Results of thyroidectomies according to general surgeons and otolaryngologist and cervico faciale surgeons at the general Hospital of Reference of Niamey, what differences in the protocols of management?

OBJECTIVE: To evaluate the surgical management of thyroid pathologies at the Reference General Hospital. METHODS: This was a retro-prospective study over 4 years 6 months carried out in the departments of General and Digestive Surgery (GDS) and Otorhinolaryngology and Cervico Facial Surgery (ORL/FCS). It involved 182 patients who underwent thyroid surgery. RESULTS: A frequency of thyroidectomy of 9.46% was found. Females predominated with a sex ratio of 0.1. The average age of patients was 42.85 years, a standard deviation 12.80. 84.06% of patients had consulted for anterior cervical mass. EU-TIRADS score 3 represented 7,14% of cases. Heteromultinodular goiter was the main indication for thyroid surgery (59.34%). Total thyroidectomy was the most commonly performed gesture in general surgery in 88,23% (n = 105), in Otorhinolaryngology, it was in the same proportion as lobo-isthmectomy at 47.61% (n = 30). The first route was video-assisted thyroidectomy 2.2% (n = 4). The recurrent laryngeal nerve was dissected and seen in 159 cases (87.36%) and parathyroid glands were also seen and preserved in 58.24% of cases (n = 106). In immediate postoperative surgery, the main complications were unilateral recurrent paralysis with dysphonia in 3.3% (n = 6) and compressive hematoma in 2.2% (n = 4). No deaths had been recorded. CONCLUSION: Total thyroidectomy was the most performed procedure in department of General and Digestive Surgery. Routine oral calcium and vitamin D supplementation in the general surgery ward, reduces the occurrence of hypocalcemia after total thyroidectomy and allows a safe and early exit. Standardizing protocols will further reduce complications.

Parasitism of Locally Recruited Egg Parasitoids of the Fall Armyworm in Africa.

The fall armyworm (FAW), Spodoptera frugiperda (J.E. Smith) (Lepidoptera: Noctuidae), is an insect native to the tropical and subtropical Americas that has recently spread to Africa, where it predominately attacks maize, sorghum and other plant species. Biological control is an environmentally friendly way of combatting the pest and contributes to an integrated pest management approach. In Africa, several trichogrammatid parasitoids and Telenomus remus Nixon (Hymenoptera: Platygastridae) have been found parasitizing eggs of the FAW. In Niger, the egg parasitoids encountered include Trichogrammatoidea sp. (Hymenoptera: Trichogrammatidae) and Telenomus remus Nixon. Parasitism of the FAW eggs by the two egg parasitoids was assessed in the laboratory, followed by field testing on sentinel eggs. In the laboratory, T. remus parasitized on average 78% of FAW eggs, compared to 25% for Trichogrammatoidea sp. Telenomus remus was able to parasitize egg masses that were fully covered with scales, while Trichogrammatoidea sp. parasitized only uncovered egg masses. On-farm releases of T. remus in sorghum fields caused up to 64% of FAW egg parasitism. Parasitized eggs yielded viable progeny, which can contribute to FAW egg parasitism build-up during the cropping season. Our findings lay the groundwork for the use of T. remus in augmentative releases against FAW in Africa.