Surgical Research
Open AccessManagement of Inguinal Hernia at a District Hospital: About 328 Cases at the Prefectural Hospital of Siguiri - Guinea
Authors: BARRY MS, Camara D, Barry B, Doumbouya M, Diallo AT, TOURE A.
Abstract
Introduction: The aim of this study was to assess the management of inguinal hernias in the general surgery department of Siguiri.
Methodology: This was a retrospective descriptive study conducted over a period of 2 years (January 1, 2021 - December 31, 2022) in the surgery department of the Prefectural Hospital of Siguiri, Guinea. The study included all patients admitted to the department and treated for inguinal hernias during the study period.
Results: During the study period, 1248 surgical procedures were performed, of which 328 (26.28%) were for inguinal hernias. The average age was 37.39 years. Males were the most affected, accounting for 91.5% (n=300). Farmers were the most common occupational group at 31.7% (n=104). Clinical signs were predominantly characterized by pain (41.46%, n=136), vomiting (14.63%, n=48), and inguinal or inguinoscrotal swelling (92.7%, n=304). The right side accounted for 39% (n=128) of cases, and hernias were bilateral in 15.9% (n=15.9%). General anesthesia and local anesthesia were the most commonly used, with 55.18% (n=181) and 29.83% (n=98), respectively. The surgical technique used was Bassini's hernia repair in 92.7% (n=304) of cases. Postoperative outcomes were uneventful in 91.5% (n=300) of cases. However, there were recorded complications such as scrotal hematoma in 4.9% (n=16) and surgical site infection in 1.8% (n=6).
Conclusion: Inguinal hernia remains a common pathology. The Bassini technique was the most commonly used surgical technique. Adherence to aseptic principles and meticulous dissection of nerve structures are key factors in improving postoperative morbidity.
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