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Thromboembolic disease (TED) is a major cause of maternal mortality and severe morbidity. The pregnant woman presents with some anatomical and physiological modifications that expose her to risk of blood clot and thisrisk issignificantly higher when she gives birth by caesarean section. In this light, the health team has a responsibility to ensure that adequate preventive measures are employed to prevent the occurrence of this disease. This was a descriptive and prospective study which was carried out on patients who had undergone a caesarean section in the YGOPH from September to October 2023 and who had given their concern. Patients were recruited from the anaesthetic consultation room, followed up in the theatre, to the recovery room and to the intensive care and obstetric units. Data was collected on Sociodemographic and clinical characteristics as well as the patient’s risk factors, the non-pharmacological and pharmacological measures of prevention and the evolution of the patient. The data was analysed using the software; Epi info and excel and presented in the form of tables, graphs and charts. We recruited a total of 54 women who had a caesarean section between the age ranges of 18 to 42 years with the mean age of 27.8 years. After the assessment of our patients’ risk factors, 5(9%) patients were classified at the low risk level, 49 (91%)patients at the intermediate and no patient at the high risk level. As regards the nonpharmacological methods, we found out that only 3 (5.3%) patients were putting on the compression stockings, 3 (5.6%) patients were deambulated on the 6-8hours post op. Only 14 (25.9%) patients took the normal amount of fluids in 24hours. The only pharmacological measure of prevention was enoxaparin which was systematically prescribed and 46 (85.2%) patientstook the drug but 8 (14.8%) patients could not afford and did not receive the drug. For those that received the drug, there was a disparity as regards the dosage and the duration of prophylaxis as only 3 (5.5%) took the drug for at least 10days as required. Finally, out of the 54 patients, 15 (27.8%) presented with complications. In this study, it was revealed that, the preventive measures of thromboembolic disease in caesarean section at the YGOPH were not optimal and needed to be improved [ABSTRACT FROM AUTHOR]

The aim of this study was to evaluate the results of open pyelolithotomy in the Urology Department of the Ignace Deen National Hospital, CHU of Conakry. This was a prospective and descriptive study of 28 cases of pyelitis operated on from January 1, 2015 to December 31, 2017. The variables studied were sociodemographic, clinical, paraclinical and therapeutic. In our study, pyelic lithiasis ranked first among upper urinary tract lithiasis n=50 (56%) and second among all urinary stones n=28 (29.9%).The most affected age group was 31 to 40 years old with 32.1%. The sex ratio was 18 males to 10 females. Lumbar pain was the main reason for consultation. The cytobacteriological examination of urine revealed an infection in 24 patients or 85.7%. The IVU made the diagnosis in 85.7% of cases. The mean size of the stones was 24.1 ± 6.7 mm in diameter. The mean duration of the operation was 103±38mn. Intraoperatively we recorded two cases of peritoneal perforation, one case of avulsion of the ureter which side and one case of damage to the renal pelvis. The main post-operative complication was infection of the operating site with 28.6%.Open pyelolithotomy still retains its indications in some third world countries like ours. Nowadays it is more and more rare in favour of mini-invasive techniques (LEC; Endo- Urology). [ABSTRACT FROM AUTHOR]