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Search Results: 1 - 10 of 1077 matches for " Moussa Abdoulaye Ouattara "
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Right Internal Jugular Vein Ectasia in African Woman: A Report of 2 Cases  [PDF]
Seydou Togo, Moussa Abdoulaye Ouattara, Sékou Koumaré, Mody Abdoulaye Camara, Sadio Yena
Surgical Science (SS) , 2015, DOI: 10.4236/ss.2015.610062
Abstract: Internal jugular vein (IJV) ectasia is a rare benign disease. It commonly presents as a unilateral, soft, compressible neck swelling that mostly involves the right side. It is usually a childhood disease and believed to be of congenital origin. Accurate diagnosis from careful history, physical examination and radiological study can be made. We report here two cases of IJV ectasia in African adults with right lateral neck mass dilating when increase intrathoracic pressure. Because of its rarity, this entity is frequently ignored or misdiagnosed. This case report intends to stress the importance of keeping IJV ectasia as differential diagnosis in mind in case of lateral neck swellings to avoid invasive investigations and inappropriate treatment. The asymptomatic case management of IJV ectasia is conservative with long-term surveillance.
Compressif Giant Segmental Congenital Emphysema: Diagnosis and Traitment  [PDF]
Moussa Abdoulaye Ouattara, Seydou Togo, Abdoul Aziz Diakité, Ibrahima Sankaré, Bourama Kané, Sekou Koumaré, Mody Abdoulaye Camara, Zimogo Ziè Sanogo, Sadio Yena
Surgical Science (SS) , 2016, DOI: 10.4236/ss.2016.74027
Abstract: The giant congenital lobar emphysema is a rare malformation infant pathology. The authors report a similar case which is distinguished by its segmental location even rare with its compressive character in which segmentectomy was successful performed to lift emergency distress in a developing country.
Total Thyroidectomy in Multinodular Goiter: An African Experience  [PDF]
Moussa Abdoulaye Ouattara, Seydou Togo, Ibrahima Sankaré, Kadiatou Singaré, Sekou Koumaré, Issa Maiga, Allaye Ombotibé, Jacques Saye, Assa Traoré, Nouhoum Diani, Zimogo Ziè Sanogo, Sadio Yena
Surgical Science (SS) , 2015, DOI: 10.4236/ss.2015.612075
Abstract: Introduction: Total thyroidectomy is an operation that involves the surgical removal of the whole thyroid gland, with the preservation of the parathyroid glands. The aim of the present study was to assess the complication rates of total thyroidectomy on benign indication and first-time thyroid surgery and investigate the early outcome after opotherapy. Materials and Methods: In this retrospective study, patients who underwent total thyroidectomy for benign multinodular goiter in the department of thoracic surgery in our Hospital from January 2012 to December 2014 were included. In postoperative time, we evaluated surgical complication, histopathological examination and opotherapy. Results: A total 53 patients underwent total thyroidectomy for multmodular goiter; they were 49 (92.45%) bilateral and 4 (7.55%) unilateral (recurrence). The mean age was 47 years and mean diameter of goiter was 10.75 cm. Among the patients 88.68% were females and 11.32% were male. Preoperative hormonal statuses were (70%) in euthyroid and (30%) hyperthyroid following surgery complications like transient laryngeal nerve palsy (3.77%), transient hypocalcemia (7.55%), hematoma (1.9%) and wound infection (1.9%). On histopathological examination of the surgical specimen, 5.7% were reported to be malignant. Six month following surgery 92.45% of patients was a good hormonal balance. Conclusion: Total thyroidectomy for multinodular goiter has a low morbidity and mortality; this procedure olves both the problem of recurrence of disease and reintervention. The opotherapy is doable with a good hormonal balance.
Contribution of Surgery in the Care of Intracranial Hematomas in Developing Countries: Case Series of 30 Patients in Abidjan  [PDF]
Abd El Kader Moumouni, Romuald Kouitcheu, Essohanam Kpelao, Abdoulaye Ouattara, Moussa Diallo, Dabou Abiba Tamou Tabe, Ibrahima Berete, Daniel Memia Zolo, Pascal Compaore, Aderehime Haidara
Open Journal of Modern Neurosurgery (OJMN) , 2018, DOI: 10.4236/ojmn.2018.84036
Abstract: Intracranial hematomas, whatever its causes, represent an important disabling, and dreaded adult’s lesion. This brain’s condition has not well been studied in developing countries. The aim of our study is to overview the management of intracaranial hematomas in Abidjan. It is a retrospective analytical and descriptive study, involving patients who had been admitted and monitored by neurosurgeons for intracranial hematomas, documented in brain CT scan and had been operated on from 1 January 2007 to December 31, 2009 in Abidjan. These 30 patients were 23 men and 7 women. The average age was 58.6 years old. 90% of the patients were admitted with wakefulness issues. Half had a Glasgow score of less than 8. The brain scanner allowed identification of an intraparenchymal hematoma associated or not with a cerebral ventricle contamination in 28 patients. There were 18 external ventricle derivations with or without decompressive craniectomy and 12 independent decompressive craniectomy. The evolution was marked by 20 deaths. 10 patients (33.3%) survived. Among the survivors, the first attack and arterial hypertension were the only illness before the attack. None had blood in the membranes and all had Glasgow scores greater than or equal to 9 at admission. Around 7 out of 10 patients were operated on during the first 48 hours. The operative indications of intracranial hematomas are still the subject of controversy. By basing itself on criteria and rigorous clinical and neuroimaging selection, surgery could eventually contribute to the management of this pathology which has become very frequent in Africa.
Management for Pediatric Pleural Empyema in Resource-Poor Country: Is Chest Tube Drainage with Antiseptic Lavage-Irrigation Better than Tube Thoracostomy Alone?  [PDF]
Seydou Togo, Moussa Abdoulaye Ouattara, Ibrahim Sangaré, Jacque Saye, Cheik Amed Sékou Touré, Ibrahim Boubacar Maiga, Dokore Jerome Dakouo, Liang Guo, Sékou Koumaré, Adama Konoba Koita, Zimogo Zié Sanogo, Sadio Yéna
Surgical Science (SS) , 2015, DOI: 10.4236/ss.2015.612077
Abstract: Drainage by chest tube thoracostomy is widely used in treatment of early empyema thoracis in children, but drainage with antiseptic lavage-irrigation is more frequent in our context since the last 20 years. This study was to determine which was more effective in our experience comparing chest tube drainage with catheter antiseptic lavage-irrigation versus drainage by chest tube thoracostomy alone in the management of empyema thoracis in children. Patients and Methods: Demographic, clinical and microbiological data on children with thoracic empyema undergoing drainage by chest tube thoracostomy alone or with antiseptic lavage-irrigation were obtained from 2 thoracic surgical centers from September 2008 to December 2014. It was a retrospective study included 246 children (137 boys and 109 girls) who were managed for empyema thoracis at the author’s different department of surgery. Outcomes analysis with respect to treatment efficacy, hospital duration, chest tube duration, hospital costs, and need for subsequent procedures was analyzed and compared in the 2 groups. Results: Drainage of pus and antiseptic irrigation resulted in resolution of pyrexia with improvement in general condition in 85.82% of patients in group 1 and by tube thoracostomy alone in 73.95% in group 2. There are a significant difference in the length of hospital stay (p = 0.022), duration of chest tubes in situ (p = 0.040), treatment coast (p = 0.015) and outcome of stage 2 empyema disease (p = 0.037) between the 2 groups. Conclusion: it seems that chest tube drainage with antiseptic lavage-irrigation method is associated with a higher efficacy, shorter length of hospital stay, shorter duration of chest tube in situ, less cost and better outcome of stage 2 empyema diseases than a treatment strategy that utilizes chest tube thoracostomy alone.
A Rare Case of a Giant Cavernous Lymphangioma of the Chest Wall in a Child  [PDF]
Seydou Togo, Moussa Abdoulaye Ouattara, Ibrahim Boubacar Maiga, Yunping Lu, Donghui Jin, Ibrahim Sangaré, Maiga Abdoul Aziz, Cheik Amed Sekou Touré, Ibrahim Coulibaly, Jaques Saye, Cheik Sadibou, Sékou Koumaré, Sadio Yéna, Djibril Sangaré
Open Journal of Respiratory Diseases (OJRD) , 2016, DOI: 10.4236/ojrd.2016.61001
Abstract: Cavernous lymphangioma of the chest wall is a very rare disease entity, and only a few cases have ever been documented in the literature. Cases of recurrent cavernous lymphangioma after surgical excision of a cystic lymphangioma on the same side of the chest wall are quite uncommon. We report a case of a 10-year-old girl, with a giant cavernous lymphangioma of the left lateral chest wall extending into the axilla, who had undergone surgical excision of a cystic lymphangioma 9 years earlier.
Cervical Thoracic Necrotizing Fasciitis with the Mammary Gland Spread of Odontogenic Origin  [PDF]
Seydou Togo, Moussa Abdoulaye Ouattara, Jaques Saye, Ibrahim Boubacar Maiga, Cheick Ahmed Sékou Touré, Ibrahim Sankaré, M.A.C. Cissé, Nouhoum Diani, Sékou Koumaré, Moussa Camara, Adama Konoba Koita, Sadio Yéna, Zimogo Zié Sanogo, Djibril Sangaré
Surgical Science (SS) , 2016, DOI: 10.4236/ss.2016.74024
Abstract: Necrotizing fasciitis is an uncommon infection, but potentially lethal, especially when associated with systemic disorders such as diabetes. We report the case of a 35-year-old female with uncontrolled diabetes mellitus, presenting with edema of the neck, facial and left mammary gland, secondary to untreated dental infection, progressing to a full-blown necrotizing fasciitis in a short period of time with sepsis. The patient was managed with aggressive multidisciplinary medical and surgical treatment. Despite the technologic advances in diagnosis and treatment, complications still result with astounding high mortality. Clearly, the morbidity associated to this infection, even in diabetic patients, can be minimized if an early diagnosis and effective debridement are done.
Secondary Spontaneous Rupture of the Diaphragm in a Child after Blunt Chest Trauma  [PDF]
Seydou Togo, Bourama Kané, Moussa Abdoulaye Ouattara, Issa Boubacar Maiga, Yunping Lu, Donghui Jin, Allaye Ombotimbé, Ibrahim Sangaré, Maiga Abdoul Aziz, Cheik Amed Sekou Touré, Ibrahim Coulibaly, Adama Issa Koné, Sitan Illiassou, Jaques Saye, Cheik Sadibou Traoré, Sékou Koumaré, Moussa Camara, Koita Adama Kononba, Mody Traoré, Zimogo Zié Sanogo, Sadio Yéna, Djibril Sangaré
Open Journal of Respiratory Diseases (OJRD) , 2016, DOI: 10.4236/ojrd.2016.62006
Abstract: Traumatic diaphragmatic rupture (TDR) is very rare in the pediatric age group. Because of its rarity and its coexistence with more injuries, the diagnosis is often delayed. Very little has been written about this condition in the pediatric age group. TDR, while uncommon, should be considered in cases of blunt thoracic trauma. All patients should undergo meticulous examination preoperatively. The clinical presentation and importance of making an accurate diagnosis and surgery is highlighted. We report a case of secondary spontaneous traumatic left-sided diaphragmatic rupture in a child that was managed by delayed surgical repair.
Initial Experience with Open Heart Surgery in Sub-Saharan Africa: Challenges in Mali with Minimum Standards for Practice  [PDF]
Seydou Togo, Moussa Abdoulaye Ouattara, Abdoul Aziz Ma?ga, Moussa Bazongo, Issa Boubacar Ma?ga, Cheik Ahmed Sékou Touré, Ibrahim Coulibaly, Sounkalo Diop, Allaye Ombotimbe, Sitta Illiassou, Souleymane Coulibaly, Mamadou Solo Koita, Koumba Nelly Dora Ignanga, Sanibé Dramane Koné, Moussa Oscar Kamano, Fatoumata Konaté, Adama Issa Koné, Amadou Sidibé, Ahmadou Dramé, Nouhoum Oueloguem, Bourama Kané, Boubacar Dramé, Sékou Koumaré, Zimogo Zié Sanogo, Sadio Yéna
World Journal of Cardiovascular Surgery (WJCS) , 2019, DOI: 10.4236/wjcs.2019.99013
Abstract: Introduction: There has been limited experience with Open Heart Surgeries (OHS) in Sub-Saharan Africa. In west Africa especially in Mali, most fledgling centers are unable to overcome the myriad of challenges encountered in establishing OHS though there is a high prevalence of surgically correctable heart diseases. The aim of this paper is to review our initial experience of our first cases in developing OHS program and discuss the challenges and prospects that need to be overcome to further develop it. Methods: A total of 6 patients who underwent OHS during the first “cardiac mission” in July 2016 were included in this retrospective study. The medical records of the patients were examined and data on age, sex, diagnosis, EuroSCORE, type of surgery, cardiopulmonary bypass details, complications and length of hospital stay were extracted. Results: Six patients with a male to female ratio of 1, ages ranging between 12 and 35 years (mean of 22.5 ± 12 years) were studied. The mean of EuroSCORE was 6 ± 41. Pericardial patch closure of isolated atrial septal defect was performed in one patient. One patient had mitral valve repair for rheumatic mitral regurgitation consisting of chordal shortening with a tricuspid valvuloplasty. Three patients had mitral valve replacement with tricuspid valvuloplasty. Four patients had mitral valve replacement. Sixty-day mortality?was 0%. Conclusion: Safe conduct of open heart surgery in Mali Hospital setting is feasible. Grant financial aid is required for rapid growth of Open-Heart Surgery in this part of Sub-Saharan Africa.
Sexual Assault in the Department of Obstetrics and Gynaecology of the Bamako’s 5th Municipality Medical Center  [PDF]
Bambara Moussa, Coulibaly Karim, Diallo Abdoul Aziz, Ouattara Adama, Zampaligré Idrissa
Open Journal of Obstetrics and Gynecology (OJOG) , 2016, DOI: 10.4236/ojog.2016.611082
Abstract: Background: The authors report cases of sexual assault reported to the obstetrics and gynecology department of the Bamako’s 5th municipality medical center during a prospective study of eight months from 1st January to 31st August 31st, 2012. Results: Twenty-one cases of assault were reported out of a total of 13,482 consultations, representing a frequency of 0%, 15%. Most victims were represented by students and accounted 43% of the study population. In 76% of cases the victims knew their assailant. The type of sexual contact was genito-genital vaginal penetration in 67% of cases and the condom was used in only one case. The average time before consultation was 3 days. The preventive ARV treatment was administered in 24% of cases and emergency contraception in 43% of cases. Conclusion: Sexual assault is common in Bamako. The reality is probably underestimated because many cases are not reported. The victims are mostly children and adolescents. The risk of transmission of STIs and HIV is very high during the sexual assault. Education and awareness of the population are essential for early consultation. Training of health workers to care for victims of sexual assault is needed.
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