Author(s)

Cheickna Tounkara^1*, Amadou Maiga², Bessy Samake¹, Boubacar Yoro Sidibe², Tani Kone², Samake Hamidou², Kaloga Daye Bagayoko¹, Oumar Amadou Malle¹, Alhassane Traore², Bakary Tientigui Dembele², Pierre Adégné Togo³, Zanafon Ouattara³

¹Department of General Surgery of the Reference Health Center of Commune I, Bamako, Mali.
²Department of General Surgery, CHU Gabriel TOURE, Bamako, Mali.
³Department of Urology Surgery, Point G University Hospital, Bamako, Mali.

The inguinal hernia is a very frequent surgical pathology in the world and it represents 95% of the hernias of the groin. This work aimed to determine the frequency of inguinal hernias, describe the clinical and therapeutic aspects of inguinal hernias, describe the morbidity and mortality related to inguinal hernias and evaluate the cost of treatment. Our study was conducted from January 2010 to December 2010 in the general surgery department of the Reference Health Center of Commune I in the district of Bamako. We collected 130 cases of inguinal hernias with a sex ratio of 15.25 in favor of the male sex. The mean age was 48.02 years (standard deviation: 17.53 years). Strangulated inguinal hernias accounted for 4.9% of abdominal surgical emergencies and 14.6% of all operated inguinal hernias. More than half of the patients (82%) were operated under local anesthesia. Clinical signs were marked by painless or irreducibly painful inguinal swelling. The diagnosis was clinical in all patients. Some patients benefited from a minimum blood assessment (rhesus grouping, glycaemia, hemoglobin level and hematocrit). The Shouldice technique was performed in 68% of patients. One case of organ resection was performed, i.e. 0.8% of cases. Morbidity was 4.6% due to wall abscess; 0.8% scrotal hematoma type. We have not recorded any recurrence or death.

Inguinal, Hernias, Surgery, Cs Ref, CI, Bamako (Mali)

Tounkara, C. , Maiga, A. , Samake, B. , Sidibe, B. , Kone, T. , Hamidou, S. , Bagayoko, K. , Malle, O. , Traore, A. , Dembele, B. , Togo, P. and Ouattara, Z. (2023) Inguinal Hernia in Adults: Diagnostic and Therapeutic Aspects at Cs Ref CI Bamako Mali. Surgical Science, 14, 507-516. doi: 10.4236/ss.2023.147056.