Survival and Quality of Life of Patients After Rectal Cancer Surgery in a Low-Income Country: A Study in Cameroon, Sub-Saharan African Region

Bang, Guy Aristide; Savom, Eric Patrick; Bwelles, Georges; Fayam, Julienne Yambassa; Boukar, Yannick Mahamat Ekani; Oumarou, Ousmana; Essomba, Arthur; Sosso, Maurice Aurélien

doi:10.2139/ssrn.3824691

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“…The place of incisional hernias remains unknown in our context, but parietal surgery by laparoscopic approach is increasingly practiced by certain specialized departments [9] [10] [11]. The aim of this study was to make an inventory of laparoscopic surgery for incisional hernias in our country, to describe the operative technique and the local adaptations used and to evaluate the postoperative morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Surgery of Incisional Hernia: Technique and Short-Term Results in Three Surgical Units in Cameroon

Bang,

Savom,

Otiti

et al. 2024

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Introduction: Incisional hernia is a common medical situation and its treatment has always been a challenge for general surgeons. If laparoscopic repair has become a gold standard elsewhere, it is increasingly done in our milieu, but no data has been found. The aim of this study was to review this surgery done in our country so far, to describe the operative technique and to evaluate the postoperative outcomes. Patients and Methods: We conducted an observational descriptive study with retrospective collection of data from the 1 st of July 2018 to 30 th of June 2022, in three hospitals in Cameroon. Data on socio-demographic and clinical characteristics, surgical technique and postoperative outcomes of patients who had a laparoscopic repair of their incisional hernia were collected. Results: We reviewed 20 files. There were 14 women with an average age of 54.6 years. The average BMI was 32.8 kg/m 2 . Thirteen patients had a moderate size hernia and the hernia was localized at the midline in 18 cases. Only composite biface meshes were used with dimensions chosen to obtain at least 5 cm overlap. Spiral tacks were the only fixation means used. We registered 3 complications. One case of generalized peritonitis secondary to missed digestive perforation, one case of seroma and one case of postoperative ileus. We registered no death. Conclusion: Laparoscopic repair of incisional hernias is feasible in a resource-limited setting like ours. Compliance with the operative technique and recommendations is important to obtain short-term results closed to that put forward by literature.

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Section: Introductionmentioning

confidence: 99%