General and Gastrointestinal Surgery Service, Virgen de la Arrixaca University Hospital, El Palmar, Murcia, Spain.
World J Surg. 2012 Dec;36(12):2795-801. doi: 10.1007/s00268-012-1768-9.
Hernia is especially prevalent in developing countries where the population is obliged to undertake strenuous work in order to survive, and International Cooperation Programmes are helping to solve this problem. However, the quality of surgical interventions is unknown. The objective of the present study was to evaluate the quality of hernia repair processes carried out by the Surgical Solidarity Charity in Central African States.
A total of 524 cases of inguinal hernia repair carried out in Cameroon and Mali during 2005 to 2009 were compared with 386 cases treated in a Multicentre Spanish Study (2003). General data (clinical, demographic, etc.), type of surgery, complications, and effectiveness and efficiency indicators were collected.
Preoperative studies in the Spanish group were greater in number than in the African group. The use of local anesthesia was similar. Antibiotic prophylaxis was higher in the African group (100% to 75.4%). The use of mesh was similar. The incidence of hematomas was higher in the Spanish group (11.61% to 4.61%), but the incidence of infection of the wound and of hernia recurrence was similar, although follow-up was only carried out in 20.97% in the African group (70% in the Spanish group). Hospital stay of more than 24 h was higher in the Spanish group.
The standard quality of surgery for the treatment of hernia in developing countries with few instrumental means, and in sub-optimal surgical conditions is similar to that provided in Spain.
疝在发展中国家尤为普遍，这些国家的人民为了生存不得不从事艰苦的工作，国际合作项目正在帮助解决这个问题。然而，手术干预的质量尚不清楚。本研究的目的是评估中非国家外科团结慈善组织实施的疝修补手术过程的质量。
比较了 2005 年至 2009 年在喀麦隆和马里进行的 524 例腹股沟疝修补术与在西班牙多中心研究（2003 年）中治疗的 386 例。收集了一般数据（临床、人口统计学等）、手术类型、并发症以及效果和效率指标。
西班牙组的术前研究数量多于非洲组。局部麻醉的使用相似。抗生素预防在非洲组更高（100%对 75.4%）。网片的使用相似。西班牙组血肿的发生率较高（11.61%对 4.61%），但伤口感染和疝复发的发生率相似，尽管仅在非洲组的 20.97%（西班牙组的 70%）进行了随访。西班牙组的住院时间超过 24 小时的比例较高。
在仪器手段较少且手术条件不佳的发展中国家，治疗疝的手术标准质量与西班牙相当。
