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.

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.

The paediatric surgeon and his working conditions in Francophone sub-Saharan Africa.

Background: This study described the current conditions of work of paediatric surgeons in Francophone sub-Saharan Africa (FSSA) and set the debate at the level of the humanist thinking in medicine.

Patients And Methods: This was a multicentre study from 1 st May to 30 th October 2008. The African Society of paediatric surgeons' directory was used to identify paediatric surgeons in the Francophone's countries in Sub Saharan Africa.

[Typhoid intestinal perforation in children: renewed interest in the Veillard technique in tropical zones].

Goal: to value the results of the ileo colic intubation of Veillard in relation to the resection anastomosis and the ileostomy.

Patient And Method: It is about a randomised survey on 12 months (January 1st to December 31st, 2006). This study took place in the St.

[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.

[The circumcision in newborn and infant in the operating room of the Lomé Teaching Hospital: technique using Gomco clamp versus technique using only the grips].

Objectives: To describe the various techniques used for the circumcision in newborns and infants in the operating room of the Lomé Teaching Hospital (Togo) and to compare their results.

Patients And Methods: It is about a prospective study carried out in the operating room of the Lomé Teaching Hospital from June 15th, 2007 to December 15th, 2008 (18 months). It concerned newborns and infants circumcised according to two techniques: the technique using grips only (group A: n=138; 69%) and the technique using Gomco clamp (group B: n=62; 31%).

[Acute scrotum in children].

Aims: To evaluate the frequency, to identify the aetiologies of the acute scrotum and to describe their treatment in children.

Material And Method: Fifty seven children treated for acute scrotum in the paediatric surgery department of the Tokoin teaching hospital (Lomé) between January 2003 to December 2007 were studied.

Results: The frequency of acute scrotum was 5.

[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.

[The circumcision: why and how is it practiced in the newborn and the infant in the Lomé teaching hospital?].

Objective: To identify the different indications, to analyze the conditions of realization of the circumcisions and to evaluate the results.

Patients And Method: It is about a prospective survey study done in the operative room of the Tokoin teaching hospital (Lomé) and on a period of 12 months (15th June 2007 to 15th June 2008). It was about newborns and infants circumcised in the operative block by a pediatric surgeon.

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.

[Rectal prolapse of intussusception in infants].

Rectal prolapse is a rare complication of intussusception in infants. This complication is most often secondary to a side by side placing defect of the caecum and a long mesenter. Three cases of rectal prolapse of intussuception are reported herein and the pathologic and therapeutic aspects of the intussucseption complicated by rectal prolapse, as well as the particularities of intussusception diagnosis in an African country, are reviewed.

[Hip septic arthritis in young children with sickle-cell disease].

Purpose Of The Study: Sickle-cell anemia is an inherited disorder exposing patients to diverse complications, particularly bone and joint disease. Septic arthritis of the hip joint is a frequent infection in sickle-cell anemia. Without early management, there is an important risk of invalidating hip dysfunction.

[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.

[Surgical treatment of the single non traumatic perforation of small bowel: excision-suture or resection-anastomosis].

Objective: To evaluate morbidity and mortality following excision-suture and resection-anastomosis for single non traumatic perforations of small bowel (SNTPB).

Methods: From July 2002 to June 2003, a simple blind randomized study comparing excision-suture with resection-anastomosis SNTPB.

Results: Of the 125 patients included, 112 were operated by surgeons on training (89.

[Acute osteomyelitis in the child with sickle cell disease in a tropical zone: value of oral fluoroquinolones].

Aim: This study was designed to assess the efficacy and the safety of fluoroquinolones in their compassionate use for acute osteomyelitis in children with sickle cell disease in a tropical country.

Patients And Methods: This study was non comparative, including twelve children (eight SS, three SC and one SEzerothalassemia) treated for acute osteomyelitis with oral ciprofloxacin or ofloxacin because of the following reasons: financial inability to afford conventional parenteral beta-lactams therapy (nine patients), refusal of hospitalization (two patients), and failure of conventional treatment (one patient).

Results: The mean age of patients was 9.

[Current profile of hematogenous osteomyelitis in children at the Tokoin University Hospital Center in Lome, Togo. Report of 145 cases].

Bacterial osteomyelitis is still a major health problem in Togo due to frequent association with sickle cell disease and delayed treatment. This report describes a series including 145 patients hospitalized for osteomyelitis in a university hospital center in Lome from 1995 to 1997. Osteomyelitis was acute in 33 cases, in association with sickle cell disease in 14 cases, and chronic in 112 cases including 103 with sequela of acute osteomyelitis.

[Burn-induced contraction cicatrix in children. Review of 79 cases].

Post-burn flexion contractures of the hands are evaluated in this retrospective study concerning eighty-six hands of seventy-nine children in the pediatric surgery unit of the University hospital of Dakar from 1971 to 1995. A peak frequency was found among 2-months-old males. Fire (flames or embers) is the most frequent etiology (49.