The Technique of Shouldice in the Treatment of the Inguinal Hernias at the Hospital Somine Dolo of Mopti(Mali)Subject of 675 Cases  

作　　者：Abdoulaye Kanté Mamadou Alymami Keita Idrissa Tounkara Bréhima Bengaly Bréhima Coulibaly Siaka Diallo Drissa Ouattara Babou Ba Drissa Traoré Souleymane Sanogo Djibril Traoré MoustaphaIssa Magané Mariam Daou Bakary Keita Birama Togola Nouhoum Ongoiba 

机构地区：[1]Service of General Surgery,Somine Dolo of Mopti Hospital,Mopti,Mali [2]Laboratory of Anatomy of the Faculty of Medicine and Odontostomatology,Bamako,Mali [3]Service of Surgery B,CHU Point G,Bamako,Mali [4]Service of General Surgery,Gabriel Touré,Bamako,Mali [5]Service of Anesthesia and Resuscitation,CHU Gabriel Touré,Bamako,Mali [6]Service of Neurology,CHU Gabriel Touré,Bamako,Mali

出　　处：《Surgical Science》2018年第12期461-468,共8页外科学（英文）

摘　　要：The objective was to study epidemiological and therapeutic aspects of the inguinal hernia according to the technique of Shouldice. Methodology: we realized a retrospective study, concerning the patients operated for inguinal hernia according to the technique of Shouldice in the service of general surgery of the hospital Sominé Dolo of Mopti, Mali. All the patients operated during the period of study for inguinal hernia according to the technique of Shouldice were included. The patients operated for hernia by other technique than that of Shouldice were not included. Results: The study has been realized in the service of general surgery of the hospital Sominé Dolo of Mopti (Mali). It was about a retrospective study which concerned 25 years from January, 1987 till December, 2012. 675 patients operated according to the technique of Shouldice were registered. The average age was of 49 years +/−17.7. There were 90.7% (612) men. The sex-ratio is 9.7. The farmers, the housewives and the workers represented 51.1% (115). In 75.2% (508) the patients consulted for inguinal tumefaction. In operating meadow, the hernia was complicated to 246 (36.4%) patients among whom 72 cases were of recurrence. The hernia constriction was the main complication operating meadow 58.5% (48/82). The operating suites in one year were simple at 94.2% (636) of the patients;they were marked by 24 cases of recurrence, 12 cases of neuralgia, 6 cases of testicular atrophy, and 3 cases of keloid. Conclusion: The technique of Shouldice is the technique of choice for the cure of the inguinal hernia in developing countries because of the good result and its little expensive cost with compared with the other techniques using medical devices.The objective was to study epidemiological and therapeutic aspects of the inguinal hernia according to the technique of Shouldice. Methodology: we realized a retrospective study, concerning the patients operated for inguinal hernia according to the technique of Shouldice in the service of general surgery of the hospital Sominé Dolo of Mopti, Mali. All the patients operated during the period of study for inguinal hernia according to the technique of Shouldice were included. The patients operated for hernia by other technique than that of Shouldice were not included. Results: The study has been realized in the service of general surgery of the hospital Sominé Dolo of Mopti (Mali). It was about a retrospective study which concerned 25 years from January, 1987 till December, 2012. 675 patients operated according to the technique of Shouldice were registered. The average age was of 49 years +/−17.7. There were 90.7% (612) men. The sex-ratio is 9.7. The farmers, the housewives and the workers represented 51.1% (115). In 75.2% (508) the patients consulted for inguinal tumefaction. In operating meadow, the hernia was complicated to 246 (36.4%) patients among whom 72 cases were of recurrence. The hernia constriction was the main complication operating meadow 58.5% (48/82). The operating suites in one year were simple at 94.2% (636) of the patients;they were marked by 24 cases of recurrence, 12 cases of neuralgia, 6 cases of testicular atrophy, and 3 cases of keloid. Conclusion: The technique of Shouldice is the technique of choice for the cure of the inguinal hernia in developing countries because of the good result and its little expensive cost with compared with the other techniques using medical devices.

关 键 词：Inguinal Hernia Technique of Shouldice RECURRENCES 

分 类 号：R73[医药卫生—肿瘤]