TITLE:
Morbidity and Mortality of Emergency Hernia Surgery in Children in Bujumbura: Analysis of Favourable Factors
AUTHORS:
Jean Claude Mbonicura, Prudence Bukuru, Paul Banderembako, Révérien Ndayirorere, Guy Darcy Nibogora, Jean Marie Nizeyimana, Stève Nkurunziza
KEYWORDS:
Hernia, Strangulation, Herniorrhaphy, Morbidity, Mortality, Early
JOURNAL NAME:
Surgical Science,
Vol.14 No.12,
December
29,
2023
ABSTRACT: Background: Management of emergency hernias surgery should
include certain complications most often up after 30 days of the operation. Aim: To analyze the factors contributing to morbidity and mortality after 30 days of
emergency hernia surgery in children in the surgical departments of 8 Bujumbura
hospitals. Patients and Methods: This is a prospective
study over a period of one year which included all hernias operated on in
emergency from January 1, 2022 to February 29, 2023. Results: During the
period, 282 patients (children) were admitted to the operating theatre for
abdominal parietal hernias, of which 46 were admitted for emergency hernia
surgery. Males accounted for 86.96% (40), sex ratio 6.6. The average age was
3.4 years. The persistence of the peritoneo-vaginal canal represented 52.17% of
cases. Inguino-scrotal hernia was prevalent (43.48%). The main complication was
strangulation (80.43%). Morbidity accounted for 1.3% of complications
(infection, residual pain, testicular atrophy, hernia recurrence). No deaths
were found. Altemeier stage and gender were
statistically related to morbi-mortality of emergency hernia surgery in
adults at 30 days post-op (p = 0.0260
and p = 0.0212 respectively). Conclusion: Abdominal parietal hernias are
common in children, dominated by groin hernias. The high frequency of
strangulation calls for awareness of cold hernia repairs.