngeal nerve realized during the surgical operations on the thyroid 95.1% of the cases, the nerve had a single branch; in 4.1% of the cases, the nerve had two branches; and in 0.8% of the cases, the nerve had more than 2 branches. Conclusion: The complications of the thyroid surgery in touch with the hurts of the lower laryngeal nerve are known. However, our study shows that these do not seem to be influenced by the premature division of the lower laryngeal nerve.
Anatomical Dissection of the External Branch of the Superior Laryngeal Nerve to the Laboratory of Anatomy of the Faculty of Medicine of Bamako (Mali)  [PDF]
Abdoulaye Kanté, Youssouf Sidibé, Babou Ba, Bréhima Bengaly, Bréhima Coulibaly, Drissa Traoré, Drissa Ouattara, Mariam Daou, Tata Touré, Siaka Diakité, Moumouna Koné, Siaka Diallo, Cheickh Tidiane Diallo, Ousmane Ibrahim Touré, Birama Togola, Nouhoum Ongo?ba
Forensic Medicine and Anatomy Research (FMAR) , 2018, DOI: 10.4236/fmar.2018.64005
Abstract: Aim: This study aimed at describing the anatomical variations of the external branch of the superior laryngeal nerve and at estimating the frequency of nerves at risk during the thyroid surgery. Methodology: We realized a forward-looking study from September, 2016 in May 31st, 2018 in the laboratory of anatomy of the Faculty of Medicine and Odontostomatology of Bamako in Mali. All the fresh anatomical subjects not carrying trauma and or a scar at the level of the previous region of the neck were held. The anatomical subjects were not included presenting a traumatic lesion and\or a scar of the previous region of the neck. Results: We realized 34 dissections of the external branch of the superior laryngeal nerve to 17 deathly subjects (11 men and 6 women with a sex-ratio of 1.8). The average age of the subjects was of 42 years (extremes: 18 and 70 years). Our study allowed highlighting in 100% of the cases, the external branch of the superior laryngeal nerve and the superior thyroid artery so to the right as to the left. On 34 dissected external branch of the superior laryngeal nerve, none had a previous route. However we found 28 nerves (82.4%) having a later route, stuck to the external face of the lower constrictor of the pharynx. These were not mixed with the superior thyroid artery and its branch of division and were situated outside the thyroid capsule. In 17.6% of the cases (6 cases), the nerve had a route mixed in the branch of the superior thyroid artery. These were found inside of the capsule (11.8% adhered to the artery and 5.8% crossed its branch of division). Conclusion: The risk of injury of the external laryngeal nerve during thyroid surgery procedure is never zero. It is more important on the left side.
Volvulus Acute of the Colonist Sigmoid to Mopti: Diagnostic and Therapeutic Aspects  [PDF]
Bréhima Bengaly, Abdoulaye Kanté, Drissa Ouattara, Bréhima Coulibaly, Drissa Traoré, Birama Togola, Babou Ba, Souleymane Sanogo, Siaka Diallo, Djibril Traoré, Moustapha Issa Magané, Mariam Daou, Nouhoum Ongo?ba
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.911050
Abstract: In 7 years, we brought together 100 cases of volvulus of the colon sigmoid to the hospital Sominé Dolo of Mopti among which the handle volvule was found without necrosis in 66 cases and necrosis 34 cases. Seventy-six patients benefited from a sigmoidectomy followed by a colorectal anatomize at a time, twenty one patients of an intervention of Hartmann. A surgical distortion was realized at 3 patients. All the patients operated by these last two techniques had a restoring of the digestive continuity for an average deadline of 90 days. The post-operative complications consisted of 11 cases of parietal suppuration and a case of evisceration. The average duration of follow-up was of 210 days. The post-operative mortality was 14%. It was about a state of toxic shock with visceral multi-failure (n = 13), and of a pulmonary embolism (n = 1). The treatment of the volvulus requires a fast diagnostic and therapeutic coverage. The best treatment consists of a resection of the sigmoid as a matter of urgency followed by an immediate anastomosis if the following conditions are carried achieved: state general voucher, experimented surgeon and if the resuscitation meadow, per and post-operative can be assured.
The Technique of Shouldice in the Treatment of the Inguinal Hernias at the Hospital Sominé Dolo of Mopti (Mali) Subject of 675 Cases  [PDF]
Abdoulaye Kanté, Mamadou Alymami Keita, Idrissa Tounkara, Bréhima Bengaly, Bréhima Coulibaly, Siaka Diallo, Drissa Ouattara, Babou Ba, Drissa Traoré, Souleymane Sanogo, Djibril Traoré, MoustaphaIssa Magané, Mariam Daou, Bakary Keita, Birama Togola, Nouhoum Ongo?ba
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.912052
Abstract: The objective was to study epidemiological and therapeutic aspects of the inguinal hernia according to the technique of Shouldice. Methodology: we realized a retrospective study, concerning the patients operated for inguinal hernia according to the technique of Shouldice in the service of general surgery of the hospital Sominé Dolo of Mopti, Mali. All the patients operated during the period of study for inguinal hernia according to the technique of Shouldice were included. The patients operated for hernia by other technique than that of Shouldice were not included. Results: The study has been realized in the service of general surgery of the hospital Sominé Dolo of Mopti (Mali). It was about a retrospective study which concerned 25 years from January, 1987 till December, 2012. 675 patients operated according to the technique of Shouldice were registered. The average age was of 49 years +/17.7. There were 90.7% (612) men. The sex-ratio is 9.7. The farmers, the housewives and the workers represented 51.1% (115). In 75.2% (508) the patients consulted for inguinal tumefaction. In operating meadow, the hernia was complicated to 246 (36.4%) patients among whom 72 cases were of recurrence. The hernia constriction was the main complication operating meadow 58.5% (48/82). The operating suites in one year were simple at 94.2% (636) of the patients; they were marked by 24 cases of recurrence, 12 cases of neuralgia, 6 cases of testicular atrophy, and 3 cases of keloid. Conclusion: The technique of Shouldice is the technique of choice for the cure of the inguinal hernia in developing countries because of the good result and its little expensive cost with compared with the other techniques using medical devices.
Epidemiological and Therapeutic Aspects of the Vaginal Hydroceles  [PDF]
Mamadou Alymami Keita, Abdoulaye Kanté, Drissa Ouattara, Bréhima Bengaly, Bréhima Coulibaly, Drissa Traoré, Siaka Diallo, Babou Ba, Djibril Traoré, Mariam Daou, Bakary Keita, Birama Togola, Nouhoum Ongo?ba
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.912054
Abstract: Purpose: Our purpose was to describe the epidemiological and therapeutic aspects of the vaginal hydroceles. Methodology: It was a forward-looking and descriptive study of Mars 2014 in July, 2017, which realized in the service of general surgery of the Reference Health Center of Kati (Mali). All the patients operated in the service for hydrocele were included. Other causes of big stock exchange and hydroceles operated outside our service were not including. Results: We operated 92 hydroceles or 5.9% of the surgical activities of the service. The average age was of 34.5 years with extremes of 2 years and 82 years. The most frequent signs of hydrocele were the big painless stock exchange (100%); a transillumination positive (90%) and the effusion of the vaginal in the ultrasound (100%). The cure of hydrocele was realized according to the techniques of Bergmann (94.6%) and of Lord (5.4%). The mortality was nil and the morbidity was 3.3% (2 operating infections of the site and 1 bruise). Conclusion: The hydrocele is a frequent pathology in Africa. The therapeutic strategies are multiple and varied. However, we prefer the Bergmann technique, which is easy, fast and has few complications.
The Pericarditis in CHU of Point G and Luxembourg: Clinical Aspects and Etiologies  [PDF]
Mamadou Diakité, Abdoulaye Kanté, Bréhima Coulibaly, Mamadou Almamy Keita, Drissa Traoré, Bréhima Bengaly, Siaka Diallo, Mariam Daou, Babou Bah, MoustaphIssa Magané, Tata Touré, Bakary Keita, Birama Togola, Drissa Ouattara, Souleymane Sanogo, Timbely Guidèrè, Nouhoum Ongo?ba
Open Journal of Thoracic Surgery (OJTS) , 2018, DOI: 10.4236/ojts.2018.84012
Abstract: The authors bring back 70 cases of pericarditis brought together between 2012 and 2017 in the service of surgery B of the CHU Point G and to the Hospital Mother-Child, the Luxembourg in Mali. The average age of the patients is 31.5 years with extremes of 2 years and 84 years. The tubercular etiology widely comes to mind with 49 cases. The diagnostic contributions of the echocardiography are analyzed. The accent is put on good tolerance hemodynamic of the tubercular pericarditis. The forecast depends essentially on the etiology and on the diagnostic delay; indeed the tamponade pericardium can be inaugural or complicated; the evolution of the pericarditis is burdened of a heavy mortality (4.2% in our series). On the other hand the passage in the chronicity complicates essentially pericarditis seen late (8.6% in our series).
Anatomy of the Brachial Plexus: A Rare Variation in the Laboratory of Anatomy of Bamako (Mali)  [PDF]
Babou Ba, Abdoulaye Kanté, Drissa Traoré, Bréhima Bengaly, Mariam Daou, Bréhima Coulibaly, Drissa Ouattara, Siaka Diallo, Siaka Diakité, Moumouna Koné, Tata Touré, Cheickh Tidiane Diallo, Ousmane Ibrahim Touré, Birama Togola, Nouhoum Ongo?ba
Forensic Medicine and Anatomy Research (FMAR) , 2019, DOI: 10.4236/fmar.2019.71002
Abstract: The brachial plexus (BP), established by the lap twigs of the last four cervical nerves and the first thoracic nerve, assures the driving and sensory innervation of the thoracic member. We bring back a case of rare anatomical variation of the brachial plexus. It is a 34-year-old corpse dissected in the laboratory of anatomy of the Faculty of Medicine and Odontostomatology of Bamako in September 2017. The lap twig of the fourth cervical root (C4) participated in the constitution of the brachial plexus. The superior trunk was normally constituted. The average trunk was formed by the cervical roots C7 and C8 instead of only C7. And consequently the inferior trunk was constituted by the thoracic root T1. The posterior beam was only formed by the posterior branches of the superior and more average trunk. The medial beam was formed by all of the inferior trunk which did not give posterior branch for the formation of the posterior beam. The variations of the brachial plexus could entrain failures in the loco regional anesthesia of the brachial plexus.
Surgical Reports of the Inferior Laryngeal Nerve and the Inferior Thyroid Artery in General Surgery and in ENT  [PDF]
Youssouf Sidibé, Abdoulaye Kanté, Bréhima Bengaly, Siaka Diallo, Mariam Daou, Drissa Ouattara, Babou Ba, Bréhima Coulibaly, Birama Togola, Drissa Traoré, Abdoul Wahab Haidara, Boubacar Sanogo, Nouhoum Ongo?ba
Forensic Medicine and Anatomy Research (FMAR) , 2019, DOI: 10.4236/fmar.2019.71005
Abstract: Aim: The purpose of this study was to determine the frequency of the hurts of the inferior laryngeal nerve, according to its anatomical reports with the inferior thyroid artery during the thyroid surgery. Methodology: We realized a forward-looking and retrospective study from January, 1979 till December, 2017 in the service of surgery “B” to the University hospital of the Point G of Bamako and in the service of ENT and cervico-facial surgery of the Teaching Hospital “Mother-Child”, the Luxembourg of Bamako (Mali). All the patients operated in both services for mild goiters were retained. Cancers and other thyroid pathologies were not included. The diagnosis of mild goiter was paused by the histological examination realized on all the surgical specimens. Results: On 2109 dissections of the inferior laryngeal nerve realized during the surgical operations on the thyroid, the frequency of lesion of the inferior laryngeal nerve was 1.09% (20 cases) when it passed dorsally with regard to the inferior thyroid artery (1837 cases) and when 4.04%, it was transvascular or prevascular (272 cases). Conclusion: The prevascular route or transvascular of the inferior laryngeal nerve favors its lesion per operating.
Adventitial Rupture of the Ascending Thoracic Aorta Extended to the Buttock by Thoracic Crushing between Two Tanks at the Thoracic and Cardiovascular Surgery Department at the Besan?on CHRU  [PDF]
Abdoulaye Kanté, Andrea Perrotti, Bréhima Coulibaly, Mamadou Almamy Keita, Drissa Traoré, Siaka Diallo, Mariam Daou, Mamadou Diakité, Babou Bah, Bréhima Bengaly, MoustaphIssa Magané, Bakary Keita, Birama Togola, Drissa Ouattara, Souleymane Sanogo, Timbely Guidèrè, Nouhom Ongo?ba, Harrison Haight, Anne Sophie Lacagne, Julie Ritter, Anne Claire Mogenet, Enrica Dorigo, Camille Durst, Djamel Kaili, Fran?ois Clement, Sidney Chocron
Open Journal of Thoracic Surgery (OJTS) , 2018, DOI: 10.4236/ojts.2018.84013
Abstract: Traumatic rupture of the ascending aorta is rare. We report the case of a 23-year-old man who suffered a service accident by crushing the thorax between two tanks during army maneuvers that resulted in an adventitial rupture of the ascending thoracic aorta extending to the Crosse. Treatment consisted of replacement of the ascending aorta with a 24 mm Hemashield straight tube and re-implantation of supra-aortic vessels at the dome of the prosthesis.
External Branch of the Superior Laryngeal Nerve: Anatomy and Operating Hurts  [PDF]
Abdoulaye Kanté, Babou Ba, Youssouf Sidibé, Drissa Ouattara, Bréhima Bengaly, Bréhima Coulibaly, Drissa Traoré, Mariam Daou, Tata Touré, Siaka Diallo, Amady Diakalia Coulibaly, Mamadou Alymami Keita, Souleymane Sanogo, Djibril Traoré, Moustapha Issa Magané, Ousmane Ibrahim Touré, Idrissa Tounkara, Abdoulaye Diarra, Bakary Keita, Timbely Guidérè, Birama Togola, Nouhoum Ongo?ba
International Journal of Otolaryngology and Head & Neck Surgery (IJOHNS) , 2018, DOI: 10.4236/ijohns.2018.76039
Abstract: Purpose: Our purpose was to describe the anatomy of the external branch of the upper laryngeal nerve and to estimate the frequency of nerves at risk during the total thyroidectomies sub. Methodology: We realized in the CHU Point G in Bamako a forward-looking study over a period going from September 1st, 2016 till December 31st, 2017. All the patients operated by thyroidectomies subtotals for mild goiters were included to whom a systematic location of the external branch of the superior laryngeal nerve in the space avascular of Reeve was realized. Cancers and other thyroid pathologies were not included. Results: We counted and operated 120 cases of mild goiters. The external branch of the superior laryngeal nerve was seen and dissected in 80.8%; it was not seen in 19.2%. According to the classification of Cernea: the type 2 was found in 80.8% of the cases with him under typical 2b in 47.5% and under type 2a in 40 (33.3%). The global frequency of lesion of the external branch of the upper laryngeal nerve was 10.8% at 9 patients among whom 6 who presented a BENLS of Type Ni. Conclusion: The external branch of the upper laryngeal nerve of type 2 presents a risk of wound because the surgeon treats the upper pedicle at the level of the critical centimeter place over the upper pole of the thyroid. The identification of the nerve during the thyroid surgery is the solution of choice.
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