Strangulated Inguinal Hernia in Adult Males in Kumasi

Abstract

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.

Emergency laparotomy at district hospitals in a developing nation: a review of indications and outcomes of treatment

“…Data on emergency abdominal operations in rural southeast Nigeria are scanty and the existing data from urban southeast Nigerian hospitals no longer satisfy the clamor by the World Health Organization (WHO) for robust clinical data on safe surgical and anesthesia care in the district hospitals in developing nations (1,4,8). More so, patients in developing nations (sub-Saharan African countries inclusive) commonly present late to the surgeon after several delays at prehospital stage and delay engendered by late referral by non-surgeon physicians (11,15,16). Therefore, delayed treatment of patients with acute abdominal conditions especially when accompanied with comorbid medical diseases, of which patients are often unaware, make management of abdominal emergencies very challenging in many communities across Africa and other LMICs (1,2,9,13,15).…”

“…More so, patients in developing nations (sub-Saharan African countries inclusive) commonly present late to the surgeon after several delays at prehospital stage and delay engendered by late referral by non-surgeon physicians (11,15,16). Therefore, delayed treatment of patients with acute abdominal conditions especially when accompanied with comorbid medical diseases, of which patients are often unaware, make management of abdominal emergencies very challenging in many communities across Africa and other LMICs (1,2,9,13,15). The situation is likely to be more deplorable in the rural setting of sub-Saharan Africa due to numerous socio-cultural barriers against orthodox treatment, poverty and poor road networks (1,13,15).…”

“…Therefore, delayed treatment of patients with acute abdominal conditions especially when accompanied with comorbid medical diseases, of which patients are often unaware, make management of abdominal emergencies very challenging in many communities across Africa and other LMICs (1,2,9,13,15). The situation is likely to be more deplorable in the rural setting of sub-Saharan Africa due to numerous socio-cultural barriers against orthodox treatment, poverty and poor road networks (1,13,15). This is the first regional study to look in the direction of the etiological spectrum of acute abdominal emergencies and treatment outcomes among rural dwellers of southeast Nigeria.…”

Elective repair of uncomplicated inguinal hernia in south eastern nigerian

“…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.…”

Bowel Perforation Complicating an Incarcerated Inguinal Hernia

“…This difference is thought to represent the availability of elective hernia repair in developed countries. 3 The differential diagnosis for a groin mass includes: an abscess, lymphadenopathy and soft tissue tumors. 1 In this case, the patient attempted to drain the suspected abscess with a needle, resulting in bowel perforation.…”