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Research Article
Surgical Management of Colon Cancer With Occlusion in the General Surgery Department of the Ignace Deen National Hospital, Conakry University Hospital (Guinea)
Issue:
Volume 14, Issue 1, February 2026
Pages:
1-4
Received:
22 December 2025
Accepted:
7 January 2026
Published:
23 January 2026
Abstract: Objective: To report on the experience of the general surgery department at Ignace Deen National Hospital, Conakry University Hospital (Guinea), in the surgical management of colon cancer complicated by acute intestinal obstruction. Patients and methods: This was a retrospective descriptive study conducted over a seven-year period (January 2017-December 2023). All patients who underwent emergency surgery for histologically confirmed occluded colon cancer were included. The data analyzed included sociodemographic characteristics, ASA status, intraoperative data, surgical procedures performed, and postoperative outcomes. Statistical analysis was performed using EPI Info 7.2.3.1 software. Results: Seventy-eight patients were included, with a mean age of 59.2 ± 28.7 years and a predominance of males (sex ratio = 1.52). The majority of patients were classified as ASA III (44.9%). The left colon, particularly the sigmoid colon, was the most common tumor location (51.3%). The main surgical procedures performed were right hemicolectomy with immediate restoration of continuity (48.7%) and left colectomy with stoma (44.9%). Postoperative morbidity was 19.2% and mortality was 26.9%. The average length of hospital stay was 16.4 days. Conclusion: Surgical treatment of colon cancer with obstruction remains associated with high mortality. An individualized treatment strategy, taking into account the patient's condition, tumor location, and available resources, remains essential to improve prognosis.
Abstract: Objective: To report on the experience of the general surgery department at Ignace Deen National Hospital, Conakry University Hospital (Guinea), in the surgical management of colon cancer complicated by acute intestinal obstruction. Patients and methods: This was a retrospective descriptive study conducted over a seven-year period (January 2017-Dec...
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Research Article
Mortality Results According to Types of Emergency Colectomy for Pelvic Colon Volvulus in the General Surgery Department of Ignace Deen Hospital in Conakry
Diakite Sandaly*
,
Camara Fode Lansana,
Fofana Houssein,
Camara Soriba Naby,
Diallo Mamadou Saliou,
Drame Mohamed,
Diakite Saikou Yaya,
Bangoura Mamadou Saliou,
Conde Ousmane,
Cisse Fode,
Camara Djiba,
Touré Aboubacar
Issue:
Volume 14, Issue 1, February 2026
Pages:
5-8
Received:
4 December 2025
Accepted:
26 December 2025
Published:
2 February 2026
Abstract: Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between January 1, 2021, and December 31, 2022. This study involved 38 men and 10 women, with a mean age of 49.5 years. All patients presented with clear signs of occlusive syndrome consistent with pelvic colon volvulus. All patients underwent median xyphopubic laparotomy. Patients were divided into two groups. Group I consisted of 34 patients who had undergone an ideal colectomy, and group II consisted of 14 patients who had undergone a colectomy combined with a Bouilly-Volkman or Hartmann colostomy (n = 14), followed by restoration of colonic continuity. Mortality and morbidity were compared for the two groups. The overall mortality rate was 14% (7/48). In group I, this rate was 20% (7/34) and 7.14% (1/14) in group II. Conclusion. In this study, the mortality rate was higher after ideal colectomy than after two-stage colectomy. We recommend conducting a prospective study on a larger sample and encourage two-stage emergency colectomy in the management of pelvic colon volvulus.
Abstract: Objective. The objective of this study was to evaluate the results of emergency colectomies for acute intestinal obstruction due to pelvic colon volvulus. Patients and methods. This was a two-year prospective study involving 48 cases of pelvic colon volvulus operated on in the General Surgery Department of Ignace DEEN National Hospital between Janu...
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Research Article
The Determinants of Positive Teamwork Attitudes:
An Analysis of Age, Gender, and Academic Progression Among Nigerian Nursing Students
Issue:
Volume 14, Issue 1, February 2026
Pages:
9-15
Received:
6 November 2025
Accepted:
10 December 2025
Published:
9 February 2026
Abstract: Background: Positive teamwork attitudes are crucial components of effective interprofessional collaboration, which is crucial to promoting patient safety and quality healthcare, with these attitudes being developed and influenced during the formative years of professional education. Aim: The aim of this study was to analyse the determinants of positive teamwork attitudes, specifically examining the influence of age, gender, and academic progression among Nigerian nursing students. Methods: A descriptive cross-sectional design was used to examine 218 clinical nursing students from level two to five at the University of Port Harcourt, Nigeria. Each participant was selected using a stratified random sampling to ensure impartial. Data was collected using a structured, self-administered questionnaire that was adapted from Huyen's (2010) questionnaire. Each instrument had a section focusing on socio-demographic characteristics of each student and an attitude scale to measure their perceptions of teamwork learning skills. The data was analysed using descriptive statistics and Analysis of Variance (ANOVA) to check whether or not any associations between the determinants and attitude scores were significant with SPSS version 27.0. <0.05 was considered statistically significant. Results: The collective disposition towards teamwork was highly positive (Mean score = 34.15 ± 4.40 on a range of 8 to 40). A one-dimensional analysis of covariance (after evaluating covariant homogeneity using Levene's test) showed that age (F=2.816, p=0.026), gender (F=7.791, p=0.006), and level of study (F=2.887, p=0.037) were all statistically significant determinants of attitudes towards teamwork. Female students reported significantly more positive attitudes (M=34.72 ± 2.83) than their male counterparts (M=32.97 ± 6.42). Age generally had a positive linear relationship with attitudes toward teamwork, with the most positive attitudes reported among students older than 23 years (M=36.64 ± 1.81). There was no discernable linear relation with level of study, but attitudes peaked among 3rd year students (M=34.91 ± 2.91), and then dropped among 4th year students (M=32.16 ± 4.18). Conclusion: Age, gender, and academic transition appear to be important factors that influence the teamwork beliefs of Nigerian nursing students. The results highlight the variability of teamwork attitudes among groups of students and within the same cohort of students as they progress through the program. Nursing education programs should adopt specific and considered longitudinal approaches to building and maintaining positive collaborative attitudes in consideration of these factors to prepare students for contemporary healthcare practice.
Abstract: Background: Positive teamwork attitudes are crucial components of effective interprofessional collaboration, which is crucial to promoting patient safety and quality healthcare, with these attitudes being developed and influenced during the formative years of professional education. Aim: The aim of this study was to analyse the determinants of posi...
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Research Article
Digestive Cancers at the Conakry University Hospital Center: Epidemiological, Clinical, Histological, and Therapeutic Aspects
Naby Fofana*,
Ansoumane Conde,
Abdoulaye Yattara,
Alpha Mohamed Youla,
Aminata Fofana,
Mohamed Saliou Bangoura,
Mamadou Sakoba Barry,
Aboubacar Toure
Issue:
Volume 14, Issue 1, February 2026
Pages:
16-20
Received:
25 January 2026
Accepted:
5 February 2026
Published:
24 February 2026
DOI:
10.11648/j.js.20261401.14
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Abstract: Aim: The aim of this study was to investigate the epidemiological, anatomo-clinical and therapeutic aspects of cancers of the digestive tract. Material and Methods: This was a retrospective descriptive study lasting 6 years (January 1, 2014 to December 31, 2019), based on the complete records of patients hospitalized and operated on for histologically proven digestive tract cancers. Results: Out of 4681 patient records, we collected 297 cases of digestive cancers (6.34%). The mean age was 52.70 years. Male predominance was noted, with a sex ratio of 1.17. Fifty-seven percent of patients resided in Conakry, and 64.30% of cases were treated at the Donka oncology unit. Housewives were most represented, with a predominance of married patients; alcohol was the most common vice (7.07%). Gastro-duodenal ulcer was the most common comorbidity. The average consultation time was 9.86 ±10.4 months; 29.62% of patients were seen after more than 9 months. The clinical picture was dominated by epigastralgia, nausea and vomiting. The stomach was the predominant site, followed by the colon. For histological analysis, surgical specimens were the most common. Adenocarcinoma was the most frequent histological type, and macroscopically, the infiltrating type was the most common. Surgical treatment was the most common, with tumor resection the most frequently performed procedure. Follow-up was uncomplicated in 71.04% of cases, with morbidity of 5.05% and mortality of 23.91%. Conclusion: Cancers of the digestive tract are frequent, of late diagnosis and of poor prognosis. Equipping hospitals, screening and early treatment, as well as raising public awareness, could improve prognosis.
Abstract: Aim: The aim of this study was to investigate the epidemiological, anatomo-clinical and therapeutic aspects of cancers of the digestive tract. Material and Methods: This was a retrospective descriptive study lasting 6 years (January 1, 2014 to December 31, 2019), based on the complete records of patients hospitalized and operated on for histologica...
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