Ohene-Yeboah M, Abantanga F, Oppong J, Togbe B, Nimako B, Amoah M, Azorliade R
Department of Surgery, Komfo Anokye Teaching Hospital, School of Medical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Private Mail Bag, University Post Office, Kumasi, Ghana, West Africa.
Hernia. 2009 Oct;13(5):529-32. doi: 10.1007/s10029-009-0491-4. Epub 2009 Mar 20.
In our communities there are large numbers of longstanding external hernias that remain untreated. This paper describes the epidemiological characteristics of these hernias. The data is expected to provide guidelines for sustained national and international efforts to reduce the burden of hernia by performing large-scale elective hernia repairs.
Between January 1998 and December 2007, a simple pro-forma was designed and used to record, in a prospective manner, the age, sex of patient and anatomical site of all external hernias seen and operated on both as emergencies and non-emergencies. These were patients who presented to a single general and paediatric surgeon at the Komfo Anokye Teaching Hospital in Kumasi, Ghana.
A total of 2,506 patients were studied, of which 1,930 were male and 576 female, giving a male:female ratio of 3.4:1. Inguinal hernia was seen in 1,766 patients: 1,613 males and 153 females, a male:female ratio of 10.5:1. Children 4 years old or younger accounted for 20.9% of inguinal hernias. Femoral hernia was seen in 79 patients: 70 females and 9 males. These groin hernias were diagnosed in 1,845 patients, accounting for 73.6% of all patients. Incisional hernia was diagnosed in 380 patients (15.2%): 179 males and 201 females-a male:female ratio of 1:1.1. These two hernia types (groin and incisional) were seen in 2,225 patients, representing 88.8% of all the patients studied. All other hernias studied, including para-umbilical, umbilical and epigastric, were seen in 281 patients, representing 11.2% of the hernias studied.
The epidemiology of external hernias seen and treated in our hospital is no different from that of hernias in other communities. Sustained efforts at elective repair will reduce the vast numbers of untreated accumulated hernias in our communities and thus prevent unnecessary morbidity and mortality.
在我们的社区中，有大量长期存在的外部疝气未得到治疗。本文描述了这些疝气的流行病学特征。这些数据有望为国家和国际持续开展的大规模选择性疝气修补手术以减轻疝气负担的努力提供指导方针。
在1998年1月至2007年12月期间，设计并使用了一种简单的表格，以前瞻性方式记录所有接受紧急和非紧急手术治疗的外部疝气患者的年龄、性别以及解剖部位。这些患者均在加纳库马西的Komfo Anokye教学医院由一名普通外科和儿科外科医生接诊。
共研究了2506例患者，其中男性1930例，女性576例，男女比例为3.4:1。1766例患者患有腹股沟疝：男性1613例，女性153例，男女比例为10.5:1。4岁及以下儿童占腹股沟疝患者的20.9%。79例患者患有股疝：女性70例，男性9例。这两种腹股沟疝在1845例患者中被诊断出，占所有患者的73.6%。380例患者（15.2%）被诊断为切口疝：男性179例，女性201例，男女比例为1:1.1。这两种疝类型（腹股沟疝和切口疝）在2225例患者中出现过，占所有研究患者的88.8%。所有其他研究的疝，包括脐旁疝、脐疝和上腹部疝，在281例患者中出现，占所研究疝的11.2%。
我院所见及治疗的外部疝气的流行病学情况与其他社区的疝气情况并无不同。持续进行选择性修补手术将减少我们社区中大量未治疗的累积疝气，从而预防不必要的发病和死亡。
