Dumbuya S S, Ayandipo O O, Smalle I O, Boima J C, Dawo M A, Ajagbe O A, Ogundiran T O
Department of Surgery, College of Medicine and Allied Health Sciences (COMAHS), University of Sierra Leone, and Connaught Hospital, University of Sierra Leone Teaching Hospitals Complex, Freetown, Sierra Leone.
Department of Surgery, College of Medicine, University of Ibadan, and University College Hospital, Ibadan, Nigeria.
Ann Ib Postgrad Med. 2022 Dec;20(2):115-119.
External hernias and scrotal swellings are diverse in presentation and are described in many subjective ways.
To create an objective classification of inguinoscrotal swellings in the rural setting.
It was a prospective study on the measurement of inguinoscrotal swellings volume/contents in a cohort of surgical patients in a provincial general hospital in the north of Sierra Leone over a three-year period. For inguinal hernias and other scrotal swellings, the volume ranges of 0- 500ml were used in the classification; for femoral and other external hernias which generally do not reach 'huge' sizes, the volume ranges of 0-100 ml were used.
A total of 962 external hernias and hydroceles were classified over a 3- year period. Most, 610 (63.4%) were inguino-scrotal hernias, others were hydroceles, 303 (31.0%) and femoral hernias, 42 (4.3%). The remaining small number consisted of umbilical (4) and epigastric (3) hernias. For the common conditions of hydroceles, inguinal and femoral hernias, about 50% were 'small', more than 40% were 'large', the rest were giant. The same findings were true for epigastric and umbilical hernias.
Using the scale that we adopted, majority of the groin hernias and hydroceles were in the small and large categories with a few giant varieties. Volumetric-based classification of hernias and hydroceles can help surgeons communicate more clearly based on standard rather than arbitrary ascription of descriptive terminologies to these very common surgical entities.
外部疝和阴囊肿胀的表现形式多样，且有多种主观描述方式。
对农村地区腹股沟阴囊肿胀进行客观分类。
这是一项前瞻性研究，对塞拉利昂北部一家省级综合医院的一组外科患者进行了为期三年的腹股沟阴囊肿胀体积/内容物测量。对于腹股沟疝和其他阴囊肿胀，分类时使用的体积范围为0 - 500毫升；对于一般不会达到“巨大”尺寸的股疝和其他外部疝，使用的体积范围为0 - 100毫升。
在三年期间共对962例外部疝和鞘膜积液进行了分类。其中大多数，610例（63.4%）为腹股沟阴囊疝，其他为鞘膜积液，303例（31.0%），股疝42例（4.3%）。其余少数包括脐疝（4例）和腹壁疝（3例）。对于鞘膜积液、腹股沟疝和股疝这些常见病症，约50%为“小”，40%以上为“大”，其余为巨大型。脐疝和腹壁疝也有相同的发现。
使用我们采用的量表，大多数腹股沟疝和鞘膜积液属于小类和大类，只有少数为巨大型。基于体积的疝和鞘膜积液分类有助于外科医生基于标准而非随意地为这些非常常见的外科病症赋予描述性术语，从而更清晰地进行交流。
