Prise en charge des lésions traumatiques de membres au cours des missions de pacification au Nord du Mali

  • Akloa Komlavi Ehlissou Kolima
  • Kombate Noufanangue Kanfitine
  • Lamboni Damessane
  • Gnandi-Piou Fare
  • Sama Hamza Dolès
  • Akpoto Messanvi Yaovi
  • Assenouwe Sarakawabalo
  • Assogba Komi
  • Abalo Anani

Abstract

In February 2016, the camp of the United Nations Multidimensional Integrated Stabilization Mission in Mali (MINUSMA), in Kidal, was attacked and many people were wounded and killed. This study aims to determine the nature of extremity traumas and to describe their treatment. We conducted a descriptive cross-sectional study of extremity traumas in the victims of the attack on the camp of MINIUSMA in Kidal. The parameters studied were age, sex, admission delay, seat of the lesions and type of emergency surgical treatment performed. The study involved 60 wounded patients: 57(95%) men and 3(5%) women. The average age of patients was 28.9 years; 127 lesions were identified, of which 109 (85.8%) on the limbs. Clinical and radiological examinations revealed 32 (29.3%) musculocutaneous disruptions, 11 (10.1%) open fractures, 15 (13.7%) burns, 8 (7.3%) vascular and nervous injuries and 7 sprains. Severely wounded patients underwent resuscitation upon admission. Four of them underwente mergency surgery. The remaining wounded patients underwent surgery after restoration of hemodynamic stability with resuscitation. Six patients (10%) were transferred to a Level 3 Hospital for further treatment. Four wounded patients (6.7%) died. Extremity traumas are frequent but not life-threatening when isolated. They have a higher risk of infection and gangrene which can result in amputation.

Keywords: Treatment, lesions, limbs, Mali

Author Biographies

Akloa Komlavi Ehlissou Kolima
Service de Chirurgie d’Orthopédie et Traumatologie du Centre Hospitalo-Universitaire Sylvanus Olympio, Lomé, Togo
Kombate Noufanangue Kanfitine
Service de Chirurgie d’Orthopédie et Traumatologie de l’Hôpital Saint-Jean de Dieu d’Afagnan, Lomé,Togo
Lamboni Damessane
Service de Chirurgie Thoracique du Centre Hopitalo-Universitaire Sylvanus Olympio, Lomé, Togo
Gnandi-Piou Fare
Service de Chirurgie d’Orthopédie et Traumatologie du Centre Hospitalo-Universitaire de Kara, Lomé,Togo
Sama Hamza Dolès
Service d’Anesthésie-Réanimation du Centre Hospital-Universitaire Sylvanus olympio, Lomé, Togo
Akpoto Messanvi Yaovi
Service de Chirurgie d’Orthopédie et Traumatologie du Centre Hospitalo-Universitaire Sylvanus Olympio, Lomé, Togo
Assenouwe Sarakawabalo
Service d’Anesthésie-Réanimation du Centre Hospitalo-Universitaire de Kara, Lomé, Togo
Assogba Komi
Service de Neurologie du Centre Hospitalo-universitaire Campus, Lomé, Togo
Abalo Anani
Service de Chirurgie d’Orthopédie et Traumatologie du Centre Hospitalo-Universitaire Sylvanus Olympio, Lomé, Togo
Published
2019-02-11
Section
Articles

Journal Identifiers


eISSN: 1937-8688