TITLE:
Become Immediate of Newborns Operated in the Neonatology Department of the Hospital and University Center Gabriel Toure of Bamako (Mali)
AUTHORS:
Oumar Coulibaly, Hawa Gouro Diall, Pierre Togo, Hawa Camara, Fatoumata Léonie Françoise Diakité, Lala Ndrayni Sidibé, Leyla Maiga, Ibrahima Ahamadou, Abdoul Karim Doumbia, Adama Dembelé, Belco Maiga, Karamoko Sacko, Mohamed Elmouloud Cissé, Djeneba Konaté, Fousseyni Traoré, Yacouba Aba Coulibaly, Issa Amadou Touré, Hamadi Sissoko, Mariam Maiga, Alou Samake, Bourama Kané, Guédiouma Dembelé, Abdoul Aziz Diakité, Fatoumata Dicko Traoré, Mariam Sylla, Boubacar Togo
KEYWORDS:
Newborn, Surgical Pathologies, Mortality
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.12 No.1,
January
14,
2022
ABSTRACT: Neonatal surgical pathologies in developing countries are characterized
by high mortality. The aim of this work was to describe the characteristics of
the newborn and its surgical pathologies treated in the neonatal department of
the Gabriel Touré University Hospital in Bamako (Mali). Patients and method: This is a retrospective study of 626 files of newborns hospitalized over a
period of 3 years (January 2016 to December 2018) for a surgical pathology,
whether operated on or not. We have studied the etiological, therapeutic and
evolutionary aspects. Results: During the study period, we collected 626
patients who had surgical pathology, i.e. a
frequency of 5.35%. The average therapeutic consultation time was 2 days with
extremes (1 and 30 days). Pathologies of the abdominal wall and digestive tract
represented 57.9% (n = 84) followed by pathologies of the spine 26.9% (n = 39).
The mean treatment time was 4.5 days. Twenty-three point sixteen (23.16%)
newborns could be operated on. The neonatal mortality rate was 12.4% (n = 18).
Mortality was postoperative (100%) with a mean time to onset of 5 days.
Abdominal wall pathologies were responsible for 8.7% (n = 13) of deaths. Conclusion: Surgical pathologies of the newborn are characterized by delayed treatment with
high mortality. Improving their prognosis requires early diagnosis (prenatal
diagnosis) and adequate management.