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Search Results: 1 - 10 of 501 matches for " Siaka Diallo "
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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.
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.
Conservative Treatment in Grisel’s Syndrome Following Tonsillectomy  [PDF]
Youssouf Sogoba, Abdoulaye Barry, Issa Amadou, Boubacar Sogoba, Drissa Kanikomo, Seybou Hassane Diallo, Oumar Coulibaly, Youssoufa Maiga, Siaka Soumaoro, Dianguina dit Noumou Soumaré, Kadidiatou Singaré, Mohamed Keita
World Journal of Neuroscience (WJNS) , 2018, DOI: 10.4236/wjns.2018.81004
Abstract: Grisel’s syndrome is a rare complication that is characterized by non-traumatic atlantoaxial subluxation. It is most commonly seen in children after an upper respiratory tract infection or neck surgery, such as an adenoidectomy, tonsillectomy and mastoidectomy. Grisel’s Syndrome is characterized by torticollis and a limited range of motion of the neck with pain. Here the authors report a case of a Malian 5-year-old girl with Grisel’s syndrome following tonsillectomy. The patient’s complaints were fully resolved after 2 weeks of conservative treatment.
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.
Choked Inguino-Scrotal Hernia and Fistulising in the Scrotum at the Hospital Sominé DOLO of Mopti: A Clinical Observation  [PDF]
Abdoulaye Kanté, Djibril Traoré, Siaka Diallo, Drissa Ouattara, Bréhima Bengaly, Drissa Traoré, Moustapha Issa Magané, Mariam Daou, Nouhoum Ongo?ba
Surgical Science (SS) , 2019, DOI: 10.4236/ss.2019.103009
We report a case of grave and rare surgical complications nowadays, which calls out to us on the necessity of a bigger raising sensitization on the coverage of the constrictions hernial at the adult. It is about a case of right inguino-scrotal hernia choked secondarily complicated with a scrotal coecostomie at a 64-year-old man. The delay in the care was in touch with a traditional treatment but also in the poverty of the patient which was a needy the total care of which was assured by the social services department of the hospital. The perioperative exploration found a cecostomy the mucous membrane of which was inverted in the opening of the stoma, an ulceration of the peristomial scrotum with a normal macroscopic aspect of the testicle homolateral. The care was made at single time: parage and scrotal suture more resection segmental of the coecum followed by an anastomosis ileocolic terminoterminal and a cure of the hernia according to Shouldice. The operating suites were simple with ablation of the threads to operating J12 comment and the liberation of the patient the next day. The clinical evolution was satisfactory with a backward movement of 4 years.
Duodenal Metastases of Malignant Melanoma: One Case Report  [PDF]
Soro Dramane, Ouattara Amadou, Okon Anassi Jean Baptiste, Koné Siaka, Assi Constant, Allah-Kouadio Emile, N’dah K. Justin, Ndjitoyap Ndam Antonin Wilson, Diallo Djeinabou, Lohoues-Kouacou Marie Jeanne d’Arc, Camara Beno?t Mathieu
Open Journal of Gastroenterology (OJGas) , 2015, DOI: 10.4236/ojgas.2015.58018
Abstract: The duodenal metastases of a malignant melanoma are rare. We report a case at a 86-year-old, hypertense patient, without tumoral history, who was hospitalized in our department for a change of the general state and an anaemia ferriprive without found home (foyer) of display. In the clinical examination, we had found anemia syndrome, nodules under cutaneous about 2 cm in diameter at the level of the thorax, of the belly, the members and of the lower lip partners in a painless left adenopathy axillary about 3 cm in diameter and an absence of méléna in the rectal touch. The gastroscopy had highlighted polypoides ulcéro-bourgeonnantes hurts with a blackish pigmentation by places at the level of the bulb and of the second duodenum. In the histology of biopsie fragments, we noted a fuso-cellular proliferation and epithelioid with deposits of melanin. The positivity of antibodies anti-protein S100 and anti HMB45 in the immunohistochemical study allowed confirming the diagnosis. The gastroduodenal hurts, persons suffering from a liver complaint and lungworts in the scanner testify of a terminal metastatic scattering. The death arose two months later, in a picture of circulatory collapse further to a high digestive bleeding of big abundance.
Blows and Voluntary Wounds of the Emergency Unite in Gabriel Toure Teaching Hospital in Bamako  [PDF]
Mangané Moustapha, Diop Thierno Madane, Almeimoune Abdoul Hamidou, Keita Soumaila, Dembelé Aladji Seydou, Youssouf Sogoba, Konaté Madiassa, Koita Siriman, Traoré Amadou, Issa Amadou, Badimi Siaka, Abdoulaye Kanté, Diallo Sadio, Sangaré Harouna, Dembelé Bakary Tientigui, Togo Adegné, Diango Djibo Mahamane
Surgical Science (SS) , 2018, DOI: 10.4236/ss.2018.99040
Abstract: Introduction: Voluntary assault and injuries are acts that damage the physical and psychological integrity of a human being. WHO in its global report on violence and health estimates that in 2000, 1.6 million people worldwide died as a result of self-harm, interpersonal or collective violence, resulting in an overall rate adjusted by age of 28.8 per 100,000 population. Because of the seriousness of this phenomenon and the heavy socio-economic and health consequences that they generate, it seemed important to us to undertake this study, which aimed to study the deliberate injuries in the emergency unite of the Gabriel Touré Teaching Hospital in Bamako. Material and methods: This was a descriptive and cross-sectional study with a prospective study from September 1st, 2016 to August 31st, 12 months, covering 295 patients, including any patient received for voluntary injury consultation with a workable medical record and/or a full investigation record with or without requisition. Our data were collected on individual survey cards and subsequently analyzed with Word, Excel, IBM SPSS Statistics 22 software. Results: The majority of victims of assault and bodily injury were male with 83.1%; with a sex ratio of 4.9, the 18 to 28 age group was the most concerned with 163 cases of the 295 cases in our study, 55.2%. The extremes were 6 and 100 years old with an ectype at 11.08. The most affected ethnic group was Bambara with 38.6% (n = 114) followed by Fulani with 15.6% (n = 46). Students were the most affected at 24.7% (n = 73), followed by traders at 10%. The victims coming from outside Bamako are the most predominant with 22.4% (n = 66) followed by those of commune IV of Bamako 15.6% (n = 46). In 92.2% of the cases the mechanism was direct with n = 272. Of the lesions recorded in our study, wounds came first with 53.2% of cases. Radiography was the most used imaging at 44.7% (n = 89) followed by computed tomography at 34.7% (n = 69). The hemoperitoneum objectified by abdominal ultrasound represented 29.3% (n = 12). Fractures embarrure associated with bruising-hemorrhagic bruises were the most predominant with 13.4% (n = 10) objectified by brain scan. Conclusion: We note that the phenomenon of violence has reached worrying proportions, especially among young adults, particularly among students and is observed in all so-cio-professional layers. The polymorphism of these injuries caused by the predominant use of knives must draw the attention of our authorities to take measures to reduce these
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.
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