Clinical and Therapeutic Aspects of Inguinal Hernia at the Reference Health Centre of Commune II of the District of Bamako  

作　　者：Idrissa Tounkara Boubacar Karembe Souleymane Thiam Sayon Diakite Abdoulaye Diarra Amadou Traore Konimba Keita Oumar Ongoiba Moussa Sanogo Moussa L. Coulibaly Bakary Tientigui Dembele Adégné Togo Idrissa Tounkara;Boubacar Karembe;Souleymane Thiam;Sayon Diakite;Abdoulaye Diarra;Amadou Traore;Konimba Keita;Oumar Ongoiba;Moussa Sanogo;Moussa L. Coulibaly;Bakary Tientigui Dembele;Adégné Togo(Reference Health Center of Commune II, Bamako, Mali;Commune III Reference Health Centre, Bamako, Mali;University Hospital Center of Gao, Gao, Mali;University Hospital Center of Kati, Kati, Mali;University Hospital of Gabriel Touré, Bamako, Mali;Regional Hospital of Tombouctou, Tombouctou, Mali)

机构地区：[1]Reference Health Center of Commune II, Bamako, Mali [2]Commune III Reference Health Centre, Bamako, Mali [3]University Hospital Center of Gao, Gao, Mali [4]University Hospital Center of Kati, Kati, Mali [5]University Hospital of Gabriel Touré, Bamako, Mali [6]Regional Hospital of Tombouctou, Tombouctou, Mali

出　　处：《Surgical Science》2022年第5期265-271,共7页外科学（英文）

摘　　要：Objective: To study the diagnostic and therapeutic aspects of uncomplicated inguinal hernias in the general surgery unit of CSRéf CII. Method: This was a prospective, descriptive, single-centre study from 1 January 2016 to 31 December 2016 of 84 patients operated on for inguinal hernias in the general surgery unit of CSRéf CII. Results: Inguinal hernia accounted for 8% of surgical consultations and hernia repair accounted for 30.22% of surgical procedures. Hernia repair accounted for 30.22% of surgical procedures. The male sex was the most represented with a ratio of 7.40. The average age of our patients was 43.19 years. Recurrence occurred in 10% of cases. The right side was most affected in 71.43% of cases, 19.05% on the left side in;it was bilateral in 09.52%. Local anaesthesia was used in 67.86% of our patients, general anaesthesia in 13.09% of cases and locoregional anaesthesia in 19.05% of cases. The hernia was external oblique in 75% of cases. Shouldice’s technique was the most used with 88%;Bassini’s technique was used in 7% and Mac Vay’s in 5% of cases. The postoperative course was simple in 96.43% of cases, with an early postoperative morbidity rate of 3.57%, one case of wall abscess and two cases of parietal haematoma. No deaths were observed during our study. Conclusion: The new methods of tension-free cure should be used more and more by our users in our facilities.Objective: To study the diagnostic and therapeutic aspects of uncomplicated inguinal hernias in the general surgery unit of CSRéf CII. Method: This was a prospective, descriptive, single-centre study from 1 January 2016 to 31 December 2016 of 84 patients operated on for inguinal hernias in the general surgery unit of CSRéf CII. Results: Inguinal hernia accounted for 8% of surgical consultations and hernia repair accounted for 30.22% of surgical procedures. Hernia repair accounted for 30.22% of surgical procedures. The male sex was the most represented with a ratio of 7.40. The average age of our patients was 43.19 years. Recurrence occurred in 10% of cases. The right side was most affected in 71.43% of cases, 19.05% on the left side in;it was bilateral in 09.52%. Local anaesthesia was used in 67.86% of our patients, general anaesthesia in 13.09% of cases and locoregional anaesthesia in 19.05% of cases. The hernia was external oblique in 75% of cases. Shouldice’s technique was the most used with 88%;Bassini’s technique was used in 7% and Mac Vay’s in 5% of cases. The postoperative course was simple in 96.43% of cases, with an early postoperative morbidity rate of 3.57%, one case of wall abscess and two cases of parietal haematoma. No deaths were observed during our study. Conclusion: The new methods of tension-free cure should be used more and more by our users in our facilities.

关 键 词：Inguinal Hernias STRANGULATION Management CSRéf CII 

分 类 号：G63[文化科学—教育学]