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    Pediatric Surgery in A Non Specialised Hospital in Madagascar, Mahajanga

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    The document summarizes a thesis on the management of children who underwent surgery at a hospital in Madagascar. It describes that 20.4% of surgical admissions were children, most between 1-3 years old and male. The most common diagnosis was inguinal hernia. Perioperative management included IV fluids for 43.75% and IV anesthetics for 68.75%. Post-operative complications occurred in 37.5% and most surgeries lasted 40 minutes to 2.5 hours.

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    Pediatric Surgery in A Non Specialised Hospital in Madagascar, Mahajanga

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    zppyqntd8h
    13 views1 page
    The document summarizes a thesis on the management of children who underwent surgery at a hospital in Madagascar. It describes that 20.4% of surgical admissions were children, most between 1-3 years old and male. The most common diagnosis was inguinal hernia. Perioperative management included IV fluids for 43.75% and IV anesthetics for 68.75%. Post-operative complications occurred in 37.5% and most surgeries lasted 40 minutes to 2.5 hours.

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    Pediatric Surgery in a non specialised hospital in Madagascar, Mahajanga

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    The document summarizes a thesis on the management of children who underwent surgery at a hospital in Madagascar. It describes that 20.4% of surgical admissions were children, most between 1-3 years old and male. The most common diagnosis was inguinal hernia. Perioperative management included IV fluids for 43.75% and IV anesthetics for 68.75%. Post-operative complications occurred in 37.5% and most surgeries lasted 40 minutes to 2.5 hours.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    13 views1 page

    Pediatric Surgery in A Non Specialised Hospital in Madagascar, Mahajanga

    Uploaded by

    zppyqntd8h
    The document summarizes a thesis on the management of children who underwent surgery at a hospital in Madagascar. It describes that 20.4% of surgical admissions were children, most between 1-3 years old and male. The most common diagnosis was inguinal hernia. Perioperative management included IV fluids for 43.75% and IV anesthetics for 68.75%. Post-operative complications occurred in 37.5% and most surgeries lasted 40 minutes to 2.5 hours.

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    of 1

    Name and first name: ANDRIAMALALANIAVO Harison Jacob Hervé

    Thesis Title: MANAGEMENT OF CHILDREN OPERATED AT THE CHU PZAGA


    DOCTORAL THESIS IN GENERAL MEDICINE, MAHAJANGA 2018 No1585
    Format : 21 x 29,7 cm Number of Bibliography pages: 11
    Number of pages : 94 Number of Figures : 22
    Number of References: 114 Number of Tables : 10
    Section of the thesis: SURGERY
    Key words: Surgery, Pediatric, Age, Risk
    ABSTRACT
    The surgical care is an essential element representing the healthcare system of
    a country. Various specifications, both physical and psychological makes the modality
    of management vital.
    This observational, descriptive and transversal study done at the pediatric and surgical
    department of the CHU PZaGa Mahajanga, Madagascar aim to make a report
    of the epidemiologic status and evaluate the global management of children sent in for
    surgery. As a matter of care improvement, starting from a better knowledge of the pediatric
    subject first of all.
    Each year 20,4% of children, representing 12% of the hospital’s surgical admission
    was operated for visceral surgery. The children were mostly from the age of 1 to 3 years old
    (37,5%) and male (68,75%). A big percentage (37,5%) of the operations was done within
    emergency condition. The most common diagnosis was Inguinal Hernia (37,5%).
    Hydro electrolytic resuscitation represented the perioperative management for
    43,75% of our cases within which 9,37% has received a specific pediatric perfusion
    solution. Premedication were prescribed. For 40,62% a specialist in anesthesia and
    resuscitation was present all along the operation. For 68,75% intravenous anesthetics were
    used. Most intervention lasted from 40 min to 2 and half hour.
    In post-operative care, complications were present for 37,5%.
    The stay at the recovery room was one day for 46,87% and two days for 21,88%.
    The value of prevention, especially in the matter of mass education was underlined, and so
    the improvement of the management to promote a much comfortable journey for children inside the
    surgical world.
    MEMBER OF JURY
    President : Professor RAVOLAMAMANANA RALISATA Lisy
    Judges : Professor EUGENE Morel and Professor RABESANDRATANA Norotiana
    Director and Reporter : Doctor TOHAINA Dolly Velonjara
    Address of author : [email protected]
    Phone number : +261 34 020 00 38

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