Your browser doesn't support javascript.
loading
Decompressive craniectomy at the National Hospital of Niamey: Prospective study of the epidemioclinical profile, indications, surgical techniques, and results in a context of limited resources.
Hamma, Ousmane Issoufou; Kelani, Aminath Bariath; Ango, Souleymane Mahamadou; Hissene, Tidjani Mahamat; Mobarak, Salifou Mahamane; Tounga, Yahouza Boka; Issa, Assoumane Ibrahim; Dechambenoit, Gilbert.
Afiliación
  • Hamma OI; Department of Neurosurgery, National Hospital of Niamey, Niamey, Niger.
  • Kelani AB; Department of Neurosurgery, National Hospital of Niamey, Niamey, Niger.
  • Ango SM; Department of Surgery and Surgical Specialties, Faculty of Health Sciences, Abdou Moumouni University of Niamey, Niamey, Niger.
  • Hissene TM; Department of Neurosurgery, National Hospital of Niamey, Niamey, Niger.
  • Mobarak SM; Department of Radiology, General Hospital of Reference, Niamey, Niger.
  • Tounga YB; Department of Psychiatry, National Hospital of Niamey, Niamey, Niger.
  • Issa AI; Department of Neurosurgery, National Hospital of Niamey, Niamey, Niger.
  • Dechambenoit G; Department of Neurosurgery, National Hospital of Niamey, Niamey, Niger.
Surg Neurol Int ; 15: 235, 2024.
Article en En | MEDLINE | ID: mdl-39108390
ABSTRACT

Background:

Decompressive craniectomy (DC) is a neurosurgical technique that is gaining renewed interest due to the worldwide resurgence of head injuries. We aimed to analyze the quality of management and prognosis of patients who underwent this surgery in the context of limited resources.

Methods:

This was a prospective, longitudinal, descriptive, and analytical study following STROBE, lasting 36 months at the National Hospital of Niamey in patients who had undergone DC. P ≤ 0.05 was considered significant.

Results:

During our study, we collected 74 cases of DC. The mean age was 32.04 years (10-75 years), with male predominance (91.89%). DC was mainly performed following head trauma (95.95%), the main cause of which was road traffic accidents (76%; 54/71). On admission, most patients presented with altered consciousness (95.95%) and pupillary abnormalities (62.16%). The average time between brain damage and brain scan was 31.28 h, with parenchymal contusion being the most frequent lesion (90.54%). The majority of patients (94.59%) underwent decompressive hemicraniectomy. Postoperative complications accounted for 71.62% of all cases, with 33.78% resulting in death. Among survivors, 55.10% had neurological sequelae at the last consultation (27/49). The main factors associated with the risk of death and morbidity were a Glasgow coma score ≤8, pupillary abnormality on admission, the presence of signs of brain engagement, and a long admission delay.

Conclusion:

Our study shows that the impact of limited resources on our care is moderate. Future research will concentrate on long-term monitoring, particularly focusing on the psychosocial reintegration of patients post-DC.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Surg Neurol Int Año: 2024 Tipo del documento: Article País de afiliación: Níger Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Surg Neurol Int Año: 2024 Tipo del documento: Article País de afiliación: Níger Pais de publicación: Estados Unidos