Author(s)

Jean Claude Mbonicura^1,2*, Prudence Bukuru^3,4, Paul Banderembako⁵, Révérien Ndayirorere⁵, Guy Darcy Nibogora¹, Jean Marie Nizeyimana¹, Stève Nkurunziza¹

¹General and Gastro-Intestinal Surgery, Universitary Center for Health Research, Faculty of Medicine, University of Burundi, Bujumbura, Burundi.
²Association Burundaise de Chirurgie (ABUC), Bujumbura, Burundi.
³Faculty of Health Sciences, Department of Anesthesia-Resuscistation, Hope Africa University, Bujumbura, Burundi.
⁴Department of Anesthesia-Resuscistation, Prince Louis Rwagasore Clinic, Bujumbura, Burundi.
⁵Andro-Urology, Universitary Center for Health Research, Faculty of Medicine, University of Burundi, Bujumbura, Burundi.

Background: Management of emergency hernias surgery should include certain complications most often up after 30 days of the operation. Aim: To analyze the factors contributing to morbidity and mortality after 30 days of emergency hernia surgery in children in the surgical departments of 8 Bujumbura hospitals. Patients and Methods: This is a prospective study over a period of one year which included all hernias operated on in emergency from January 1, 2022 to February 29, 2023. Results: During the period, 282 patients (children) were admitted to the operating theatre for abdominal parietal hernias, of which 46 were admitted for emergency hernia surgery. Males accounted for 86.96% (40), sex ratio 6.6. The average age was 3.4 years. The persistence of the peritoneo-vaginal canal represented 52.17% of cases. Inguino-scrotal hernia was prevalent (43.48%). The main complication was strangulation (80.43%). Morbidity accounted for 1.3% of complications (infection, residual pain, testicular atrophy, hernia recurrence). No deaths were found. Altemeier stage and gender were statistically related to morbi-mortality of emergency hernia surgery in adults at 30 days post-op (p = 0.0260 and p = 0.0212 respectively). Conclusion: Abdominal parietal hernias are common in children, dominated by groin hernias. The high frequency of strangulation calls for awareness of cold hernia repairs.

Hernia, Strangulation, Herniorrhaphy, Morbidity, Mortality, Early

Mbonicura, J. , Bukuru, P. , Banderembako, P. , Ndayirorere, R. , Nibogora, G. , Nizeyimana, J. and Nkurunziza, S. (2023) Morbidity and Mortality of Emergency Hernia Surgery in Children in Bujumbura: Analysis of Favourable Factors. Surgical Science, 14, 738-747. doi: 10.4236/ss.2023.1412080.