TITLE:
Diagnosis and Therapeutic Aspects of the Ileo-Sigmoidian Node in the General Surgery Department of Gabriel Toure Chu
AUTHORS:
Maïga Amadou, Diakité Ibrahima, Bah Amadou, Diallo Aly Boubacar, Traoré Bathio, Moussa Diassana, Sidibé Boubacar Yoro, Koné Tani, Doumbia Arouna Adama, Traoré Amadou, Saye Zakari, Diallo Mamadou, Konaté Moussa, Saadé Oumou Hélène, Kanté Lassana, Konaté Madiassa, Dembélé Souleymane, Samaké Moussa, Dembélé Bakary Tientigui, Traoré Alhassane, Togo Adégné
KEYWORDS:
Ileosigmoid Node, Digestive Surgery, Bamako, Mali
JOURNAL NAME:
Surgical Science,
Vol.13 No.1,
January
17,
2022
ABSTRACT: Introduction: Emergency medico-surgical
ileosigmoid node is a rare cause of intestinal obstruction. Diagnosis and
treatment must be prompt. Objective: To determine the
frequency of NIS, to describe the diagnostic aspects, therapeutic aspects and
to analyze the postoperative effects. Methodology: Retrospective and prospective study from
January 2006 to December 2020 including all patients operated on for
ileosigmoid node confirmed by the intraoperative diagnosis at the CHU Gabriel
Touré. Results: From January 2006 to December 2020 (15 years), 30
cases of ileo-sigmoid node were recorded in the service. During this period NIS
accounted for 0.19% of surgeries. Abdominal pain was present in (100%) of cases,
vomiting was present in 80% and cessation of materials and gas (57%). All of
our patients underwent ASP and CT (1 case). All of our patients were operated
on, and exploration revealed intestinal necrosis in 97%. The surgical
procedures performed were colostomy according to HARTMANN (63%),
anastomosis resection (16%), devolvulation (10%). Restoration of continuity was
achieved in (73%). The postoperative consequences were straightforward in
(80%). Morbidity was 17% including infection of the lining. Mortality was 3% (1
case). Conclusion: NIS is an emergency, the diagnosis
and the management must be fast and precise.