Background: Trauma is the main reason for consultation in the emergency unit. They deserve particular attention in the Congo where road accidents and violence of all kinds are increasingly observed. Methods: This stud...Background: Trauma is the main reason for consultation in the emergency unit. They deserve particular attention in the Congo where road accidents and violence of all kinds are increasingly observed. Methods: This study who carried out in the surgical emergencies at the University Hospital of Brazzaville, aims to analyze the epidemiological and etiological aspects, the anatomical lesions encountered;to describe their management, as well as to evaluate the induced mortality while emphasizing their place in all surgical emergencies. The prospective and analytical study included 2127 patients admitted to a traumatic emergency unit from January 1 to June 30, 2018. Medical records served as data sources. The measure of trauma severity was determined using Champion’s Trauma Score. The epidemiological, clinical and therapeutic parameters were studied. Results: The population most affected was adolescents and young adults (mean age, 27.3 years) with a male predominance: 1318 men (i.e. 61.9%) for 809 women (i.e. 38.1%). Road accidents (n = 819, or 38.5%) were the main cause of injuries, followed by violence (n = 702, or 33%) and falls (27.3%). The skull, limbs, thorax and abdomen are the main targets. The most observed lesions were limb fractures (n = 344, i.e. 16.1%), intracranial hematomas and contusions (n = 315, i.e. 14.8%), thoracic and abdominal wounds (n = 28, i.e. 1.3%). Mortality was evaluated at 0.6%, and was correlated with the severity of the lesions and the type of trauma. Conclusion: Trauma is very common in emergency consultations in Congo, with a hospital frequency of 75.1% of all emergencies. Preventive actions are essential to reduce their frequency.展开更多
Objective: To evaluate the results of neurolysis of the median nerve to the carpal tunnel in patients operated by the mini-open technique. Methods: The prospective study included 68 patients (16 men and 52 women) aged...Objective: To evaluate the results of neurolysis of the median nerve to the carpal tunnel in patients operated by the mini-open technique. Methods: The prospective study included 68 patients (16 men and 52 women) aged 43 to 80 years (mean age: 64 years). Patients were evaluated in pre- and post-operative by a questionnaire. The mini open technique with cutaneous approach to the heel of the hand following the 4th ray was performed in all patients under local, locoregional or general anesthesia. Results: The results were evaluated in 3 consultations, in the 1st, 3rd and 6th month. We obtained very good results in 54.4% of the cases (n = 37) and 30.9% (n = 21) of good results and 14.70% (n = 10) of poor results. No vascular, tendinous or neurological complications were noted. Two patients were reoperated for incomplete resection of the carpal ring ligament. The mini-open technique has achieved good results in all neurolysis despite the delay in surgical management. Conclusion: The results of the surgical treatment of the carpal tunnel syndrome depend on the precocity of the diagnosis and the surgical indication.展开更多
文摘Background: Trauma is the main reason for consultation in the emergency unit. They deserve particular attention in the Congo where road accidents and violence of all kinds are increasingly observed. Methods: This study who carried out in the surgical emergencies at the University Hospital of Brazzaville, aims to analyze the epidemiological and etiological aspects, the anatomical lesions encountered;to describe their management, as well as to evaluate the induced mortality while emphasizing their place in all surgical emergencies. The prospective and analytical study included 2127 patients admitted to a traumatic emergency unit from January 1 to June 30, 2018. Medical records served as data sources. The measure of trauma severity was determined using Champion’s Trauma Score. The epidemiological, clinical and therapeutic parameters were studied. Results: The population most affected was adolescents and young adults (mean age, 27.3 years) with a male predominance: 1318 men (i.e. 61.9%) for 809 women (i.e. 38.1%). Road accidents (n = 819, or 38.5%) were the main cause of injuries, followed by violence (n = 702, or 33%) and falls (27.3%). The skull, limbs, thorax and abdomen are the main targets. The most observed lesions were limb fractures (n = 344, i.e. 16.1%), intracranial hematomas and contusions (n = 315, i.e. 14.8%), thoracic and abdominal wounds (n = 28, i.e. 1.3%). Mortality was evaluated at 0.6%, and was correlated with the severity of the lesions and the type of trauma. Conclusion: Trauma is very common in emergency consultations in Congo, with a hospital frequency of 75.1% of all emergencies. Preventive actions are essential to reduce their frequency.
文摘Objective: To evaluate the results of neurolysis of the median nerve to the carpal tunnel in patients operated by the mini-open technique. Methods: The prospective study included 68 patients (16 men and 52 women) aged 43 to 80 years (mean age: 64 years). Patients were evaluated in pre- and post-operative by a questionnaire. The mini open technique with cutaneous approach to the heel of the hand following the 4th ray was performed in all patients under local, locoregional or general anesthesia. Results: The results were evaluated in 3 consultations, in the 1st, 3rd and 6th month. We obtained very good results in 54.4% of the cases (n = 37) and 30.9% (n = 21) of good results and 14.70% (n = 10) of poor results. No vascular, tendinous or neurological complications were noted. Two patients were reoperated for incomplete resection of the carpal ring ligament. The mini-open technique has achieved good results in all neurolysis despite the delay in surgical management. Conclusion: The results of the surgical treatment of the carpal tunnel syndrome depend on the precocity of the diagnosis and the surgical indication.
