A prospective cohort study comparing the African and European hernia

Sanders, Dawn; Porter, Christine S.; Mitchell, K. C. D; Kingsnorth, Andrew

doi:10.1007/s10029-008-0369-x

Cited by 55 publications

(50 citation statements)

References 5 publications

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“…While, when searching the common medical literature and textbooks specifically for the term "scrotal hernia", only sparse information will be found. [8][9][10] And, usually these authors refer much more to the "inguino-scrotal" hernia" or the "acute scro Pediatr Neonatal Nurs Open J tum" entity, than to the well defined "scrotal" hernia as already mentioned in the previous paragraphs.…”

Section: Discussionmentioning

confidence: 99%

Giant Scrotal Hernia in a Tiny Male Infant

Fette¹

2014

Pediatr Neonatal Nurs Open J

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Inguinal hernia is a common diagnosis in children. A real scrotal hernia is less common and underreported in medical textbooks. In this case a tiny Libyan boy was admitted with a big swelling of the left groin and hemiscrotum. His clinical findings have been mistaken for a longer time, until the definitive diagnosis has been made. During surgery a giant real scrotal hernia has been dissected and successfully repaired. All specific findings in this special case of infant scrotal hernia are discussed in front of a literature review.

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Section: Discussionmentioning

confidence: 99%

Giant Scrotal Hernia in a Tiny Male Infant

Fette¹

2014

Pediatr Neonatal Nurs Open J

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“…In contrast reports from Europe and America indicate that only 1-3% of hernias present to hospital as emergencies. [15][16] This is an important difference in the epidemiology of inguinal hernia in Africa as compared to that in Europe.…”

Section: Discussionmentioning

confidence: 99%

“…The result of such very low repair rates is that many men in Ghana walk around with long-standing untreated inguinal hernias. 15 There are no previous studies in Ghana or Kumasi that report the reasons patients with inguinal hernia do not get an elective repair or why repair rates are so low. The current study was not designed to reveal these reasons.…”

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confidence: 99%

Strangulated Inguinal Hernia in Adult Males in Kumasi

Ohene-Yeboah¹,

Dally²

2014

Ghana Medical Journal

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SUMMARYBackground: The complications of untreated inguinal hernias are common surgical emergencies in adult Ghanaian men. Objective: To describe the epidemiology of strangulated inguinal hernia in adult males in Kumasi. Method: From the hospital records the age and sex of all male adult patients treated for strangulated inguinal hernia were recorded at the Komfo Anokye Teaching Hospital(KATH), the University Hospital (UH), the Seventh Day Adventist Hospital (SDAH) and the Kumasi South Hospital (KSH) for the period January 2007 to December 2011 inclusive. The total number of inguinal hernia repairs from all four facilities was also recorded. The annual incidence of strangulated inguinal hernia and the hernia repair rates were estimated using the 2010 population data. Results: Five-hundred and ninety-two cases of strangulated inguinal hernia were treated over the five years. The incidence of strangulated inguinal hernia was 0.26%. A total of 2243 inguinal hernia repairs were performed and 26.4 % of these repairs were for strangulation. The total number of inguinal hernia repairs averaged 77.3 repairs per 100 000 adult males per year and the elective repair rate was low at 0.9%. Conclusion: There is the need to increase the levels of elective repair of inguinal hernia in Kumasi.

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“…1 These observations in Ghana probably refl ect the state of the art in most parts of Africa, where much higher percentages of indirect and inguinoscrotal types, emergency cases, morbidities and mortalities following surgery for inguinal hernias have been reported. 2,3,8,[12][13][14] It has been reported that as high as 20-77% of inguinal hernia surgery output in Africa present as emergencies compared to 1-3% seen in Europe and America. 2,3,9,12,[14][15][16][17] In Kampala, Uganda, 14 analysis of 208 groin hernias showed that 195 (93.7%) were inguinal hernias and 81.5% of these inguinal hernias were of indirect type.…”

Section: Introductionmentioning

confidence: 99%

“…2,3,8,[12][13][14] It has been reported that as high as 20-77% of inguinal hernia surgery output in Africa present as emergencies compared to 1-3% seen in Europe and America. 2,3,9,12,[14][15][16][17] In Kampala, Uganda, 14 analysis of 208 groin hernias showed that 195 (93.7%) were inguinal hernias and 81.5% of these inguinal hernias were of indirect type. Further analysis showed that 54.5% of the inguinal hernias were strangulated at the time of presentation while signifi cant complications occurred in 41.8% after repair.…”

Section: Introductionmentioning

confidence: 99%

Elective repair of uncomplicated inguinal hernia in south eastern nigerian

Ogbuanya

Ogadi

2015

Asian J Med Sci

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A B S T R A C T Aims and Objectives:Inguinal hernia repair is the most common operation in general surgery worldwide. Elective repair to safeguard complications is recommended because outcomes of early repair are uniformly superior to results of emergency operations. This study aimed to document our own experiences with regards to elective repair of uncomplicated inguinal hernia and compare our fi ndings with previous data. Materials and Methods: This is a descriptive prospective study of 261 consecutive patients with uncomplicated inguinal hernias repaired electively at Federal Teaching Hospital, Abakaliki, southeastern Nigeria between January 2010 to December 2012. Relevant data extracted and analyzed with SPSS version 22.0 included patients' demographics, clinical details, surgical repairs and outcome measures. Result: A total of two hundred and sixty one patients with 306 uncomplicated inguinal hernias repaired electively were enrolled. The age range of the patients was 2 months -88 years with a mean age of 35.7 +/-SD 16.6. Majority (46.4%) of the patients presented with hernias on the right side, the rest either had hernias on the left(36.4%) or both sides (17.2%). At operation, 203 (66.3%) hernias were indirect, 96 (31.4%) direct and 7 (2.3%) pantaloon hernias. Modifi ed Bassini repair was used in the majority (66.7%) of patients. Complications occurred in only 9.7% of repairs. At a median follow up of 8 months, 1 (0.3%) hernia recurrence was seen. No mortality was recorded. Conclusion: Inguinal hernias in our environment are very common, but often neglected. Our results show that elective repair is critical for preventing devastating complications and ensuring successful surgical outcomes.

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A prospective cohort study comparing the African and European hernia

Abstract: In Ghana (a developing country), the hernia is larger than the UK hernia. The majority of Ghanaian hernias are indirect and occur in a young population. This places an economic burden on the country. Appropriate management is needed to reduce the pool of these hernias.

Cited by 55 publications

References 5 publications

Giant Scrotal Hernia in a Tiny Male Infant

Giant Scrotal Hernia in a Tiny Male Infant

Strangulated Inguinal Hernia in Adult Males in Kumasi

Elective repair of uncomplicated inguinal hernia in south eastern nigerian

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