External hernia in Nigerian children
| Autor: | J. T. Momoh |
|---|---|
| Rok vydání: | 1985 |
| Předmět: |
Male
medicine.medical_specialty Incisional hernia 030231 tropical medicine Population Nigeria Hernia Inguinal White People 03 medical and health sciences Quadrant (abdomen) 0302 clinical medicine 030225 pediatrics medicine Humans Hernia education Child education.field_of_study business.industry General surgery Epigastric hernia Infant Newborn Infant medicine.disease digestive system diseases Umbilical hernia Surgery Testicular Hydrocele stomatognathic diseases Inguinal hernia surgical procedures operative El Niño Child Preschool Pediatrics Perinatology and Child Health Female business Hernia Umbilical |
| Zdroj: | Annals of tropical paediatrics. 5(4) |
| ISSN: | 0272-4936 |
| Popis: | External hernias as seen in Nigeria constitute a major aspect of paediatric surgical practice. A review of 510 cases seen over a period of 10 years showed that, of those with inguinal hernia, 54% had right inguinal hernia (RIH), 35% left inguinal hernia (LIH), 9% bilateral inguinal hernia (BIH) and 2% hydroceles. There was a 4% incarceration rate which was, however, associated with a high (75%) strangulation rate. Thirty-one per cent of those who had contralateral groin dissection had patent processus vaginalis. This was age-dependent, ranging from 60% at 3 months to 28% at 1 year; only a half of these are likely to present with clinical hernia later in life. The incidence of umbilical hernia in the population is not known, but 35% of those who present for treatment do so because of obstruction/strangulation. Two patients had paraumbilical epigastric hernia and one a transverse incisional hernia in the left lower abdominal quadrant. On comparing our findings with Caucasian-based data, it was observed that Nigerian children had a lower female incidence of inguinal hernia, but a higher incidence of LIH, and that in them the processus vaginalis obliterated more often and at a faster rate than in Caucasians. |
| Databáze: | OpenAIRE |
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