Miresa Fufa, Abdulhadi Munewor, Aliye Abdurahman, Beyene Badhaasaa, Sileshi Rahel
School of Medicine, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
Department of Biomedical Engineering, Institute of Technology, University of Gondar, Gondar, Ethiopia.
Ann Med Surg (Lond). 2024 Jan 10;86(2):793-799. doi: 10.1097/MS9.0000000000001702. eCollection 2024 Feb.
Abdominal hernia is the most common surgical alignment that affects all age groups and sexes. It is characterized by the protrusion of abdominal contents through the abdominal wall's muscles and fascia. In this study, the incidence, types, and associated factors of external abdominal hernias at Hiwotfana Comprehensive Specialized Hospital and Jugal Regional Hospital, eastern Ethiopia, were ascertained.
To identify the incidence, types, and associated factors of external abdominal hernia among adult patients who visited the surgical outpatient department of Hiwotfana comprehensive specialized hospital and Jugal regional hospital from 20 October to 5 December 2022.
A cross-sectional study was conducted from 20 October to 5 December 2022, on adult patients who visited the surgical outpatient department at the Hiwotfana Comprehensive Specialized Hospital and Jugal Regional Hospital in eastern Ethiopia. All adult patients who visited the surgical outpatient department of each hospital were enroled in the study using a stratified random sampling technique. Both descriptive and inferential statistics were conducted, and the results were presented in text, graphs, and tables. Odd ratios for the strength and directions of association were used with a 95% CI, and a value of less than 0.05 was considered to declare statistical significance.
A total of 403 participants were included in this study from two different governmental hospitals in Harar town, with a 100% response rate. The incidence of the external abdominal wall hernia was 41 (10.2%). The epigastric hernia had the highest prevalence (41.5%, =17). Constipation [adjusted odds ratio (AOR)=2.91, CI=1.119-7.579), prolonged cough (AOR=3.993, CI=1.358-11.741), history of abdominal surgery (AOR=5.764, CI=1.837-18.083) and heavy lifting (AOR=5.476, CI=2.505-11.969) had statistically significant association (≤0.05).
The incidence of external abdominal wall hernia in our area is similar to the other existing literature reported from different areas. Epigastric hernia is the most prevalent type of external abdominal hernia and is commonly encountered in female patients. Constipation, a prolonged cough, previous abdominal surgery, and heavy lifting are significantly associated with an external abdominal wall hernia.
腹外疝是最常见的外科疾病，影响所有年龄组和性别。其特征是腹腔内容物通过腹壁肌肉和筋膜突出。在本研究中，确定了埃塞俄比亚东部希沃塔纳综合专科医院和朱加尔地区医院腹外疝的发病率、类型及相关因素。
确定2022年10月20日至12月5日期间到希沃塔纳综合专科医院和朱加尔地区医院外科门诊就诊的成年患者腹外疝的发病率、类型及相关因素。
于2022年10月20日至12月5日对埃塞俄比亚东部希沃塔纳综合专科医院和朱加尔地区医院外科门诊的成年患者进行了一项横断面研究。采用分层随机抽样技术，将每家医院外科门诊的所有成年患者纳入研究。进行了描述性和推断性统计，并以文字、图表和表格形式呈现结果。关联强度和方向的比值比采用95%置信区间，P值小于0.05被认为具有统计学意义。
本研究共纳入了哈拉尔镇两家不同政府医院的403名参与者，应答率为100%。腹外疝的发病率为41例（10.2%）。脐上疝患病率最高（41.5%，n = 17）。便秘[调整比值比（AOR）=2.91，CI = 1.119 - 7.579]、长期咳嗽（AOR = 3.993，CI = 1.358 - 11.741）、腹部手术史（AOR = 5.764，CI = 1.837 - 18.083）和重物搬运（AOR = 5.476，CI = 2.505 - 11.969）具有统计学显著关联（P≤0.05）。
我们地区腹外疝的发病率与其他不同地区报道的现有文献相似。脐上疝是腹外疝最常见的类型，在女性患者中常见。便秘、长期咳嗽、既往腹部手术和重物搬运与腹外疝显著相关。
