Treatment of long bone fractures in children by elastic stable intramedullary nailing: Outcome and challenges in a unit with restricted technical platform.

Introduction: Elastic stable intramedullary nailing (ESIN), developed by the Nancy school in France, is the gold standard for surgical treatment of long bone fractures in children. In Africa, few works have been devoted specifically to this technique.

Objective: This study aimed to describe the outcome and to present the challenges with this technique in the treatment of long bone fractures in children.

Hutchinson-Gilford Progeria syndrome: Report of the first Togolese case.

The aim of this article is to describe the first case of Hutchinson-Gilford Progeria Syndrome (HGPS) in Togo and review all Africans cases. Our patient was a 12.8-year-old Togolese boy followed in our unit till he was 15-year-old for HGPS.

Congenital giant epulis obstructing oral cavity: newborn emergency.

The congenital epulis is a benign congenital granular cell tumor arising most often of the alveolar ridge of the jawbone. When giant, it is source of digestive discomfort disabling feeding. We report the case of a newborn female, vaginal delivery, presented with a giant intraoral tumor.

Umbilicoplasty in children with huge umbilical hernia.

Background: Huge umbilical hernias (HUH) are voluminous umbilical hernia (UH) that are frequent in black African children. Several surgical techniques are used in their treatment for umbilical reconstruction, but techniques using skin flaps provide better aesthetic results. In this study, we presented our technique of umbilicoplasty in HUH, and its results.

Elastic stable intramedullary nailing of femoral shaft fractures in children: particularities and results at Sylvanus Olympio Teaching Hospital of Lomé, Togo.

Introduction: The elastic stable intramedullary nailing (ESIN) presently seems the best technique in the surgical treatment of femoral shaft fractures (FSF) in >6-year-old children. We hereby report technical difficulties and therapeutic results after our first 8 years of experience.

Patients And Methods: It's a retrospective study over a period of 8 years from January 2005 to December 2012 in the Paediatric Surgery Department of Sylvanus Olympio Teaching Hospital of Lomé.

Cardiac injury in child managed successfully in underprivileged hospital of Africa.

Cardiac injuries are rare and the associated mortality is high. Their prognosis can be ameliorated by early diagnosis and management in a specialized hospital with appropriate resuscitation care. This report describes a case of cardiac penetrating injury in a child managed successfully in an underprivileged hospital of Africa.

Acute cholecystitis from typhic origin in children.

Background: To evaluate the particularities of typhoid cholecystitis in children.

Materials And Methods: This was a 5-year prospective study of typhoid cholecystitis in children under 15 years old at Djougou and Sylvanus Olympio teaching hospital. The diagnosis of typhoid cholecystitis was based on clinical and investigation findings, confirmed by operative findings at cholecystectomy.

Emergency treatment of a ruptured huge omphalocele by simple suture of its membrane.

Background: The rupture of a huge omphalocele is an emergency that threatens the newborn baby's life. It constitutes a therapeutical concern in the absence of prosthesis especially in developing countries.

Methods: We are reporting herein the case of a newborn baby that we managed in emergency successfully thanks to a simple treatment.

[Epiphyseal growth fractures: epidemiology and treatment. Retrospective report of 44 cases].

Objective: To value the frequency of epiphyseal growth fracture and to take out the therapeutic aspects of the epiphyseal growth fracture and to value the results for un good management.

Patients And Method: It is about a retrospective study carrying on 44 children aged of less than 15 years hospitalized and treated in the pediatric surgery department or the Tokoin teaching hospital (Lome) from 1st January 2002 to 31st December 2006.

Results: The prevalence of epiphyseal growth fracture was of 3.

[Aseptic osteonecrosis of the femoral head in children with sickle-cell disease].

Purpose: To identify the epidemiological, clinical and therapeutic aspects of hip-joint disorders in children with sickle cell disease, to point out the diagnostic problems, and to stress the necessity of early diagnosis for optimal outcome.

Material And Methods: This retrospective study, conducted from January 1987 through December 2006, included children with at least one haemoglobin S gene and hospitalised for osteonecrosis of the femoral head. Ficat staging was used.

Meckel's diverticulum strangulated in an umbilical hernia.

Background: Strangulated Meckel's diverticulum (MD) in an umbilical hernia (UH) is a rare event. We present herein a case of strangulated MD in UH in a child.

Case Report: An 18-month girl was admitted with clinical features suggesting upper intestinal strangulation since seven days.

Locations of osteomyelitis in children with sickle-cell disease at Tokoin teaching hospital (Togo).

Background: The sickle-cell children are particularly affected by osteomyelitis in specific locations. This study was done in order to point out the locations of osteomyelitis in children with sickle-cell disease. This direct clinical examination for a quick diagnosis.

[Current bacterial causes of osteomyelitis in children with sickle cell disease].

Introduction: Osteomyelitis in children with sickle cell disease has been caused mainly by salmonella species, but in recent years, greater variation has resulted in other bacteria sometimes heading this list. We conducted this survey to determine the present distribution of causative bacteria, to improve initial probabilistic antibiotic therapy.

Material And Methods: This retrospective survey reviewed files of children hospitalised during the 8-year period from 1998 to 2005 for osteomyelitis who had haemoglobinopathy SS or SC.

[Prophylactic splenectomy to prevent complications of splenomegaly in children with sickle cell anemia?].

Objective: To assess the effects of splenectomy in children with sickle cell anemia and to propose a therapeutic approach to splenomegaly in sickle cell anemia.

Material And Method: This retrospective study, conducted in the pediatric surgery department of the Tokoin Teaching Hospital in Lomé, included 8 children followed for sickle cell anemia (hetero- and homozygous) and who were admitted from January 1987 through December 2004 for splenic rupture or referred for prophylactic splenectomy.

Results: The patients' mean age at splenectomy was 9 years 6 months.

[Meckel's diverticulum in children: eleven cases].

We report 11 cases of Meckel's diverticulum in children admitted to the department of Paediatrics Surgery of Lomé (Togo). None of the cases was identified before surgery. A systematic search during appendectomy identified 3 cases.