Strangulated groin hernia prognosis in adults in sub-Saharan African context: Retrospective study at Zinder, Niger | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 43, Issue 2, April 2024 PDF (141.11 K) | ||||
| DOI: 10.4103/ejs.ejs_253_23 | ||||
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| Authors | ||||
| Harissou Adamou; Ibrahim Magagi Amadou; Ousseini Adakal; Abdel Nasser M. Hamidou; Maman Laoul Hassane; Lassey James Didier; Rachid Sani | ||||
| Abstract | ||||
| Background In our context, hernial strangulation has a high incidence. The aim of this work was to investigate prognostic factors in adults diagnosed with strangulated groin hernia. Patients and Methods This was a retrospective cross-sectional study conducted at Zinder National Hospital between 1 January 2016 and 31 December 2022 (7 years). Clinical and prognostic data were collected. Results Out of 568 patients who underwent surgery for groin hernia, 230 cases were strangulated (40.49%). Mean age was 47.8±16.6 years. The proportion of males was 86.65%, i.e. the sex ratio was 5.96. Inguinal hernia accounted for 85.2% (=196). The median operative time was 7 h. The Bassini procedure was the most common with 83.5% (=192). Small bowel was the content of the hernia sac in 80% (=184). Intestinal necrosis occurred in 10.9% (=25). This was associated with femoral location (OR=5.39, =0.00003). Intestinal resection was performed in 13.9% (=32) and stoma in 1.7% (=4). Postoperative complications occurred in 25.2% (=58). The overall mortality (grade V) was 6.5% (=15). Mortality was statistically associated with age > 60 years (OR=5.16; =0.0016), admission time (OR=3.20; =0.028), time to surgery > 8 h (OR=4.20; =0.005) and occurrence of necrosis (OR=9.39; =0.000). Conclusion Strangulated groin hernia is a common surgical emergency. Its prognosis is associated with advanced age, femoral location, and diagnostic and therapeutic delay. | ||||
| Keywords | ||||
| Epidemiology; groin; prognosis; strangulated hernia; zinder | ||||
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