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RÉSUMÉ
Introduction. La circoncision est l’ablation du prépuce pour des raisons médicales ou culturelles. Le but de ce travail était de décrire les aspects cliniques et thérapeutiques des accidents de la circoncision dans le service de chirurgie pédiatrique du centre hospitalier universitaire de Brazzaville (CHU-B). Méthodologie. Notre étude était rétrospective et descriptive, allant de novembre 2013 à novembre 2018 soit une durée de 5 ans dans le Service de Chirurgie Pédiatrique du CHU-B. Tous les enfants hospitalisés pour un accident de circoncision, dont les dossiers médicaux sont exploitables ont été inclus. Les dossiers médicaux inexploitables et ceux des patients hémophiles ont été exclus. Résultats. Nous avons enregistré 20 patients pour une fréquence hospitalière de 0,37% d’accident de circoncision. L’âge moyen était de 13,9 mois et la tranche d’âge la plus touchée était celle de 0 à 30 mois (90%). Les complications les plus fréquentes étaient l’hémorragie (40%), la circoncision incomplète (20%) et l’amputation complète du gland (15%). Les traitements les plus fréquents étaient l’hémostase par coagulation (40%), la régularisation (20%) et la cicatrisation dirigée (15%). Un décès par choc septique (5%) a été enregistré. Conclusion. La pratique de la circoncision chez l’enfant présente de graves dangers si la technique n’est pas maitrisée.
ABSTRACT
Introduction. Circumcision is the removal of the foreskin for medical or cultural reasons. The purpose of this study was to describe the clinical and therapeutic aspects of circumcision accidents in the pediatric surgery department of the University Hospital of Brazzaville (CHU-B). Methodology. Our study was retrospective and descriptive, covering a period of 5 years from November 2013 to November 2018 in the Pediatric Surgery Department of CHU-B. All children hospitalized for a circumcision accident, whose medical records were usable, were included. Unusable medical records and those of hemophiliac patients were excluded. Results. We recorded 20 patients for a hospital frequency of 0.37% of circumcision accidents. The average age was 13.9 months and the most affected age group was 0 to 30 months (90%). The most leading complications were haemorrhage (40%), incomplete circumcision (20%) and complete amputation of the glans penis (15%). The most frequent treatments were hemostasis by coagulation (40%), regularization (20%) and directed wound healing (15%). One death from septic shock (5%) was recorded. Conclusion. The practice of circumcision in children poses serious risks if the technique is not mastered.

Keywords

accident circumcision child Brazzaville accident circoncision enfant Brazzaville

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Ondima LIP, Nguelongo L, Bosseba Missengui RH, Ondziel Opara S, Okiemy Niendet CP, Akobande NE, Mieret JC, & Mboutol-Mandavo C. (2024). Aspects Cliniques et Thérapeutiques des Accidents de Circoncision chez l’Enfant à Brazzaville. HEALTH SCIENCES AND DISEASE, 25(3). https://doi.org/10.5281/hsd.v25i3.5428
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