TITLE:
Clinical and Therapeutic Aspects of Inguinal Hernia at the Reference Health Centre of Commune II of the District of Bamako
AUTHORS:
Idrissa Tounkara, Boubacar Karembe, Souleymane Thiam, Sayon Diakite, Abdoulaye Diarra, Amadou Traore, Konimba Keita, Oumar Ongoiba, Moussa Sanogo, Moussa L. Coulibaly, Bakary Tientigui Dembele, Adégné Togo
KEYWORDS:
Inguinal Hernias, Strangulation, Management, CSRéf CII
JOURNAL NAME:
Surgical Science,
Vol.13 No.5,
May
31,
2022
ABSTRACT: Objective: To study the diagnostic and therapeutic aspects of uncomplicated inguinal
hernias in the general surgery unit of CSRéf CII. Method: This was a prospective, descriptive, single-centre study from 1 January
2016 to 31 December 2016 of 84 patients operated on for inguinal hernias in the
general surgery unit of CSRéf CII. Results: Inguinal hernia
accounted for 8% of surgical consultations and hernia repair accounted for
30.22% of surgical procedures. Hernia repair accounted for 30.22% of surgical
procedures. The male sex was the most represented with a ratio of 7.40. The
average age of our patients was 43.19 years. Recurrence occurred in 10% of
cases. The right side was most affected in 71.43% of cases, 19.05% on the left side
in; it was bilateral in 09.52%. Local
anaesthesia was used in 67.86% of our patients, general anaesthesia in 13.09%
of cases and locoregional anaesthesia in 19.05% of cases. The hernia was
external oblique in 75% of cases. Shouldice’s technique was the most used with
88%; Bassini’s technique was used in 7% and Mac Vay’s in 5% of cases. The
postoperative course was simple in 96.43% of cases, with an early postoperative
morbidity rate of 3.57%, one case of wall abscess and two cases of parietal
haematoma. No deaths were observed during our study. Conclusion: The new methods of tension-free cure should be used more and more by our
users in our facilities.