Aim: Reporting the department’s experience in managing adult rectal prolapse. Methods: A descriptive study was conducted in the department of chirurgie A of the chu of point G. All patients operated on for rectal pro...Aim: Reporting the department’s experience in managing adult rectal prolapse. Methods: A descriptive study was conducted in the department of chirurgie A of the chu of point G. All patients operated on for rectal prolapse in the Department of Surgery “A” were included. Technics used were altemeier procedure and anoplasty. Results: 40 cases of complete rectal prolapse were identified. The sex ratio was 1.42. Average age was 50 years. During the study period, rectal prolapse accounted for 0.13% of all pathologies encountered (n = 40) and 3.37% of anorectal pathologies. Locoregional anesthesia was performed in all patients. In the series, 36 patients (90%) were operated on using the Altemeier procedure, anal cerclage was performed in 3 patients (7.5%), and anoplasty was performed in one patient (2.5%). Postoperative mortality was 2.5% (n = 1). The postoperative follow-up was simple in 95% of cases (n = 38). Anal stenosis was found in one patient (2.5%). Conclusion: Low-way surgery remains one of the preferred options for weakened patients exposed to anesthetic risks.展开更多
The Software Defined Network (SDN) is a concept based on a decoupling between the control plan and the data plan of a network. Thus, the network becomes programmable and can be coupled to the business applications of ...The Software Defined Network (SDN) is a concept based on a decoupling between the control plan and the data plan of a network. Thus, the network becomes programmable and can be coupled to the business applications of the users. The study that is discussed in this article looks at load planning and balancing in distributed controllers. To do this, a model and theoretical methods of performance evaluation related to appropriate software tools, to predict and control the quality of service offered to users is exposed. This paper exposed also a distributed architecture of controllers and then a module based on an adaptive load balancing algorithm that is fault tolerant and fluctuates controller loads. The experiments show a significant gain in efficiency of our solution.展开更多
文摘Aim: Reporting the department’s experience in managing adult rectal prolapse. Methods: A descriptive study was conducted in the department of chirurgie A of the chu of point G. All patients operated on for rectal prolapse in the Department of Surgery “A” were included. Technics used were altemeier procedure and anoplasty. Results: 40 cases of complete rectal prolapse were identified. The sex ratio was 1.42. Average age was 50 years. During the study period, rectal prolapse accounted for 0.13% of all pathologies encountered (n = 40) and 3.37% of anorectal pathologies. Locoregional anesthesia was performed in all patients. In the series, 36 patients (90%) were operated on using the Altemeier procedure, anal cerclage was performed in 3 patients (7.5%), and anoplasty was performed in one patient (2.5%). Postoperative mortality was 2.5% (n = 1). The postoperative follow-up was simple in 95% of cases (n = 38). Anal stenosis was found in one patient (2.5%). Conclusion: Low-way surgery remains one of the preferred options for weakened patients exposed to anesthetic risks.
文摘The Software Defined Network (SDN) is a concept based on a decoupling between the control plan and the data plan of a network. Thus, the network becomes programmable and can be coupled to the business applications of the users. The study that is discussed in this article looks at load planning and balancing in distributed controllers. To do this, a model and theoretical methods of performance evaluation related to appropriate software tools, to predict and control the quality of service offered to users is exposed. This paper exposed also a distributed architecture of controllers and then a module based on an adaptive load balancing algorithm that is fault tolerant and fluctuates controller loads. The experiments show a significant gain in efficiency of our solution.
