Les Perforations D’ulcere Gastro-Duodenal Au Centre National Hospitalier Et Universitaire (Cnhu) De Cotonou (Benin)

Introduction: Duodenal or gastric ulcer perforations constitute a medical and surgical emergency. Purpose: Expose its epidemiological, diagnostic and therapeutic aspects. Method: About a retrospective study from January 1st 2006 to March 31st, 2012 in visceral surgery at CNHU of Cotonou, records of 86 cases of duodenal or gastric ulcer perforation were analyzed. Results: On average 13.8 cases / year, perforation of peptic ulcer was the most etiological cause of acute generalized peritonitis (25.7%). The average age was 34.2 years, the sex ratio of 16.2. Average admission stay was 6 days and it was observed: undocumented epigastralgia (42cas; 48.8%), no pathological medical history (32 cases; 37.2%). Peritoneal syndrome was in 81 cases (94.2%). Abdomen radiography without preparation (71 patients / 86; 82.6%) showed a pneumoperitoneum (52 cases / 71; 77.6%). The treatment was nonoperative (2 cases / 86; 2.3%) with a favorable outcome. Surgical patients had duodenal perforation (49 cases / 84; 57%), gastric perforation (35 cases / 84; 43%). Suturing with or without other technical devices was achieved in all cases. Postoperative complications were present in 28.5% of cases and parietal abscesses were documented as a priority (14 cases / 84; 16.7%). Mortality rate was 4.7% (4/86) and the average hospital stay was 11.6 days. Conclusion: The perforations of peptic ulcer were common in young men. Clinical examination was especially helpful in the diagnosis by abdomen radiography without preparation. The treatment was medical and surgical and the outcome was mostly favorable.

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Rib fractures, a public health issue-a multi regional retrospective study

Jurnalul de Chirurgie ◽

10.7438/jsurg.2021.01.03 ◽

2021 ◽

Vol 17 (1) ◽

pp. 14-19

Author(s):

Irina Drăgan ◽

Ioan Adrian Petrache ◽

Valerian Cristian Păvăloiu ◽

Petruț Giuliano ◽

Ion Mîndrilă ◽

...

Keyword(s):

Retrospective Study ◽

Individual Case ◽

Rib Fractures ◽

Rib Fracture ◽

Public Health Issue ◽

Average Hospital Stay ◽

Average Hospital ◽

Social Reintegration ◽

Multiple Rib Fractures ◽

Total Average

We performed a retrospective study focusing on examining all rib fracture cases discharged from 4 thoracic surgery clinics in Romania. Over a period of 3 years, we analyzed data regarding the patients, diagnosis and number of days spent in the hospital. 2.417 patients were included in this study and all patient evolutions were taken into account. The most patients suffered from multiple rib fractures, involving four or more ribs. In total average hospital stay was 5.46 days. The pneumothorax was the most common encountered complication followed by hemo-pneumothorax, hemothorax and lung contusion. Men seem to be at a higher risk to develop a rib fracture than women. Fracture incidence increased with age in both sexes. The main goal when treating thoracic traumatic pathology is attaining less impairment of pulmonary functions and fast social reintegration. Management of rib fractures must be tailored to each individual case.

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RETROSPECTIVE STUDY OF PERFORATED PEPTIC ULCER: A TERTIARY HOSPITAL BASED STUDY

10.36106/ijar/6400560 ◽

2020 ◽

pp. 1-3

Author(s):

Omprakash Raj ◽

Sumit Dhruve

Keyword(s):

Peptic Ulcer ◽

Retrospective Study ◽

Standard Procedure ◽

Common Factor ◽

Perforated Peptic Ulcer ◽

Duodenal Perforation ◽

Peptic Ulcer Perforation ◽

Peptic Ulcers ◽

Case File ◽

Ulcer Perforation

Background: Peptic Ulcer Perforation is an important and common emergency. One of the most dreaded and common complication of peptic ulcers is perforation. Perforations account for about 5% of peptic ulcers. Aim and Objectives: The aim of this study is clinical study of perforated peptic ulcer with objectives to assess the socio demographic distribution of peptic ulcer and to assess the clinical presentations and management of peptic ulcer perforation. Methodology: This was a retrospective study conducted in Chhattisgarh Institute of Medical Sciences Bilaspur in year 2018-2019. Total 158 patients were taken, who were diagnosed and operated for perforated peptic ulcer. Detail history and clinical findings were taken from case file. Result: a total 158 patients were studied, 76% were male, and 41-50 years age group was commonly affected. Alcohol consumption, old age, comorbid illness and pre admission delayed was most common factor. Abdominal pain i.e. 100% was most common presentation. Duodenal perforation was common i.e.38.60%. omentopaxy was preferable mode of repair perforation. Conclusion: Perforation of peptic ulcer is one of the common surgical emergencies and requires awareness and prompt management and operation. It mostly affects young and middle aged males in the thirties. Simple closure with omentopaxy is standard procedure.

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Affections Neuroméningées Au Cours Du VIH Dans Le Service Des Maladies Infectieuses Du CHU De Brazzaville : Prévalence Et Facteurs Associés Au Décès

European Scientific Journal ESJ ◽

10.19044/esj.2016.v12n33p177 ◽

2016 ◽

Vol 12 (33) ◽

pp. 177

Author(s):

Ossibi Ibara Bienvenu Rolland ◽

, Obengui ◽

Damba Banzouzi Bébene ◽

Ossou-Nguiet Paul Macaire ◽

Paka Herdan ◽

...

Keyword(s):

Retrospective Study ◽

Early Detection ◽

Sex Ratio ◽

Diagnosis Delay ◽

Average Hospital Stay ◽

Average Hospital ◽

Factors Associated ◽

Cerebral Herniation ◽

Hiv 1 ◽

Overall Mortality

Goal . Neuromeningeal determine the prevalence of disease in PLHIV and identify factors associated with death. Methodology. Retrospective study on descriptive and analytical referred cases hospitalized in the Infectious Diseases department during the period 1 January 2013 to 31 May 2015. Results. One hundred and fifty patients included (10.5% of admissions) with mean age of 41.1 ± 11.8 years (range 19 to 69) women (n = 86, 57.3%), sex ratio of 1,3. were without jobs (n = 68; 45.3%), single (n = 96; 64%), heterosexually infected by HIV-1 (100%). The average time of consultation was 19.2 ± 1.3 days. Fever (n = 99; 66.0%), disorders of consciousness (n = 66; 44.0%) were the main reasons for consultations. Meningeal stiffness (40%), focal signs (n =62; 41,4%) were the main signs consideration. CSF was clear (n = 94; 62.7%), hyperproteinorachique (59.8%), hypoglycorrachique (43.8%). Examining the ink was positive in 39 cases (34.8%) The Gerh was positive in 35 patients .the CT abnormalities were dominated abscess (n = 12; 15.4%).. Thirty four patients were on TDF + FTC + EFV regimen. The average hospital stay was 14.4 ± 9.5 days. Overall mortality was 83.2% mainly due to cerebral herniation (n = 28; 33.3%). Conclusion. The prevalence and lethality of diseases neuromeningeal of HIV are high. The diagnosis delay and TNM influence the prognosis of patients; Hence the importance of early detection of HIV infection for its management to prevent immunosuppression.

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Characteristic of Patients with Gastric Perforation due to Peptic Ulcer in Dr. Soetomo General Hospital Surabaya in the Period of January - December 2016

JBN (Jurnal Bedah Nasional) ◽

10.24843/jbn.2019.v03.i02.p04 ◽

2019 ◽

Vol 3 (2) ◽

pp. 45

Author(s):

Esthiningrum Dewi Agustin ◽

Mamiek Dwi Putro ◽

Herry Purbayu

Keyword(s):

Peptic Ulcer ◽

Retrospective Study ◽

Traditional Medicine ◽

General Hospital ◽

Medical Record ◽

Medical Records ◽

Gastric Perforation ◽

Pathological Examination ◽

Lack Of Information

Aim: This study aims to study the profile of patients with gastric perforation caused by peptic ulcer. Method: This is a retrospective study by obtaining patients data from medical records in the Medical Record Centre of Dr. Soetomo General Hospital during the period of January - December 2016 and analyzed descriptively. Result: 66 patients were identified (45 male and 21 female), most of them were between age 60 - 69 years old, and live in Surabaya (45.45%). 30.3% of patients No malignancy was found during the anatomic-pathological examination. 30.3% of patients have a long term NSAID taking, while 53.03% of patients came with a habit of traditional medicine consumption. Perforations were mostly located 1 - 5 cm pre-pyloric and between the range 0.5 - 1 cm in diameter (56.6% and 69.7%, respectively). Conclusion: With the lack of information, it still needs further studies with more completed data for better accuracy.

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Utilization of clinical autopsy services in a Nigerian teaching hospital

Indian Journal of Medical Sciences ◽

10.25259/ijms_142_2020 ◽

2020 ◽

Vol 0 ◽

pp. 1-5

Author(s):

Samuel Robsam Ohayi ◽

Anthony Jude Edeh ◽

Nnaemeka Thaddeus Onyishi

Keyword(s):

Internal Medicine ◽

Quality Control ◽

Retrospective Study ◽

Associated Factors ◽

Obstetrics And Gynecology ◽

Education For All ◽

Autopsy Rate ◽

Average Hospital Stay ◽

Average Hospital ◽

Socioeconomic Strata

Objectives: The aim of this study was to ascertain the rate of uptake of clinical autopsy services in our hospital and also determine the associated factors. Autopsy is an important part of clinical practice. It serves as an audit and quality control for diagnosis and treatment of diseases. It also provides families with “informed grieving” by giving clearer understanding of the nature of illness and cause of death and may reveal inheritable or communicable diseases among other benefits. Despite these benefits, the rate of autopsy is low and declining globally. Material and Methods: A retrospective study of hospital autopsies performed from January 2013 to December 2017 was carried out. The mortuary and autopsy records of our hospital over the period were retrieved and reviewed. Deaths reported to the police, namely, coroner deaths and deaths before arriving at the hospital (brought in dead, BID) were excluded from the study. Results: A total of 1976 bodies was studied, 1078 males and 898 females (M:F = 1:1.2). Consent for autopsy was sought in 22 (1.1%) cases: 13 (0.66%) from pediatrics, 5 (0.25%) from internal medicine, and the rest from surgery and obstetrics and gynecology. Consent was granted and autopsy performed in 6 (0.3%) cases giving an average of 1.2 autopsies/year. Average hospital stay was 12.6 days and 36.3 days for those consenting to and those declining autopsy, respectively. Consenting persons belong to diverse socioeconomic strata. Conclusion: Autopsy rate is very low in our center. Attending clinicians and relatives of the deceased contribute to this trend. Vigorous education for all stakeholders about the benefits of hospital autopsy is recommended.

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INPATIENT STATISTICS AT THE HOPITAL DES ENFANTS MALADES IN PARIS FOR THE YEAR 1822

PEDIATRICS ◽

10.1542/peds.70.6.940 ◽

1982 ◽

Vol 70 (6) ◽

pp. 940-940

Author(s):

T. E. C.

Keyword(s):

Hospital Stay ◽

Current Practice ◽

Surgical Patients ◽

Average Hospital Stay ◽

Children's Hospitals ◽

Average Hospital ◽

Children's Hospital ◽

Children’S Hospitals ◽

Children’S Hospital ◽

Overall Mortality

The HÔpital des Enfants Malades, the world's first children's hospital, was founded in Paris in 1802. Twenty years later it contained 560 beds, 491 for medical and 69 for surgical patients. In 1822, 2,641 patients were admitted; their diagnoses were as follows: [SEE TABLE IN SOURCE PDF.] The overall mortality among inpatients was about 27 percent. The mortality for smallpox was 47 percent, and for measles 35 percent. Contrary to current practice in our children's hospitals, inpatients at the Hôpital des Enfants Malades, at least in 1822, were hospitalized for exceedingly long periods. For example, patients with scabies spent between 21 and 69 days in the hospital; for tinea the average hospital stay was 156 days; and for scrofula 288 days.

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Modern capabilities for prognosis of postoperative complications in patients with colorectal cancer

Hirurg (Surgeon) ◽

10.33920/med-15-2001-03 ◽

2020 ◽

pp. 36-51

Author(s):

G. Rodoman ◽

G. Gendlin ◽

N. Malgina ◽

T. Dolgina

Keyword(s):

Colorectal Cancer ◽

Postoperative Complications ◽

Surgical Patients ◽

Cardiac Complications ◽

Optimal Point

The article discusses the most frequently used prognostic scales intended to assess the risk of cardiac complications in surgical patients. The choice of optimal point scales for patients with colorectal cancer is justified.

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