Background: Groin hernia is one of the most common conditions in surgical pathology. Worldwide, more than 20 million patients undergo groin hernia repair annually with a prevalence 4.6% in Africa. The purpose of this study was to describe the epidemiological, clinical and management aspects of groin hernias in the general surgery department of the regional hospital of Boke. Material and methods: This was a prospective cross-sectional descriptive study of 24 months (January 2019 to December 2020), conducted at the regional hospital of Boke, on consecutive patients who had surgery for groin hernia. Results: During these two years, groin hernias represented 19.90% (n=418) of all surgical admissions (n=2100). The mean age of the patients was 46.05 years. The male gender was the most predominant (87.08%). The average time to consultation was 36.4 months. In 17.83% of cases, the hernia was strangulated. The Bassini technique was the most used method of cure (87.56%). Morbidity was dominated by surgical site infection (26.08%), persistent groin pain (14.11%). Mortality was nil. At six months postoperative follow-up, we observed 29 recurrences (6.94%). Conclusion: Groin hernias are still a concern in our rural populations and their adequate management requires continuous training of surgical staff on tension-free cure techniques and acquisition of prosthetic materials.
| Published in | Journal of Surgery (Volume 10, Issue 1) |
| DOI | 10.11648/j.js.20221001.11 |
| Page(s) | 1-3 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Groin Hernias, Repair, Guinea
| [1] | Kockerling F, Simons MP (2018), Current concepts of inguinal hernia repair, Visc Med 34: 145-150. |
| [2] | The hernia group (2018), International guidelines for groin hernia management, Hernia 22 (1): 1-165. |
| [3] | Diop B, Sall I, Sow O et al (2018), Management of inguinal hernias by prosthesis according to the Lichtenstein procedure: an analysis of 267 procedures. Health Sci. Dis 19 (1): 69-73. |
| [4] | Koumare AK, Diop KT, Ongoiba N, Bouare M, Simpara D (1991), Evaluation rétrospective de 4539 cures de hernies inguinales effectuées par des médecins généralistes de districts au Mali. Méd Afr Noire 38 (2): 1137-141. |
| [5] | Sangaré D, Soumaré Cissé MA, Sissoko F (1992), Chirurgie des hernies de l'aine sans hospitalisation. Lyon Chir 88 (5): 437-9. |
| [6] | Desarda MP (2006), Physiological repair of inguinal hernia: a new technique (study of 860 patients). Hernia 10: 143-146. |
| [7] | Bax T, Sheppard BC, Crass AR (1999), Surgical options in the management of groin hernias, Am Fam Physician 59 (1): 143-156. |
| [8] | Dieng M, El Kouzi B, Ka O et al (2008), Les hernies étranglées de l’aine de l’adulte: une serie de 228 observations, Mali médical 23 (1): 12-16. |
| [9] | Rao S, Singh P, Gupta DO, Narang R (2016), Clinicoepidemiologic profile of inguinal hernia in rural medical college in central India. Journal of Mahatma Gandhi Institute of Medical Sciences 21 (2): 116, Doi: 10.4103/0971-9903.189543. |
| [10] | Ngom G, Fall M, Alumeti MD, Ndour O, Fall I, Ndoye M (209), Child strangulated inguinal hernia in an african region: report of 135 cases. Revue Tropicale de Chirurgie 3: 13-16. |
| [11] | Harouna Y, Seibou A, Abdou I, Bazira L (2000), Hernie inguinale simple de l’adulte: étude médico-économique à propos de 244 cas; Niamey (Niger). Médecine d’Afrique noire 47 (6): 292-297. |
| [12] | Kathleen Lockhart, Douglas Dunn, Shawn Teo, et al (2018), Mesh versus non-mesh for inguinal and femoral hernia repair. Cochrane Database Syst Rev 2018 (9): CD011517, Doi: 10.1002/14651858.CD011517.pub2. |
| [13] | Bittner R, Montgomery MA, Arregui E et al (2015), Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society), Surg Endosc 29 (2): 289-321. |
| [14] | Yang C, Deng S (2020), Laparoscopic versus open mesh repair for the treatment of recurrent inguinal hernia: a systemic review and meta-analysis. Ann Palliat Med 9 (3): 1164-1173. |
| [15] | Zhao G, Gao P, Ma B, Tian J, Yang K (2009), Open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Ann Surg 250: 35-42. |
| [16] | Konaté I, Cissé M, Wade T et al (2010), Inguinal hernia managementat the surgical clinic of Aristide Le Dantec hospital in Dakar: report of 432 cases studied retrospectively. J Afr Chir Digest 10 (2): 1086–1089. |
| [17] | Koutora B, Alassani F, Amouzou EG, Sakiye A, Geraldo RF et al (2019), Prise en Charge des Hernies de l’aine: Expérience d’un Hôpital Confessionnel en Zone Rurale au Togo. European Scientific Journal 15 (18): 1857–7881. |
| [18] | Ouedraogo S, Sanou A, Zida A, Traore SS (2014), Résultats de la cure des hernies inguinales selon la technique de Desarda au Burkina Faso. Rev Afr Chir et Spec 3 (2): 15-18. |
| [19] | Mitura K, Rzewuska A, Skolimowska-Rzewuska M, Wyrzykowska D (2021), Desarda technique as a valuable alternative for inguinal hernia patients refusing mesh implantation: long-term results fifteen years after a pure tissue repair in 198 patients. Mini-invasive Surg 5: 22. https://dx.doi.org/10.20517/2574-225.2021.1920. |
| [20] | Abd-Elaziz AS, Amer YA, Abd-Elaty MRS (2018), Evaluation of Natural Tissue Reinforcement of Inguinal canal For Inguinal Hernia Repair (Desarda Inguinal Herniorraphy). The Egyptian J of Hospital Medicine 73 (6): 6878-6885. |
| [21] | Kockerling F (2019), TEP for elective primary unilateral inguinal hernia repair in men: what do we know ? Hernia 23 (3): 439-459. |
APA Style
Loua Moise, Camara Keoulen, Fofana Naby, Kondano Saa Yao, Diawara Mohamed Albert, et al. (2022). Management of Groin Hernias in the Department of General Surgery at Boke Regional Hospital (Guinea). Journal of Surgery, 10(1), 1-3. https://doi.org/10.11648/j.js.20221001.11
ACS Style
Loua Moise; Camara Keoulen; Fofana Naby; Kondano Saa Yao; Diawara Mohamed Albert, et al. Management of Groin Hernias in the Department of General Surgery at Boke Regional Hospital (Guinea). J. Surg. 2022, 10(1), 1-3. doi: 10.11648/j.js.20221001.11
AMA Style
Loua Moise, Camara Keoulen, Fofana Naby, Kondano Saa Yao, Diawara Mohamed Albert, et al. Management of Groin Hernias in the Department of General Surgery at Boke Regional Hospital (Guinea). J Surg. 2022;10(1):1-3. doi: 10.11648/j.js.20221001.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.js.20221001.11,
author = {Loua Moise and Camara Keoulen and Fofana Naby and Kondano Saa Yao and Diawara Mohamed Albert and Soumaoro Labile Togba and Toure Aboubacar and Diallo Aissatou Taran},
title = {Management of Groin Hernias in the Department of General Surgery at Boke Regional Hospital (Guinea)},
journal = {Journal of Surgery},
volume = {10},
number = {1},
pages = {1-3},
doi = {10.11648/j.js.20221001.11},
url = {https://doi.org/10.11648/j.js.20221001.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20221001.11},
abstract = {Background: Groin hernia is one of the most common conditions in surgical pathology. Worldwide, more than 20 million patients undergo groin hernia repair annually with a prevalence 4.6% in Africa. The purpose of this study was to describe the epidemiological, clinical and management aspects of groin hernias in the general surgery department of the regional hospital of Boke. Material and methods: This was a prospective cross-sectional descriptive study of 24 months (January 2019 to December 2020), conducted at the regional hospital of Boke, on consecutive patients who had surgery for groin hernia. Results: During these two years, groin hernias represented 19.90% (n=418) of all surgical admissions (n=2100). The mean age of the patients was 46.05 years. The male gender was the most predominant (87.08%). The average time to consultation was 36.4 months. In 17.83% of cases, the hernia was strangulated. The Bassini technique was the most used method of cure (87.56%). Morbidity was dominated by surgical site infection (26.08%), persistent groin pain (14.11%). Mortality was nil. At six months postoperative follow-up, we observed 29 recurrences (6.94%). Conclusion: Groin hernias are still a concern in our rural populations and their adequate management requires continuous training of surgical staff on tension-free cure techniques and acquisition of prosthetic materials.},
year = {2022}
}
TY - JOUR T1 - Management of Groin Hernias in the Department of General Surgery at Boke Regional Hospital (Guinea) AU - Loua Moise AU - Camara Keoulen AU - Fofana Naby AU - Kondano Saa Yao AU - Diawara Mohamed Albert AU - Soumaoro Labile Togba AU - Toure Aboubacar AU - Diallo Aissatou Taran Y1 - 2022/01/12 PY - 2022 N1 - https://doi.org/10.11648/j.js.20221001.11 DO - 10.11648/j.js.20221001.11 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 1 EP - 3 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20221001.11 AB - Background: Groin hernia is one of the most common conditions in surgical pathology. Worldwide, more than 20 million patients undergo groin hernia repair annually with a prevalence 4.6% in Africa. The purpose of this study was to describe the epidemiological, clinical and management aspects of groin hernias in the general surgery department of the regional hospital of Boke. Material and methods: This was a prospective cross-sectional descriptive study of 24 months (January 2019 to December 2020), conducted at the regional hospital of Boke, on consecutive patients who had surgery for groin hernia. Results: During these two years, groin hernias represented 19.90% (n=418) of all surgical admissions (n=2100). The mean age of the patients was 46.05 years. The male gender was the most predominant (87.08%). The average time to consultation was 36.4 months. In 17.83% of cases, the hernia was strangulated. The Bassini technique was the most used method of cure (87.56%). Morbidity was dominated by surgical site infection (26.08%), persistent groin pain (14.11%). Mortality was nil. At six months postoperative follow-up, we observed 29 recurrences (6.94%). Conclusion: Groin hernias are still a concern in our rural populations and their adequate management requires continuous training of surgical staff on tension-free cure techniques and acquisition of prosthetic materials. VL - 10 IS - 1 ER -
Email: