scholarly journals Post-Traumatic Pyothorax: Epidemiology, Management and Prognosis in the Thoracic Surgery Department of the Donka National Hospital

2021 ◽  
Vol 11 (04) ◽  
pp. 83-88
Author(s):  
Camara Alpha Kabinet ◽  
Camara Soriba Naby ◽  
Balde Oumar Taibata ◽  
Diallo Amadou Sarah ◽  
Camara Mama Aissata ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
National Hospital ◽  
Post Traumatic ◽  
Surgery Department

Role of the pulmonologist in a thoracic surgery department

2021 ◽  
Author(s):  
Carla Suarez ◽  
Nuria Toledo Pons ◽  
Juan Antonio Torrecilla Medina ◽  
Valerio Perna Perna ◽  
Orlando Gigirey Castro ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Surgery Department

Prognostic factors influencing the outcome of empyema surgical management: prospective study in a Moroccan university center.

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Sara Hafidi ◽  
Souheil Boubia ◽  
Abdellah Fatene ◽  
Najat Id El Haj ◽  
Mohammed Ridai
Keyword(s):  
Surgical Treatment ◽  
Surgical Management ◽  
Public Health Problem ◽  
Pleural Empyema ◽  
Chronic Alcoholism ◽  
University Teaching ◽  
University Center ◽  
Post Traumatic ◽  
Surgery Department ◽  
Delay Of Diagnosis

Background: Pleural empyema is a public health problem, and is the most frequent complication of pleural infection with significant morbidity and mortality worldwide. Our study aims to highlight the management of pleural empyema and evaluate its prognosis factors involved especially in surgical treatment. Patients and Methods: A prospective analysis of 53 patients who underwent surgical treatment of pleural empyema, from January 2015 to December 2019 at the thoracic surgery department in a tertiary referral university teaching hospital. Our study included patients who required surgical treatment for pleural empyema and were excluded patients with destroyed lungs associated with pyothorax. Results: The mean age of patients was 39.24±15.89 years and 79,24% of them were males. In 85.7% of the cases, the etiology was undetermined in 34%, parapneumonic in 1.9%, of tuberculosis in 54.71%, post-traumatic in 11, 3%, postoperative in 7.5% and iatrogenic in 1.9%. 45 patients were treated with broad-spectrum antibiotics therapy adapted after antibiogram 14.38±21.76 days before the operation. A complete debridement and decortications were performed by VATS in 28 and by PLT in 22 patients. No major complications occurred. At a mean term follow-up of 20 months (3months—3 years); all patients were alive with no recurrence. The analysis of the results showed 4 factors of poor prognosis: delay of diagnosis and surgery (P = 0.02), chronic alcoholism (P = 0.034), preoperative ventilation disorder/COPD (P = 0.04) and active tuberculosis (P= 0, 05). Conclusion: The success of surgical management of pleural empyema depends on several factors, which predict the prognosis, but can be prevented.

scholarly journals Using Lean Six Sigma to improve rates of day of surgery admission in a national thoracic surgery department

2019 ◽  
Vol 31 (Supplement_1) ◽  
pp. 14-21 ◽  
Author(s):  
Rachel Brown ◽  
Petra Grehan ◽  
Marie Brennan ◽  
Denise Carter ◽  
Aoife Brady ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Six Sigma ◽  
Performance Indicator ◽  
Enhanced Recovery ◽  
Lean Six Sigma ◽  
Process Efficiency ◽  
Secondary Outcome ◽  
Operational Process ◽  
Day Of Surgery Admission ◽  
Surgery Department

Abstract Objective The aim of this study is to improve rates of day of surgery admission (DOSA) for all suitable elective thoracic surgery patients. Design Lean Six Sigma (LSS) methods were used to enable improvements to both the operational process and the organizational working of the department over a period of 19 months. Setting A national thoracic surgery department in a large teaching hospital in Ireland. Participants Thoracic surgery staff, patients and quality improvement staff at the hospital. Intervention(s) LSS methods were employed to identify and remove the non-value-add in the patient’s journey and achieve higher levels of DOSA. A pre-surgery checklist and Thoracic Planning Meeting were introduced to support a multidisciplinary approach to enhanced recovery after surgery (ERAS), reduce rework, improve list efficiency and optimize bed management. Main Outcome Measure(s) To achieve DOSA for all suitable elective thoracic surgery patients in line with the National Key Performance Indicator of 75%. A secondary outcome would be to further decrease overall length of stay by 1 day. Results Over a 19 month period, DOSA has increased from 10 to 75%. Duplication of preoperative tests reduced from 83 to <2%. Staff and patient surveys show increased satisfaction and improved understanding of ERAS. Conclusions Using LSS methods to improve both operational process efficiency and organizational clinical processes led to the successful achievement of increasing rates of DOSA in line with national targets.

scholarly journals Problem of the Care of Digestive Surgical Emergencies at the Visceral Surgery Department of Donka National Hospital in Conakry

2021 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
Baldé Abdoulaye Korsé ◽  
Camara Fodé Lansana ◽  
Diakité Saikou Yaya ◽  
Baldé Habiboulaye ◽  
Camara Soriba Naby ◽  
...  
Keyword(s):  
Visceral Surgery ◽  
National Hospital ◽  
Surgical Emergencies ◽  
Surgery Department

scholarly journals Surgical hyperthyroidism: Epidemiological aspect and management difficulties in the visceral surgery department of the Donka National Hospital

2021 ◽  
Vol 9 (2) ◽  
pp. 036-044
Author(s):  
Hamidou Sylla ◽  
Soriba Naby Camara ◽  
Mamadou Sakoba Barry ◽  
Habiboulaye Balde ◽  
Biro Diallo
Keyword(s):  
Radioactive Iodine ◽  
Nodular Goiter ◽  
Antithyroid Drugs ◽  
National Hospital ◽  
Epidemiological Aspect ◽  
Qualitative And Quantitative ◽  
Postoperative Hematoma ◽  
Quantitative Results ◽  
Toxic Goiter ◽  
Surgery Department

Introduction: The aim of this study was to assess the epidemiological aspect and the difficulties associated with the surgical management of hyperthyroidism in our context. Hyperthyroidism is an over function of the thyroid gland resulting in thyrotoxicosis. Thyroidectomy is one of the Main treatments. It also uses synthetic antithyroid drugs, radioactive iodine. Methodology: We carried out a descriptive 6-year retrospective from January 1, 2011 to December 31, 2017 inclusively. Our study variables were qualitative and quantitative, Results: During our study, 26 cases were collected between January 2011 and August 2017 with a predominance of 73% female and an average age of 52, 78 years. The clinic was dominated by the signs of thyrotoxicosis which were found in all patients. The exploration identified 14 cases of toxic multi-hetero nodular goiter, ie 53.84%; 9 cases of basal disease 34, 66% and 3 cases of toxic adenoma 11, 54%. Medical preparation was required in all our patients Total thyroidectomy was performed in one patient, i.e. 4%, and Lobo isthmectomy in 24 patients, ie 96%. Postoperatively, complications were collected: 1 case of intraoperative hemorrhage 20%; 1 case of postoperative hematoma 20%; 1 case of dysphonia 20%. Conclusion: Surgery for toxic goiter known to be hemorrhagic and adherent should be performed after obtaining euthyroidism and double vigilance to minimize the morbidity represented mainly by laryngeal paralysis and hyperparathyroidism

scholarly journals Is it possible to alleviate thoracic surgery? chest tube removal before the extubation

2017 ◽  
Vol 4 (12) ◽  
pp. 3809
Author(s):  
Zribi Hazem ◽  
Ben Ayed Ahmed ◽  
Abdelkbir Amina ◽  
Maazaoui Sarra ◽  
Abdennadher Mahdi ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Operative Management ◽  
Chest Drain ◽  
Thoracic Sympathectomy ◽  
Drain Removal ◽  
Number Of Patients ◽  
Tube Removal ◽  
Institutional Experience ◽  
Surgery Department ◽  
Invasive Techniques

Background: The ambulatory surgery (AS), is an operative management that does not require an overnight hospital stay. But, the application of AS still limited in the thoracic surgery due to the necessity of air leaking management. The aim of this study is to review our AS institutional experience by a chest drain removal before the extubation, in thoracic sympathectomy surgery.Methods: We have carried out a retrospective analysis of patients who underwent thoracic sympathectomy between November 2012 and July 2016 in the Thoracic Surgery Department of Abderrahmen MAMI University Hospital.Results: During the study period, 17 patients underwent thoracic bilateral sympathectomy. Twelve (12) females were operated versus 5 males. The mean age was 24.47 (range:17-33) years. There is no chest X-ray disorder detected during all frame times. No patient had developed a respiratory distress during the postoperative period. In addition to that, no postoperative morbidities had been detected during the follow up. All patients were satisfied about the procedure at the end of the follow up.Conclusions: The ambulatory thoracic surgery procedures can safely, and efficiency be applied if the patient is well selected. The progression on operative mini invasive techniques will increase the number of patients who can profit from an "alleviated thoracic surgery".

scholarly journals Unusual Location of a Giant Cell Tumour

2021 ◽  
Author(s):  
El Mehdi Kabir ◽  
Fatiha Aghrib ◽  
Hasnaa Belgadir ◽  
Omar Amriss ◽  
Aicha Merzem ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Giant Cell ◽  
Young Woman ◽  
Giant Cell Tumour ◽  
Long Bones ◽  
Ct Guided ◽  
Giant Cell Tumours ◽  
Ct Guided Biopsy ◽  
Surgery Department ◽  
Histological Results

Giant cell tumours (GCT) are rare aggressive non-cancerous tumours which usually affect the long bones. We describe a case of GCT of the first rib in a young woman without a relevant history. The patient presented a left cervico-thoracic mass which was biopsied in our department (CT-guided biopsy). She was referred to the thoracic surgery department after histological results.

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