VOLUMETRIC CLASSIFICATION OF INGUINOSCROTAL SWELLINGS.

Autor:	Dumbuya SS; Department of Surgery, College of Medicine and Allied Health Sciences (COMAHS), University of Sierra Leone, and Connaught Hospital, University of Sierra Leone Teaching Hospitals Complex, Freetown, Sierra Leone., Ayandipo OO; Department of Surgery, College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria., Smalle IO; Department of Surgery, College of Medicine and Allied Health Sciences (COMAHS), University of Sierra Leone, and Connaught Hospital, University of Sierra Leone Teaching Hospitals Complex, Freetown, Sierra Leone., Boima JC; Department of Surgery, College of Medicine and Allied Health Sciences (COMAHS), University of Sierra Leone, and Connaught Hospital, University of Sierra Leone Teaching Hospitals Complex, Freetown, Sierra Leone., Dawo MA; Department of Surgery, College of Medicine and Allied Health Sciences (COMAHS), University of Sierra Leone, and Connaught Hospital, University of Sierra Leone Teaching Hospitals Complex, Freetown, Sierra Leone., Ajagbe OA; Department of Surgery, University College Hospital, Ibadan, Nigeria., Ogundiran TO; Department of Surgery, College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria.
Jazyk:	angličtina
Zdroj:	Annals of Ibadan postgraduate medicine [Ann Ib Postgrad Med] 2022 Dec; Vol. 20 (2), pp. 115-119.
Abstrakt:	Background: External hernias and scrotal swellings are diverse in presentation and are described in many subjective ways. Aim: To create an objective classification of inguinoscrotal swellings in the rural setting. Patients and Methods: It was a prospective study on the measurement of inguinoscrotal swellings volume/contents in a cohort of surgical patients in a provincial general hospital in the north of Sierra Leone over a three-year period. For inguinal hernias and other scrotal swellings, the volume ranges of 0- 500ml were used in the classification; for femoral and other external hernias which generally do not reach 'huge' sizes, the volume ranges of 0-100 ml were used. Results: A total of 962 external hernias and hydroceles were classified over a 3- year period. Most, 610 (63.4%) were inguino-scrotal hernias, others were hydroceles, 303 (31.0%) and femoral hernias, 42 (4.3%). The remaining small number consisted of umbilical (4) and epigastric (3) hernias. For the common conditions of hydroceles, inguinal and femoral hernias, about 50% were 'small', more than 40% were 'large', the rest were giant. The same findings were true for epigastric and umbilical hernias. Conclusion: Using the scale that we adopted, majority of the groin hernias and hydroceles were in the small and large categories with a few giant varieties. Volumetric-based classification of hernias and hydroceles can help surgeons communicate more clearly based on standard rather than arbitrary ascription of descriptive terminologies to these very common surgical entities. (© Association of Resident Doctors, UCH, Ibadan.)
Databáze:	MEDLINE
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