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External hernia in Nigerian children.

J T Momoh

    Annals of Tropical Paediatrics
    |December 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    In Nigerian children, inguinal hernias are common, with a high strangulation risk. The processus vaginalis closes faster in Nigerian infants compared to Caucasians.

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    Area of Science:

    • Pediatric Surgery
    • Abdominal Wall Defects
    • Hernias

    Background:

    • External hernias are a significant concern in pediatric surgical practice in Nigeria.
    • Inguinal hernias represent a substantial portion of these cases, with specific laterality patterns observed.

    Purpose of the Study:

    • To analyze the characteristics and outcomes of external hernias in Nigerian children.
    • To compare the incidence and obliteration rates of the processus vaginalis with Caucasian data.

    Main Methods:

    • Retrospective review of 510 pediatric surgical cases over 10 years.
    • Analysis of hernia types, laterality, incarceration, strangulation, and patent processus vaginalis (PPV).

    Main Results:

    • Right inguinal hernia (RIH) was most common (54%), followed by left inguinal hernia (LIH) (35%) and bilateral inguinal hernia (BIH) (9%).

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  • A 4% incarceration rate was noted, with a high 75% strangulation rate.
  • Patent processus vaginalis (PPV) was found in 31% of cases undergoing contralateral dissection, with age-dependent obliteration rates faster than in Caucasians.
  • Conclusions:

    • Nigerian children exhibit distinct patterns in inguinal hernias, including a lower female incidence and higher LIH rate.
    • The processus vaginalis obliterates more rapidly in Nigerian infants, potentially influencing hernia development.
    • Umbilical hernias present a significant risk of obstruction/strangulation in this population.