Enyinnah Michael, Dienye Paul Owajionyi, Njoku Patrick
Department of Surgery, Federal Medical Centre, Umuahia, Nigeria.
Glob J Health Sci. 2013 May 13;5(4):176-81. doi: 10.5539/gjhs.v5n4p176.
The objective of this paper is to review hernioplasties done for inguinal hernias in a rural private hospital, bringing out the socio-demographic and clinical pattern and to sensitize surgeons and family physicians in our environment about the possibility of making hernioplasty a standard of care for inguinal hernias.
The records of seventy seven patients operated in a rural private hospital were reviewed. Socio-demographic data, operative techniques and post-operative outcomes were documented. The results were compared with relevant findings in the literature.
Eighty one Lichtenstein procedures were done, of which four were bilateral. Polypropylene mesh was used in all cases. A total of three patients (3.9%) had early post-operative complications. The complications were scrotal haematoma, haematoma complicated by wound sepsis and wound sepsis only. All the complications were successfully managed. There was no case of mesh removal or mortality.
Early post-operative results suggest that mesh hernioplasty is in rural communities of West Africa, given the availability of mesh, basic medical infrastructure and relevant skilled manpower.
本文旨在回顾一家农村私立医院进行的腹股沟疝修补术，揭示社会人口统计学和临床模式，并让我们环境中的外科医生和家庭医生认识到将疝修补术作为腹股沟疝标准治疗方法的可能性。
回顾了一家农村私立医院77例手术患者的记录。记录了社会人口统计学数据、手术技术和术后结果。将结果与文献中的相关研究结果进行比较。
共进行了81例Lichtenstein手术，其中4例为双侧手术。所有病例均使用聚丙烯网片。共有3例患者（3.9%）出现早期术后并发症。并发症包括阴囊血肿、血肿合并伤口感染和仅伤口感染。所有并发症均成功处理。没有网片取出或死亡病例。
早期术后结果表明，鉴于网片的可获得性、基本医疗基础设施和相关技术人力，在西非农村社区进行网片疝修补术是可行的。
