Inguinal hernia is the spontaneous or progressive, temporary or permanent passage of viscera or part of viscera out of the cavity that normally contains it. This passage is made through an anatomically preformed area of weakness in the inguinal canal. The diagnosis of inguinal hernia is primarily clinical (inguinal swelling). Objectives: To study the epidemiological, diagnostic and therapeutic aspects of inguinal hernias in the general surgery unit of the Centre de Santé de Référence (CSRéf) in Fana. Results: 431 surgical interventions. 147 inguinal hernias including 12 cases of strangulation, The frequency of hernia was 34.11% in relation to surgical procedures, The 15-29 age group accounted for 32.7% of cases, The sex ratio was:35.75 in favour of men, In our study, farmers accounted for 53.06% of the total, Bilateral inguinal hernia which accounted for 57.14%, Patients who underwent para-rectal inguinotomy accounted for 88.4%, The Bassini technique was used in 70.75% of our patients, The operative follow-up was complicated in 19.73% of our patients, We recorded one case of death (0.7%). Conclusion: Inguinal hernia is a common surgical condition, preferentially affecting the male subjects and farmers, with a predominance of young people aged 15 to 25 years.

The aim is to study acute appendicitis in the surgery department of the Markala Reference Health Center. Patients and Methods: We conducted a retrospective study in the general surgery department of the reference health center which took place over a period of 35 months from October 1, 2019 to October 30, 2021. The retrospective period was from the month of October 2019 in October 2020 then follows the prospective period until October 2021. Inclusion criteria: Were included in our study; all patients with appendicitis or its complicated forms in the general surgery department of the Csréf in Markala. Non-inclusion criteria: Were not included in our study; cases of appendicitis outside the general surgery department of the Csréf. -Appendicitis accounted for 58.2% of hospitalizations or 31% of emergency surgeries performed during the study period. 85.4% of the patients were without medical-surgical ATCD, on the other hand the oldest of our patients was 61 years old; the average age was 29 years old and the youngest was 13 years old. Furthermore, we note that there was no age of onset of appendicitis. The treatment received by all of our patients was appendectomy (93 cases were operated on urgently and the 10 cases were first cooled and then operated on 3 months after the medical treatment). No major complication was noted in our patients, apart from three cases of infection of the surgical site related to the fact that it was an appendicular abscess. Conclusion: Acute appendicitis is one of the most common surgical emergencies in digestive surgery. Its diagnosis is essentially clinical, sometimes made difficult by the absence of anatomo-clinical parallelism linked to the polymorphism of the lesions and the variations in the position of the organ in the abdominal cavity. Untreated, it can progress to serious complications (generalized peritonitis). It is a condition with low morbidity and mortality subject to early diagnosis and surgical treatment.

Described since the 15th century by Ambroise Paré, adult hydrocele is an abnormal collection of serous fluid in the space between the parietal and visceral layers of the tunica vaginalis It is generally a lesion acquired by attack of the integrity of the vagina, unlike the hydrocele of the child due to the persistence of the peritoneal-vaginal canal. Purpose: To study the epidemiological, clinical and therapeutic aspects of hydrocele in the reference health center of Fana. Methodology: A descriptive prospective study, conducted from January 1, 2020 to December 31, 2020 of the CSRéf of Fana. Results: We collected 66 cases of hydroceles be 16.8% of surgical activities. The average age of disease was 49.27 ± 4 years. The age of 60 to 74 was the most represented with a frequency of 39.4%; Harming during physical activities has been the most common reason for consultation and accounted for 51%. The hydrocele was idiopathic in the majority of our patients in our study, or 65%. The nature of the vaginal fluid was yellow citrin in the majority of patients or 90.9%. Hernie was the most frequently associated pathology with the hydrocele (11 out of 26) or 42%. The Bergman technique was used in 77% of patients and closing the peritoneo-vaginal canal in 23%. Morbidity was 4.5% (3 cases) with hematoma type and 1.5% (1 case) with type of infection. The mortality rate has been zero. Conclusion: Vaginal hydrocele is a pathology that remains frequent in tropical regions. Surgical treatment by total vaginal resection with hemostatic overlock gives good results. Its morbidity is low, dominated by intrascrotal hematoma and infection of the surgical site which are generally well controlled by rigorous care.

Vaccination is one of the most efficient public health interventions in developing countries with epidemiological facies dominated by communicable diseases. Objective: To evaluate the efficiency of the logistical management of routine EPI vaccines and consumables in the Fana health district from 01 December 2018 to 30 November 2019. Results: The efficiency of the health areas in monitoring the storage temperature of vaccines (+2°c to +8°c) was 94.54%. The district obtained a rate of 100% in the management of stocks of vaccines and consumables. As for the quality of the cold chain equipment, the average rate obtained by the health district was 96.81%. The rate obtained by the district was 100% in relation to the maintenance of the cold chain equipment. In stock management, the average rate recorded in the district was 97.27%. The district obtained a rate of 100% in the efficiency of the vaccine management system. The average rate obtained by the district was 96.59% in the correct use of diluents. In the implementation of the Policy on opened vials (PFE), the rate obtained by the district was 90.81%. During the period, the management is 89.18% for the control of vaccine losses. Conclusion: All the cold chain equipment used for vaccine storage (Churchill solar fridges and vaccine carriers) comply with World Health Organization standards.

Objectives: To evaluate the surgical activities of the surgical unit of the Fana Health Centre. This was a prospective and descriptive study carried out in the surgical unit of the Fana Health Centre over a period of 12 months (01 July 2020 to 30 June 2021). Results: 331 surgical consultations with 242 surgical pathologies operated on, i.e. 73.11%. Men were more affected than women with a sex ratio of 2.9 and a predominance of young adults aged 16-30 years with 28.51%. The main disease groups encountered were the digestive disease class with a rate of 82.23% in first place, followed by diseases of the urinary system with 19.83%. The average length of hospital stay was 5 days. We observed that of the 242 patients operated on, 10 died (6 from septic shock and 4 from pulmonary embolism). Conclusion: This work has enabled us to highlight the surgical activities of the surgical unit at the Fana Health Centre, to evaluate its performance and shortcomings.