Laparoscopic cholecystectomy in sickle cell patients in Niger

BACKGROUND: We report the results of our experience on laparoscopic cholecystectomy in sickle cell disease patients in Niger, which is included in the sickle cell belt. METHODS: A prospective study covering a period of 45 months, from July 2004 to March 2008. We included all sickle cell disease patients that underwent laparoscopic cholecystectomy. Blood transfusion was done for patients with haemoglobin (Hb) levels less than 9g/dl. Homozygous and composite heterozygous patients were admitted in intensive care unit for 24 hours or plus post operatively. RESULTS:The series included 47 patients operated by the same surgeon, 31 females (66%) and 16 males (34%) (Ratio: 0.51). The average age was 22.4 years (range: 11 to 46 years) and eleven (23.4%) of them were aged less than 15 years. The types of sickle cell disease found were 37 SS, 2 SC, 1 S beta-thalassemia and 7 AS. Indications for surgery were biliary colic in 29 cases (61.7%) and acute cholecystitis in 18 cases (38.3%). The mean operative time was 64 min (range: 42 to 103 min). Conversion to open cholecystectomy in 2 cases (4.2 %) for non recognition of Calot‘s triangle structures. The postoperative complications were: four (4) cases of vaso-occlusive crisis and one case of acute chest syndrome. The mean postoperative hospital stay was 3,5days (range: 1 to 9 days). No mortality was encountered. CONCLUSION: Laparoscopic cholecystectomy is a safe procedure in sickle cell patients. It should be a multidisciplinary approach and involve a haematologist, an anaesthesiologist and a surgeon

Recettes Alimentaires A Base Des Graines De Boscia Senegalensis Au Niger : Cas Des Communes De Bambeye Et Banibangou

Food insecurity is an almost permanent reality in Niger due to climatic hazards. This study is a contribution to the capitalization and enhancement of Community know-how in the exploitation of natural resources and addresses the role of spontaneous foods of plant origin in the search for diversity and dietary balance, specifically the potentialities of Boscia senegalensis. It is a species whose different parts are used for many purposes in Niger. The different recipes based on immature seeds processed in two departments of Niger, Banibangou and Bambèye are listed. To this end, a questionnaire was sent to 128 women in Bambèye and 114 in Banibangou. The recipes identified are those implemented by women from these different communities. A total of 7 recipes as well as their ingredients and methods of preparation have been identified. One is made from seeds only. Three (3) recipes are prepared in association with millet, cowpea, Gynandropsis gynandra leaves and Maerua crassifola. For two (2) recipes, the seeds are taken back with milk. Finally, one (1) recipe using Boscia senegalensis bark and Guéra senegalensis leaves is used in postpartum women. In view of these results, it would be important to create the conditions for maintaining them, for their sustainable use, for their inclusion in agricultural and food statistics and for the dissemination of these revenues in other regions

Production et caractéristiques physico-chimiques des œufs de la poule locale de Niamey (Niger)

peer reviewedL’objectif de cette étude est de caractériser les performances de ponte ainsi que les qualités physique et nutritionnelle de l’œuf de la poule locale de Niamey (Niger). Pour ce faire, 40 poules ont été suivies pendant six 6 mois de ponte à la ferme expérimentale de la Faculté d’Agronomie de l’Université Abdou Moumouni de Niamey. Les poules étaient élevées en parc sur litière et nourries avec un aliment commercial pour pondeuses. A l’entrée en ponte, les poulettes avaient 19 semaines d’âge et pesaient en moyenne 919 ± 94 g. Le pic de ponte a été atteint à la quatrième semaine de ponte et a duré 12 semaines. Le poids moyen des œufs pour l’ensemble de la période de l’étude était de 37,50 ± 3,64 g avec un indice de consommation moyen de 6,97 ± 4,36 et un indice de fraîcheur de 74,40 ± 0,70 unités Haugh. La matière sèche des œufs contenait respectivement 8,82 % et 17,11 % de protéines et de lipides. La poule locale de Niamey est caractérisée par une faible production d’œufs et une moindre valorisation des aliments par rapport aux pondeuses commerciales. Une amélioration de ses performances pourrait être envisagée à travers la sélection, le croisement ou la combinaison des deux méthodes.Amélioration de la filière avicole de le région de Niamey (Niger) AFARN