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Mpoyi Chérubin T, Augustin K, Jeff N, Goert M, Guelord M, Ramirez MDJE, Antoine B, Israël M, Pierre M, Michel K, Ziko P, Teddy K, Yassad O, Hakou M, Glennie N, Montemurro N. The Role of Ventriculocisternostomy in the Management of Hydrocephalus in Mali and the Democratic Republic of the Congo. Cureus 2024; 16:e59189. [PMID: 38807803 PMCID: PMC11130738 DOI: 10.7759/cureus.59189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/27/2024] [Indexed: 05/30/2024] Open
Abstract
BACKGROUND Hydrocephalus continues to pose significant clinical challenges in neurosurgery. The primary goal of this study is to assess the feasibility of ventriculocisternostomy (VCS) within the provincial city of Kinshasa and Mali to optimize the management of patients afflicted with hydrocephalus. METHODS This investigation was hosted at two major urban healthcare facilities: the Initiative Plus Hospital Center, positioned in the bustling metropolis of Kinshasa, Democratic Republic of the Congo (DRC), and the Bamako Hospital, Republic of Mali. A prospective, analytical cohort study was executed from December 2022 to June 2023. RESULTS In the Mali group, seven patients underwent VCS, four patients were treated with VCS and spinal surgery, and one case was treated with VCS and biopsy. Similarly, in the Kinshasa group, 25 patients underwent VCS, whereas four patients were treated with VCS and spinal surgery. The median hospital stay was eight and 10 days for the Mali and the Kinshasa groups, respectively. CONCLUSION VCS emerges as a formidable alternative for hydrocephalus management in Mali and DRC, showcasing the potential to markedly ameliorate patient outcomes, economize healthcare expenditures, and fortify the local neurosurgical capacity.
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Affiliation(s)
| | | | - Ntalaja Jeff
- Neurosurgery, Centre Hospitalier Initiative Plus, Kinshasa, COD
| | - Mirenge Goert
- Neurosurgery, Centre Hospitalier Initiative Plus, Kinshasa, COD
| | - Metre Guelord
- Neurosurgery, Centre Hospitalier Initiative Plus, Kinshasa, COD
| | | | | | | | | | | | - Punga Ziko
- Neurosurgery, Université de Kinshasa, Kinshasa, COD
| | - Ketani Teddy
- Neurosurgery, Université de Kinshasa, Kinshasa, COD
| | - Ouhdiri Yassad
- Neurosurgery, Hôpital des Spécialités de Rabat, Rabat, MAR
| | - Medhi Hakou
- Neurosurgery, Hôpital des Spécialités de Rabat, Rabat, MAR
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Cuadrado Robles M, Buitrago Orjuela LA, Suarez AF. La neuroendoscopia: una técnica revolucionaria en el campo de la neurocirugía. REPERTORIO DE MEDICINA Y CIRUGÍA 2021. [DOI: 10.31260/repertmedcir.01217372.1062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
La neuroendoscopia es un procedimiento mínimamente invasivo que se desarrolló a principios del siglo pasado y tiene importancia en el campo de la neurocirugía, representa un método innovador ya que aporta una amplia visualización de las estructuras anatómicas con mínimo traumatismo del tejido nervioso, contribuyendo al diagnóstico y tratamiento de diversas afecciones intra y extracraneales. Se realizó una búsqueda bibliográfica con el propósito de identificar, analizar y describir algunas patologías neuroquirúrgicas que se han tratado bajo neuroendoscopia, así como los aportes más relevantes en cirugía pediátrica y de columna, con el fin de exponer el impacto que ha tenido esta técnica en el desarrollo de la cirugía moderna.
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