{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:26:15Z","timestamp":1753889175485},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,12,16]],"date-time":"2015-12-16T00:00:00Z","timestamp":1450224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,12,16]],"date-time":"2015-12-16T00:00:00Z","timestamp":1450224000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Chronic wounds, especially Buruli ulcers (BU) are emerging public health threat in West and Central Africa. Akonolinga in Cameroon is one of the four health districts affected by BU. Since 2002, M\u00e9d\u00e9cins Sans Fronti\u00e8res has established a specialized wound carecenter to actively diagnose and provide treatment of chronic wounds that is accessible and affordable for all patients. Our objectives were to report the surgical activities in Akonolinga, to provide description of the types of chronic wounds and elements of anticipation of treatment needs in a public health perspective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We carried out a retrospective cohort and descriptive study from January 2012 to June 2014 (30\u00a0months) on a series of consecutive patients with chronic wounds, managed surgically in Akonolinga, Centre Region, Cameroon. Among BU patients only those with necessity of surgery were included and the others followed only their 8 weeks medical treatment with antibiotics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 148 patients were recorded. 101 cases of BU and related disability and 47 cases of non\u2010Buruli chronic wounds. Patients had a mean age of 34 years. Most of the procedures used were debridement 40 %, skin graft 29 %, stripping 5 %, plastic procedures 7 %, and amputation 4 %. The mean number of procedures was 2 for each patient in this series.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Chronic wounds occur worldwide and may be caused by specific health conditions. Medical and paramedical education should provide both the theoretical knowledge and practical skills to help health care personnel to face this problem in their communities.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-015-3369-x","type":"journal-article","created":{"date-parts":[[2015,12,16]],"date-time":"2015-12-16T17:15:41Z","timestamp":1450286141000},"page":"1041-1046","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Surgical Management of Chronic Wounds in a Buruli Ulcer Endemic Area in Central Africa"],"prefix":"10.1002","volume":"40","author":[{"given":"Marc Leroy","family":"Guifo","sequence":"first","affiliation":[{"name":"CHU Yaound\u00e9 University of Yaound\u00e9 1 Yaounde Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnes","family":"Essiene","sequence":"additional","affiliation":[{"name":"H\u00f4pital Central de Yaound\u00e9 University of Yaound\u00e9 1 Yaounde Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie","family":"Ngo Nsoga","sequence":"additional","affiliation":[{"name":"Akonolinga Health District Akonolinga Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahima","family":"Farikou","sequence":"additional","affiliation":[{"name":"Centre National de R\u00e9habilitation des handicap\u00e9s de Etoug\u2010Ebe Yaounde Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eone Daniel","family":"Handy","sequence":"additional","affiliation":[{"name":"H\u00f4pital Central de Yaound\u00e9 Yaounde Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernest","family":"NjihTabah","sequence":"additional","affiliation":[{"name":"Permanent Secretary of National Leprosy, Yaws, Leishmaniasis and Buruli Ulcer Control Program Ministry of Public Health Yaound\u00e9 Cameroun Yaounde Cameroon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,12,16]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"Wound and lymphoedema management","author":"Macdonald JM","year":"2010"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10353\u2010008\u20100379\u2010z"},{"key":"e_1_2_7_4_2","unstructured":"World Health Organisation. Treatment of Mycobacterium ulcerans disease (Buruli ulcer); Guidance for health workers.http:\/\/www.who.int\/iris\/bitstream\/10665\/77771\/1\/9789241503402eng.pdf. Accessed: July 2015"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.trstmh.2009.04.009"},{"key":"e_1_2_7_6_2","unstructured":"AsieduK ScherpbierR RaviglioneM. Ulcere de buruli (2000). WHO\/CDS\/CPE\/GBI\/2000.1"},{"key":"e_1_2_7_7_2","first-page":"262","article-title":"L\u2019ulcere de Buruli: attention aux atteintes osseuses! A propos de 33 cas observes au Benin","volume":"60","author":"Lagarrigue V","year":"2000","journal-title":"Med Trop"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.13\u20100255"},{"key":"e_1_2_7_9_2","unstructured":"Newsletter trimestrielle de MSF au Cameroun. Juin 2014\u2010numero 012 Special Buruli.www.msf.ch\/cameroun"},{"key":"e_1_2_7_10_2","first-page":"643","article-title":"Ulcere de Buruli c\u00e9phalique: huit observations au CHU d\u2019Abidjan, Cote d\u2019Ivoire","volume":"68","author":"Kouame K","year":"2008","journal-title":"Med Trop"},{"key":"e_1_2_7_11_2","first-page":"444","article-title":"Ulcere \u00e0 Mycobacterium ulcerans: prise en charge chirurgicale dans 102 observations en R\u00e9publique d\u00e9mocratique du Congo","volume":"65","author":"Kibadi K","year":"2005","journal-title":"Med Trop"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu584"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473\u20103099(13)70201\u20109"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/tmi.12342"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102334\u201014\u2010423"},{"key":"e_1_2_7_16_2","first-page":"56","article-title":"Setting a course on chronic wounds in Cameroon","volume":"14","author":"Same\u2010Ekobo A","year":"2014","journal-title":"EWMA J"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-015-3369-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-015-3369-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-015-3369-x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T23:23:28Z","timestamp":1703633008000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-015-3369-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,16]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["10.1007\/s00268-015-3369-x"],"URL":"https:\/\/doi.org\/10.1007\/s00268-015-3369-x","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,16]]}}}