VOLUME 4, NUMÉRO 33, Mars 2026 (Suppl. 1)

Ekani Boukar M¹, Djike Y¹, Mokake D¹, Nwandum P¹, Ousmana O², Mbele R³, Savom E³, Ngwane A¹, Bang GA³, Chichom M¹, Ngowe N³, Essomba A³.

1- Faculty of Health Sciences, University of Buea, Cameroon
2- Faculty of Medicine and Biomedical Sciences, University of Garoua, Cameroon
3- Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Cameroon.

Correspondance : Dr Mahamat EKANI BOUKAR University of Buea, Cameroon.
Tel : (+237) 677569797
E-mail : [email protected].

RECAC 2026 ; 4(33suppl) 74-77

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SUMMARY
Introduction: bone and soft tissue infections in children remain an important cause of morbidity and mortality in low- and middle-income countries (LMICs). In Cameroon, data are scarce despite their public health significance. This study was to determine the prevalence, clinical patterns, management, and outcomes of pediatric bones and soft tissue infections in three major hospitals in Cameroon.
Material and Methods: a retrospective cross-sectional study was conducted between January 2019 and December 2021 in Douala General Hospital, Laquintinie Hospital Douala, and Buea Regional Hospital. Records of children aged 0–18 years admitted for bones and soft tissue infections were reviewed. Data was analyzed with SPSS v25.
Results: out of 1349 pediatric surgical admissions, 128 (9.5%) were due to bones and soft tissue infections. Boys accounted for 63.5% of cases, the mean age was 8 years. The infections were soft tissue abscesses (35.2%), osteomyelitis (27.3%), and pyomyositis (18.0%); 62% of patients presented late, after 7 days of symptom onset. Complications were documented in 15% of patients, with septicemia and anemia. Overall, 90.6% of patients were discharged, 4.7% died, 3.1% left against medical advice, and 1.6% were referred.
Mortality was highest among neonates (25%) and children with disseminated sepsis.
Conclusion: in children, bones and soft tissue infections remain a major cause of morbidity and mortality in Cameroon. Prevention, early referral, and improved surgical and neonatal care are critical to improving outcomes.
Key words: pediatric bone, soft tissue, infection, abscess, osteomyelitis, pyomyositis.

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Nwaha Makon AS^1,2, Mekeme Mekeme JB¹, Badjam Hadjidjatou Djingui Ngetiko¹, Nzati³, Tazemda Kuitsouc GB⁵, Ngandeu JM², Biyouma MDC², Etobe CMT², Mbassi AA³, Ngowe Ngowe M^2,4.

1- Faculté de Médecine et des Sciences Biomédicales, Université de Yaoundé 1.
2- Hôpital Laquintinie de Douala (Cameroun).
3- Institut Supérieur de Technologie Médicale, Université de Douala.
4- Faculté de Médecine et des sciences Pharmaceutiques, Université de Douala.
5- Institut de Management et d’Ingénierie de la Santé, Université de Lille.

Correspondance: Dr Axel Stéphane NWAHA MAKON, Hôpital Laquintinie de Douala, Cameroun.
Tél : + 237 699236640. E-mail : [email protected].

RECAC 2026 ; 4(33suppl) 78-86

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SUMMARY
Introduction: erectile dysfunction (ED) is a common issue among aging men, often tied to health
conditions like prostate cancer or diabetes. When medications and other conservative treatments don’t work, penile prosthesis implantation becomes the go-to option. In settings where resources are limited, semi-rigid implants stand out as the most practical and accessible solution. This study set out to examine how semi-rigid penile prostheses perform in real-life conditions in Cameroon—looking at who receives them, why, how the surgeries are done, and how patients fare afterward in terms of function, satisfaction, and complications.
Material and Methods: we followed 30 patients over a 4.5-year period (January 2020 to July 2024) who had severe ED that didn’t respond to medical treatment. Each underwent implantation of a semi-rigid penile prosthesis. Erectile function was measured using the IIEF-5 before and after surgery, and satisfaction was assessed at six months using the EDITS questionnaire. We also tracked surgical details and any complications.
Results: patients had a mean age of 63.7 years. Some were living with prostate cancer (53.3%) or diabetes (70%), and 80% had ED of organic origin. All surgeries were performed under spinal anesthesia, mostly via a longitudinal penoscrotal approach. Erectile function improved significantly post-surgery, with median IIEF-5 scores rising from 5 to 15 (p < 0.0001). By six months, 83.3% of patients had resumed sexual activity. Satisfaction was generally high, with a median EDITS score of 93.1, though six patients reported moderate to low satisfaction (≤65). The overall complication rate was 16.7%, including manageable cases of hematoma, infection, erosion, and mechanical issues.
Conclusion: semi-rigid penile prosthesis implantation proves to be a solid and effective solution for severe ED in low-resource environments. It delivers strong functional outcomes and high patient satisfaction, with a safety profile that remains acceptable. Future studies should also include a direct assessment of partner satisfaction to provide a more complete picture of postoperative outcomes.
Key words: erectile dysfunction, penile prosthesis, semi-rigid implant, patient satisfaction, IIEF-5, EDITS, low-resource setting.

Ngaringuem O^1,2, Mahamat Nour AD^1,2, Bembo L¹, Djianoné K¹, Ouchemi C^2,3.

1- CHU de la Mère et de l’Enfant de Ndjamena
2- Faculté Sciences de la santé humaine/Université de Ndjamena
3- CHU « La Référence Nationale » de Ndjamena
Correspondance : Dr Olivier Ngaringuem, CHU de la Mère et de l’Enfant de
Ndjamena, Tchad.
Tel : +23591642011. E-mail : [email protected]

RECAC 2026 ; 4(33suppl) 87-90

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RESUME
Introduction : la hernie d’Amyand est une forme rare de hernie inguinale et est définie par la présence de l’appendice vermiforme dans le sac herniaire. L’incidence est estimée entre 0,1 et 1,7 % des hernies inguinales. Le diagnostic est difficile à poser et est souvent de découverte fortuite en per opératoire. La survenue d’une appendicite dans ce contexte reste exceptionnelle. L’objectif de cette étude était de décrire les aspects épidémiologiques, cliniques, thérapeutiques et évolutifs des hernies d’Amyand.
Matériel et Méthodes : il s’agissait d’une étude rétrospective allant de juillet 2022 à juin 2025 et qui s’était déroulée dans le service de chirurgie pédiatrique du CHU-ME incluant tous les enfants de 0 à 15 ans opérés pour hernie inguinale dont le sac herniaire contenait un appendice.
Résultats : sur 452 hernies inguinales prises en charge, 8 étaient des hernies d’Amyand (prévalence : 1,76%). L’âge moyen était de 15,5 mois (extrêmes : 45 jours et 3 ans). Tous les patients étaient de sexe masculin.
Dans 6 cas, la tuméfaction inguino-scrotale droite était indolore. Deux (2) patients présentaient un tableau d’étranglement. L’exploration peropératoire retrouvait un appendice inflammatoire dans 1 cas et un cæcum inclus dans 1 cas. La fermeture du canal péritonéo-vaginal (CPV) était faite chez tous les patients. Une appendicectomie était réalisée chez 3 enfants. Les suites opératoires étaient simples avec une sortie entre J1 et J4.
Conclusion : la hernie d’Amyand est une entité rare en chirurgie pédiatrique. Le diagnostic est souvent peropératoire. La prise en charge chirurgicale classique se fait par la fermeture du CPV avec ou sans appendicectomie selon l’état de l’appendice.
Mots clés : hernie d’Amyand, appendice, enfant, hernie inguinale.

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Mve Mvondo C^1,2,3, Anshoma H¹, Ela Bella A², Ngo Yon LC^2,3, Kobe Folkabo Z², Ambassa JC¹, Tantchou Tchoumi C¹, Ngatchou Djomo W⁴, Njock LR³.

1- Division of cardiac surgery, Shisong Cardiac Center, Kumbo, Cameroon.
2- Division of thoracic and cardiovascular surgery, Yaoundé General Hospital, Yaoundé, Cameroon.
3- Department of surgery, Faculty of Medicine and Biomedical Sciences, University of Yaoundé l, Yaoundé, Cameroon.
4- Department of surgery, Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Douala, Cameroon.

Correspondance: Dr Charles MVE MVONDO, Yaoundé General Hospital, Yaoundé, Cameroon.
Tel : 00237-677804863. E-mail : [email protected]

RECAC 2026 ; 4(33suppl) 91-95

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SUMMARY
Introduction: congenital heart disease (CHD) continues to represent a significant contributor to childhood morbidity and mortality in sub-Saharan Africa, where delayed diagnosis and restricted access to specialized cardiac surgery remain major challenges. This study aims to evaluate the early outcomes of CHD surgery performed at a single referral center in Cameroon.
Material and Methods: a retrospective review was performed including all patients who underwent surgical correction of CHD between november 2009 and january 2026 at our institution. Cardiac defects were grouped according to major diagnostic categories. Demographic data, operative parameters, and early postoperative outcomes were collected and analyzed.
Results: overall, 424 patients were included in the study. The mean age at surgery was 5.0 ± 3.0 years (range 0.4–65.0 years), and the male-to-female ratio was 0.82. The diagnoses were ventricular septal defect (n=140, 33.0%), Tetralogy of Fallot (n=112, 26.4%), patent ductus arteriosus (n=85, 20.0%), atrial septal defect (n=64, 15.1%), complete atrioventricular septal defect (n=16, 3.7%), and coarctation of the aorta (n=7, 1.6%). The median length of intensive care stay was 2.3 days. Early mortality occurred in 5.1% of cases.
Conclusion : in this substantial single-center experience from Cameroon, early surgical outcomes were satisfactory despite delayed presentation. Efforts to promote earlier detection and timely referral are critical to further improving congenital cardiac care in this setting.
Key words: pediatric cardiac surgery, congenital heart disease, tetralogy of Fallot, ventricular septal defect, shisong cardiac center, Cameroon.