Described since the 15th century by Ambroise Paré, adult hydrocele is an abnormal collection of serous fluid in the space between the parietal and visceral layers of the tunica vaginalis It is generally a lesion acquired by attack of the integrity of the vagina, unlike the hydrocele of the child due to the persistence of the peritoneal-vaginal canal. Purpose: To study the epidemiological, clinical and therapeutic aspects of hydrocele in the reference health center of Fana. Methodology: A descriptive prospective study, conducted from January 1, 2020 to December 31, 2020 of the CSRéf of Fana. Results: We collected 66 cases of hydroceles be 16.8% of surgical activities. The average age of disease was 49.27 ± 4 years. The age of 60 to 74 was the most represented with a frequency of 39.4%; Harming during physical activities has been the most common reason for consultation and accounted for 51%. The hydrocele was idiopathic in the majority of our patients in our study, or 65%. The nature of the vaginal fluid was yellow citrin in the majority of patients or 90.9%. Hernie was the most frequently associated pathology with the hydrocele (11 out of 26) or 42%. The Bergman technique was used in 77% of patients and closing the peritoneo-vaginal canal in 23%. Morbidity was 4.5% (3 cases) with hematoma type and 1.5% (1 case) with type of infection. The mortality rate has been zero. Conclusion: Vaginal hydrocele is a pathology that remains frequent in tropical regions. Surgical treatment by total vaginal resection with hemostatic overlock gives good results. Its morbidity is low, dominated by intrascrotal hematoma and infection of the surgical site which are generally well controlled by rigorous care.
Objectives: To evaluate the surgical activities of the surgical unit of the Fana Health Centre. This was a prospective and descriptive study carried out in the surgical unit of the Fana Health Centre over a period of 12 months (01 July 2020 to 30 June 2021). Results: 331 surgical consultations with 242 surgical pathologies operated on, i.e. 73.11%. Men were more affected than women with a sex ratio of 2.9 and a predominance of young adults aged 16-30 years with 28.51%. The main disease groups encountered were the digestive disease class with a rate of 82.23% in first place, followed by diseases of the urinary system with 19.83%. The average length of hospital stay was 5 days. We observed that of the 242 patients operated on, 10 died (6 from septic shock and 4 from pulmonary embolism). Conclusion: This work has enabled us to highlight the surgical activities of the surgical unit at the Fana Health Centre, to evaluate its performance and shortcomings.
Introduction: Malaria is both a disease caused by poverty and a cause of poverty. Malaria is the leading cause of morbidity and mortality in Mali and is among the ten countries with the highest number of malaria cases and deaths. The objective was to estimate the direct economic cost borne by families in the treatment of severe malaria in children aged 0 -5 years at the CSREF in Fana. Methodology: The study was cross-sectional, conducted from July 2017 to June 2018 with inclusion criteria and prospective data collection. The methodology was based on estimating the direct economic cost of severe malaria. Results: The sample consisted of 109 cases out of a total of 944 hospitalizations; 59% of whom were boys and the 25 -36 month age group was the most affected. The complications frequently encountered were severe anemia (50 cases) or 45.8%; convulsions (35 cases) or 32.1% and finally severe sepsis (8 cases) or 7.3%. The average direct cost was 25,324 Franc CFA (58.95 US Dollars) of which 66% represented the costs of medicines and consumables against 4% for the consultation. This cost was more than half the minimum wage in Mali. Conclusion: Despite the difficulties in estimating the cost in hospitals, the results obtained give us an estimate of the economic burden borne by families in the management of severe malaria cases among children in the district of Fana. Support is needed for parents in the fight against malaria in rural Mali.
Introduction: Surgical abdominal emergencies are abdominal pain evolving for a few hours or a few days (less than 3 days) which can be traumatic or non-traumatic which are related to a surgical pathology. Purpose: Studying surgical abdominal emergencies at the Fana reference health center (Csref). Methodology: This was a prospective study carried out at the csref of Fana from January 1, 2022 to December 31, 2022. Results: During the study we identified 121 cases of surgical abdominal emergencies including 76 men and 45 women with a sex ratio of 1.68, the average age was 29.95 years ± 18.71. These were 6 surgical emergencies which are: Acute appendicitis (45 cases), Intestinal obstruction (32 cases), Acute peritonitis (30 cases), Traumatic hemoperitoneum (06 cases), GEU (05), Evisceration (3). Abdominal pain was the main reason for consultation. The physical examination made it possible in the majority of cases to make the diagnosis. Faced with certain doubtful cases, we requested paraclinical examinations (ultrasound in 26 cases, ASP in 56 cases and grouping/rhesus in all cases). The morbidity rate was 12.4% and mortality 6.66%. Conclusion: The frequency of surgical abdominal emergencies is high at the Csref of Fana with 20.20%. The clinical picture is polymorphous. The causes are many and varied; dominated by acute appendicitis, intestinal obstruction and peritonitis.
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