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Strangulated inguinal hernia in adult males in Kumasi
1Department of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Private Mail Bag, University Post Office, Kumasi Ghana ; Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Insights
Untreated inguinal hernias often lead to emergencies in Ghanaian men. This study found a low elective repair rate, highlighting the need for increased preventative surgeries in Kumasi to reduce strangulated inguinal hernia cases.
Area of Science:
- Surgery
- Public Health
- Epidemiology
Background:
- Inguinal hernias are a frequent cause of surgical emergencies in adult Ghanaian males.
- Complications from untreated inguinal hernias necessitate urgent surgical intervention.
Purpose of the Study:
- To investigate the epidemiology of strangulated inguinal hernias in adult males within Kumasi.
- To assess the incidence and repair rates of strangulated inguinal hernias.
Main Methods:
- Retrospective analysis of hospital records from four Kumasi facilities (January 2007-December 2011).
- Data collected included patient demographics and inguinal hernia repair details.
- Incidence and repair rates were calculated using 2010 population data.
Main Results:
- 592 cases of strangulated inguinal hernia were treated over five years, with an overall incidence of 0.26%.
- Of 2243 inguinal hernia repairs, 26.4% were for strangulated cases.
- The annual repair rate was 77.3 per 100,000 adult males, with a low elective repair rate of 0.9%.
Conclusions:
- The study underscores a critical need to enhance elective inguinal hernia repair rates in Kumasi.
- Increasing elective repairs can potentially reduce the incidence of emergency surgeries for strangulated inguinal hernias.
Background:
The complications of untreated inguinal hernias are common surgical emergencies in adult Ghanaian men.
Objective:
To describe the epidemiology of strangulated inguinal hernia in adult males in Kumasi.
Method:
From the hospital records the age and sex of all male adult patients treated for strangulated inguinal hernia were recorded at the Komfo Anokye Teaching Hospital(KATH), the University Hospital (UH), the Seventh Day Adventist Hospital (SDAH) and the Kumasi South Hospital (KSH) for the period January 2007 to December 2011 inclusive. The total number of inguinal hernia repairs from all four facilities was also recorded. The annual incidence of strangulated inguinal hernia and the hernia repair rates were estimated using the 2010 population data.
Results:
Five-hundred and ninety-two cases of strangulated inguinal hernia were treated over the five years. The incidence of strangulated inguinal hernia was 0.26%. A total of 2243 inguinal hernia repairs were performed and 26.4 % of these repairs were for strangulation. The total number of inguinal hernia repairs averaged 77.3 repairs per 100 000 adult males per year and the elective repair rate was low at 0.9%.
Conclusion:
There is the need to increase the levels of elective repair of inguinal hernia in Kumasi.
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