[Adult Parietal Hernias At The Chad-China Friendship Hospital In N'djamena. Epidemiological, Clinical, Diagnostic And Therapeutic Aspects].

Autor: Adami AM; Centre Hospitalier Universitaire de la Mère et de l'Enfant de N'Djaména, BP 6667.; Chirurgie générale.; Département de Chirurgie et Spécialités/Faculté des Sciences de la Santé Humaine/Université de N'djaména Tchad, BP 1117., Kadre MM; Hôpital de l'Amitié Tchad-Chine.; Chirurgie générale.; Département de Chirurgie et Spécialités/Faculté des Sciences de la Santé Humaine/Université de N'djaména Tchad, BP 1117., Abdraman MN; Hôpital de l'Amitié Tchad-Chine.; Chirurgie générale.; Département de Chirurgie et Spécialités/Faculté des Sciences de la Santé Humaine/Université de N'djaména Tchad, BP 1117., Ngare A; Hôpital de l'Amitié Tchad-Chine.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2023; Vol. 38 (2), pp. 23-27.
Abstrakt: Introduction: Parietal hernias were the first pathology after appendicitis at the Chad-China Friendship Hospital.
Objective: The aim of this study was to specify the epidemiological, clinical, diagnostic and therapeutic aspects of parietal hernias.
Patients and Method: This was a retrospective descriptive cross-sectional and analytical study of adult patients operated for parietal hernias between June 2015 and July 2020.
Results: Of the 386 cases, there were 281 men (72.8%) and 105 women (27.2%). The sex ratio was 2.68. The mean age of the patients was 43.14 years with extremes of 20 and 79 years. In 7.5% of the cases, it was the strangulated hernias received in emergency (n=29). Inguinal hernia (n=268) was the most frequent variety with 69.4% of cases, followed bylinea alba hernia (78=20.2%) and umbilical hernia (40=10.4%). The main surgical technique used was the Bassini technique. Postoperative complications were 2 cases of hemorrhage (0.5%), 4 cases of hematoma (1%), 7 cases of urinary retention (1.8%) and 10 cases of parietal suppuration (2.6%).
Conclusion: Parietal hernias are dominated by inguinal hernias. Raphy was the only technique performed. Early consultations could prevent complications.
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Databáze: MEDLINE
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