Author(s)

Idrissa Tounkara¹, Boubacar Karembe², Souleymane Thiam³, Sayon Diakite¹, Abdoulaye Diarra⁴, Amadou Traore⁵, Konimba Keita⁴, Oumar Ongoiba⁶, Moussa Sanogo¹, Moussa L. Coulibaly¹, Bakary Tientigui Dembele⁵, Adégné Togo⁵

¹Reference Health Center of Commune II, Bamako, Mali.
²Commune III Reference Health Centre, Bamako, Mali.
³University Hospital Center of Gao, Gao, Mali.
⁴University Hospital Center of Kati, Kati, Mali.
⁵University Hospital of Gabriel Touré, Bamako, Mali.
⁶Regional Hospital of Tombouctou, Tombouctou, Mali.

Objective: To study the diagnostic and therapeutic aspects of uncomplicated inguinal hernias in the general surgery unit of CSRéf CII. Method: This was a prospective, descriptive, single-centre study from 1 January 2016 to 31 December 2016 of 84 patients operated on for inguinal hernias in the general surgery unit of CSRéf CII. Results: Inguinal hernia accounted for 8% of surgical consultations and hernia repair accounted for 30.22% of surgical procedures. Hernia repair accounted for 30.22% of surgical procedures. The male sex was the most represented with a ratio of 7.40. The average age of our patients was 43.19 years. Recurrence occurred in 10% of cases. The right side was most affected in 71.43% of cases, 19.05% on the left side in; it was bilateral in 09.52%. Local anaesthesia was used in 67.86% of our patients, general anaesthesia in 13.09% of cases and locoregional anaesthesia in 19.05% of cases. The hernia was external oblique in 75% of cases. Shouldice’s technique was the most used with 88%; Bassini’s technique was used in 7% and Mac Vay’s in 5% of cases. The postoperative course was simple in 96.43% of cases, with an early postoperative morbidity rate of 3.57%, one case of wall abscess and two cases of parietal haematoma. No deaths were observed during our study. Conclusion: The new methods of tension-free cure should be used more and more by our users in our facilities.

Inguinal Hernias, Strangulation, Management, CSRéf CII

Tounkara, I. , Karembe, B. , Thiam, S. , Diakite, S. , Diarra, A. , Traore, A. , Keita, K. , Ongoiba, O. , Sanogo, M. , Coulibaly, M. , Dembele, B. and Togo, A. (2022) Clinical and Therapeutic Aspects of Inguinal Hernia at the Reference Health Centre of Commune II of the District of Bamako. Surgical Science, 13, 265-271. doi: 10.4236/ss.2022.135033.