TITLE:
Inguinal Hernia in Adults: Diagnostic and Therapeutic Aspects at Cs Ref CI Bamako Mali
AUTHORS:
Cheickna Tounkara, Amadou Maiga, Bessy Samake, Boubacar Yoro Sidibe, Tani Kone, Samake Hamidou, Kaloga Daye Bagayoko, Oumar Amadou Malle, Alhassane Traore, Bakary Tientigui Dembele, Pierre Adégné Togo, Zanafon Ouattara
KEYWORDS:
Inguinal, Hernias, Surgery, Cs Ref, CI, Bamako (Mali)
JOURNAL NAME:
Surgical Science,
Vol.14 No.7,
July
25,
2023
ABSTRACT: The inguinal hernia is a
very frequent surgical pathology in the world and it represents 95% of the
hernias of the groin. This work aimed to determine the frequency of inguinal
hernias, describe the clinical and therapeutic aspects of inguinal hernias, describe the morbidity and
mortality related to inguinal hernias and evaluate the cost of
treatment. Our study was conducted from January 2010 to December 2010 in the general
surgery department of the Reference Health Center of Commune I in the district
of Bamako. We collected 130 cases of inguinal hernias with a sex ratio of 15.25
in favor of the male sex. The mean age was
48.02 years (standard deviation: 17.53 years). Strangulated inguinal hernias accounted for 4.9% of abdominal surgical emergencies
and 14.6% of all operated inguinal hernias. More than half of the patients
(82%) were operated under local anesthesia. Clinical signs were marked by painless or
irreducibly painful inguinal swelling. The diagnosis was clinical in all
patients. Some patients benefited from a minimum blood assessment (rhesus
grouping, glycaemia, hemoglobin level and hematocrit). The Shouldice technique
was performed in 68% of patients. One case of organ resection was performed, i.e. 0.8% of cases. Morbidity was 4.6%
due to wall abscess; 0.8% scrotal hematoma type. We have not recorded any
recurrence or death.