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ADULT ABDOMINAL WALL HERNIA IN IBADAN
O O Ayandipo1, O O Afuwape1, D O Irabor1
1Dept. of Surgery, University College Hospital, Ibadan and College of Medicine, Univ. of Ibadan, Nigeria.
Annals of Ibadan Postgraduate Medicine
|May 11, 2016
Summary
Abdominal wall hernias are common, with groin hernias being the most frequent. While mesh repair offers lower recurrence rates for hernias, its use is limited by cost and availability.
Area of Science:
- General Surgery
- Abdominal Wall Surgery
Background:
- Abdominal wall hernias are prevalent surgical conditions, with groin hernias being the most common type.
- Tension-free repair, often utilizing mesh, is associated with lower recurrence rates compared to other methods.
Purpose of the Study:
- To investigate the clinical characteristics of anterior abdominal wall hernias.
- To present surgical management experiences with identified abdominal wall hernias.
Main Methods:
- A retrospective study was conducted on patients with abdominal wall hernias over a six-year period (January 2008 - December 2013).
- Data was collected from patient case notes and analyzed to determine clinical profiles and management outcomes.
Main Results:
- Groin hernias constituted the majority (84.8%) of cases, followed by incisional hernias (9.1%).
- Emergency surgery and hollow viscus resection were significant predictors of wound infection (P < 0.001).
- The one-year recurrence rate for groin hernias was 2.1%, with a peri-operative morbidity/mortality rate of 12.1%.
Conclusions:
- The presentation and management patterns of abdominal wall hernias remain consistent with previous findings.
- Modified Bassini repair is favored for its simplicity, though mesh repair is increasingly adopted despite cost and availability challenges.
- Adoption of new treatment modalities is recommended for standard care in managing abdominal wall hernias.
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