Morbidity and Mortality of Emergency Hernia Surgery in Adults in Bujumbura: Analysis of Favourable Factors  

作　　者：Stève Nkurunziza Prudence Bukuru Stany Harakandi Paul Banderembako Révérien Ndayirorere Guy Darcy Nibogora Jean Marie Nizeyimana Jean Claude Mbonicura Stève Nkurunziza;Prudence Bukuru;Stany Harakandi;Paul Banderembako;Révérien Ndayirorere;Guy Darcy Nibogora;Jean Marie Nizeyimana;Jean Claude Mbonicura(General and Gastro-Intestinal Surgery, Universitary Center for Health Research, Faculty of Medicine, University of Burundi, Bujumbura, Burundi;Faculty of Health Sciences, Department of Anesthesia-Resuscitation, Hope Africa University, Bujumbura, Burundi;Department of Anesthesia-Resuscistation, Prince Louis Rwagasore Clinic, Bujumbura, Burundi;Department of Anesthesia-Resuscitation, Universitary Center for Health Research, Faculty of Medicine, University of Burundi, Bujumbura, Burundi;Andro-Urology, Universitary Center for Health Research, Faculty of Medicine, University of Burundi, Bujumbura, Burundi;Association Burundaise de Chirurgie (ABUC), Bujumbura, Burundi)

机构地区：[1]General and Gastro-Intestinal Surgery, Universitary Center for Health Research, Faculty of Medicine, University of Burundi, Bujumbura, Burundi [2]Faculty of Health Sciences, Department of Anesthesia-Resuscitation, Hope Africa University, Bujumbura, Burundi [3]Department of Anesthesia-Resuscistation, Prince Louis Rwagasore Clinic, Bujumbura, Burundi [4]Department of Anesthesia-Resuscitation, Universitary Center for Health Research, Faculty of Medicine, University of Burundi, Bujumbura, Burundi [5]Andro-Urology, Universitary Center for Health Research, Faculty of Medicine, University of Burundi, Bujumbura, Burundi [6]Association Burundaise de Chirurgie (ABUC), Bujumbura, Burundi

出　　处：《Surgical Science》2023年第12期758-769,共12页外科学（英文）

摘　　要：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.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.

关 键 词：HERNIA STRANGULATION HERNIORRHAPHY MORBIDITY MORTALITY Early 

分 类 号：R68[医药卫生—骨科学]