Results of Laparoschisis Management in Mali Hospital

Résumé fourni par la source

Laparoschisis is a congenital malformation characterized by externalization of the abdominal viscera trough a paraumbilical orifice. Its prevalence rose from 0.29 per 10,000 births in 1974 to 1.66 per 10,000 births in 1998. In Africa, very few studies have been devoted to this malformation. Its overall incidence is not known there but the studies carried out find a lower incidence compared to western countries. We conducted a retrospective, descriptive study which was conducted from May 1, 2018 to April 30, 2021, a period of three years, in the pediatric Surgery Unit of the Mali Hospital. The objective of this study is to report our difficulties in the management of this pathology. During our study we had collected 10 patients; the diagnoses were made in all cases post Nataly. Most of our patients i.e.90% was Lefort type I. All patients were seen within the first 24 hours and two patients died before surgery. We performed a one-stage closure in all our patients. Complications were marked by respiratory distress and hypothermia in all our patient. Mortality was 100%.

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