Prise en Charge des Hernies de l’aine : Expérience d’un Hôpital Confessionnel en Zone Rurale au Togo
| Autor: | Simona Villa, Badjona Songne-Gnamkoulamba, Efoé-Ga Yawod Olivier Amouzou, Kokou Kouliwa Kanassoua, Boniface Apetogbo, Abossisso Sakiye, Fousseni Alassani, Raouf Fayissal Geraldo, B. Tchangai, Biréga Koutora |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Gynecology
medicine.medical_specialty Gauche effect business.industry 05 social sciences 02 engineering and technology Femoral hernia medicine.disease Inguinal hernia 0502 economics and business 0202 electrical engineering electronic engineering information engineering medicine 020201 artificial intelligence & image processing Hernia business 050203 business & management |
| Zdroj: | European Scientific Journal ESJ. 15 |
| ISSN: | 1857-7431 1857-7881 |
| DOI: | 10.19044/esj.2019.v15n18p191 |
| Popis: | Background: This paper focuses on describing the management of groin hernias in rural zone in Togo. Methodology: It is a descriptive transversal study, which include patients treated for groin hernias, at Saint Jean de Dieu Hospital of Afagnan, from January to September 2018 (9 months). Results: One hundred and sixty-one (161) patients were operated for groin hernias. They comprised of 146 men and 15 women, with an average age of 40.52 ± 20.02 years old (extremes: 1 year and 80 years old). They were mainly people involved in strenuous activities. 62.73% of the patients had inguinoscrotal hernia, 32.30% had inguinal hernia, and 4.97% had femoral hernia. The hernia was located on the right in 54.66% of cases, and on the left in 36.02% of cases. It was bilateral in 9.32% of cases. The majority of patients were operated during operating program. 13 patients (8.07%) underwent an emergency operation for strangulated hernias. Shouldice technique was used for inguinal and inguinoscrotal hernias (147 cases), and Mac Vay technique was used for femoral hernias. The postoperative course was simple in 157 cases (97.52%) and complicated in 4 cases (2.48%). Conclusion: Groin hernias are common pathologies in rural surgical practice. Classical herniorraphy techniques are used majorly for its treatment. Objectif : Decrire la prise en charge des hernies de l’aine en zone rurale au Togo. Methodologie : Etude transversale descriptive, incluant les patients pris en charge pour hernies de l’aine a l’Hopital Saint Jean de Dieu d’Afagnan, de Janvier a Septembre 2018 (9 mois). Resultats : Cent soixanteun patients ont ete operes de hernies de l’aine. Il y avait 146 hommes et 15 femmes, avec une moyenne d’âge de 40,52 ± 20,02 ans (extremes : 1 an et 80 ans). Il s’agissait essentiellement des personnes exercant des activites de force. 62,73% des patients avaient une hernie inguino-scrotale, 32,30% avaient une hernie inguinale et 4,97% une hernie crurale. La hernie siegeait a droite dans 54,66% des cas, a gauche dans 36,02% des cas et dans 9,32% des cas elle etait bilaterale. La prise en charge a ete faite en chirurgie programmee pour la majorite des patients. Treize patients (8,07%) ont ete operes en urgence pour hernies etranglees. La technique de Shouldice etait majoritairement utilisee pour les hernies inguinales et inguino-scrotales (147 cas) et la technique de Mac Vay pour les hernies crurales. Les suites operatoires etaient simples dans 157 cas (97,52%), et emaillees de complications dans 4 cas (2,48%). Conclusion : Les hernies de l’aine sont courantes en pratique chirurgicale rurale. Les techniques classiques d’herniorraphie constituent leur principal moyen therapeutique. |
| Databáze: | OpenAIRE |
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