Les urgences chirurgicales néonatales à l’hôpital provincial général de référence de Bukavu en République Démocratique du Congo

Gulimwentuga, Fabrice Cikomola; Kabakuli, Alain Namugusha; Ndechu, Aline Bedha; Toha, Georges Kuyigwa; Bahati, Yvette Lufungulo; Maotela, Jeff Kabinda

doi:10.11604/pamj.2016.24.219.8495

Cited by 3 publications

(2 citation statements)

References 5 publications

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“…However like our study, they concern newborns from 0 to 28 days [2] [3] [11] for some and from 1 to 30 days for others [12]. The sex predominance in our series is male with a sex ratio of 2.5, it varies depending on authors, with a sex ratio of 0.8 for Mieret [2], 0.9 for Boumas [11], 1.4 for Midekor [9] and 1.5 for Cikomola [8]. Our 12 hours average management delay surpasses by far that of African series due to scarcity and seriousness of the pathologies.…”

Section: Discussionmentioning

confidence: 80%

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Rare Neonatal Digestive Surgical Emergencies at the Brazzaville University Hospital Center

Ondima¹,

Mboutol-Mandavo²,

Miabaou³

et al. 2020

OJPed

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The purpose of our study was to evaluate the morbidity-morality of rare neonatal digestive emergencies in order to improve their management. Observations: 7 newborns ranging in age from 6 hours to 3 weeks were treated for rare digestive pathologies between January 2013 and July 2017 (a period of 3 years and 6 months) in the Department of Pediatric surgery of Brazzaville University Center, Congo. Males were predominant (5 versus 2 females). Pathologies listed were: 1 antenatal volvulus of the small intestine, 1 annular pancreas and 5 gastric perforations. The average time of care in the operating room was 12 hours. The newborns were hospitalized in the pediatric surgery department in 28.6% of cases (n = 2), and 71.4% (n = 5) in the neonatology department. The antenatal volvulus of the intestine and annulus pancreas were integrated into a nosologic entity named neonatal occlusion (NNO). The postoperative outcomes were simple for 4 patients (57.14%) while 3 patients died immediately after surgery (42.86%). Conclusion: Neonatal surgical emergencies are still difficult to manage in our context. The lack of knowledge of these rare pathologies, which delays their management, considerably increases morbidity-mortality. The critical analysis of this series highlights diagnostic and therapeutic difficulties particularly with gastric perforations, hence the interest of better popularization of pediatric surgery.

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Section: Discussionmentioning

confidence: 80%

“…Management delay also varies depending on authors Boumas [11] 4.9 days. The pathologies in different studies include few digestive surgical emergencies (3.3%) [8] and neonatal emergencies (0.07%) [9].…”

Section: Discussionmentioning

confidence: 99%

Rare Neonatal Digestive Surgical Emergencies at the Brazzaville University Hospital Center

Ondima¹,

Mboutol-Mandavo²,

Miabaou³

et al. 2020

OJPed

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Prognostic factors of neonatal surgical emergencies in a developing country

et al. 2023

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Congenital Malformations of the Gastrointestinal Tract in Neonates at Aristide Le Dantec University Hospital in Dakar

Camara¹,

Fall²,

Mbaye³

et al. 2022

African Journal of Paediatric Surgery

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Objective: Congenital malformations of the gastrointestinal tract are one of the major causes of neonatal mortality, especially in developing countries. The aim of this study is to assess the overall management of gastrointestinal malformations. Patients and Methods: The study design is monocentric and retrospective. It includes all newborns aged 1–28 days with malformations of the gastrointestinal tract between 1 st January 2014 and 31 st December2018, at the Paediatric Surgery Department of Aristide Le Dantec University Hospital in Dakar. Data were collected by studying patient's records and surgical procedures. Results: During the five-year study, 405 newborns with congenital anomalies were admitted to our hospital. A total of 126 newborns were diagnosed with gastrointestinal tract malformations. The incidence was 25.2 cases a year. The sex distribution was 74 boys (58.7%) and 52 girls (41.2%). The mean age at diagnosis was 7.4 ± 3.2 days. Two cases were diagnosed antenatal (1.59%). The mean time to post-natal diagnosis was 6.5 ± 2.1 days. The most common malformation was oesophageal atresia with 43 cases (34.1%). The average time between diagnosis and surgery was 48 h. Out of the 126 cases, 77 (61.1%) received surgery and 49 (38.9%) died before surgery. The main causes of pre-operative death were intricate and dominated by lung infections (42.9%). Among the 77 newborns, who received surgery, 38 (%) had a simple post-operative course, 39 (50.6 %) died. Post-operative deaths were dominated by anaesthetic complications (30.8%), lung infections (46.1%). The overall mortality was 69.8% ( n = 88). Conclusion: The low socio-economic status, poor pre-natal diagnosis, prematurity, post-natal diagnostic delay, obsolete medical equipment and the lack of neonatal intensive care units were identified as the major factors for high mortality in neonates with gastrointestinal tract malformations in a developing country.

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Les urgences chirurgicales néonatales à l’hôpital provincial général de référence de Bukavu en République Démocratique du Congo

Cited by 3 publications

References 5 publications

Rare Neonatal Digestive Surgical Emergencies at the Brazzaville University Hospital Center

Rare Neonatal Digestive Surgical Emergencies at the Brazzaville University Hospital Center

Prognostic factors of neonatal surgical emergencies in a developing country

Congenital Malformations of the Gastrointestinal Tract in Neonates at Aristide Le Dantec University Hospital in Dakar

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