TITLE:
Morbidity and Mortality of Emergency Hernia Surgery in Adults in Bujumbura: Analysis of Favourable Factors
AUTHORS:
Stève Nkurunziza, Prudence Bukuru, Stany Harakandi, Paul Banderembako, Révérien Ndayirorere, Guy Darcy Nibogora, Jean Marie Nizeyimana, Jean Claude Mbonicura
KEYWORDS:
Hernia, Strangulation, Herniorrhaphy, Morbidity, Mortality, Early
JOURNAL NAME:
Surgical Science,
Vol.14 No.12,
December
29,
2023
ABSTRACT: Background: Abdominal parietal hernia, a temporary or permanent exit of viscera
through an anatomically pre-existing zone of weakness, is a frequent pathology
in surgery. So, the management of emergency hernias surgery should include some
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 adults in the surgical departments of Bujumbura
hospitals. Methodology: This is a prospective study over a period of one
year that included all hernias operated on in emergency from January 2022 to
February 2023. Results: During the period, 251 patients were admitted to
the operating room for abdominal parietal hernias, including 49 for emergency
hernia surgery. There were 43 men (87.76%) and 6 women (12.24%), i.e. a sex ratio of 7.1. The average age
was 49.6 years, with extremes of 18 and 84 years. The occupation of strength
(farmer, labourer, mechanic, mason, mason’s
helper) represented 75.51% of the cases. Inguino-scrotal hernia was
preponderant (65.31%) followed by inguinal hernia (25.58%), umbilical hernia
(4.08%); femoral hernia represented 4.08%. Hernial strangulation represented
89.80% and engorged hernia 10.20%. Morbidity was minor, 2.04% of complications (suppuration,
hematoma, urinary retention). No deaths were found. Altemeir stage and
occupation were statistically related to morbi-mortality of emergency hernia
surgery in adults at 30 days postoperative (p = 0.0028
and p = 0.0284 respectively). Conclusion: Abdominal parietal hernias are
frequent, dominated by groin hernias. The high frequency of strangulation calls
for awareness of cold hernia cures.