Strangulated Inguinal Hernia Epidemiological and Therapeutic Aspects at the Prefecture Hospital of Siguiri

This study aimed to determine the clinical and therapeutic aspects of strangulated hernias in the Siguiri region of the Republic of Guinea.

The strangulation of the inguinal hernia constitutes a diagnostic and therapeutic emergency, the delay in surgical intervention jeopardizes the vital prognosis of the strangulated organ and also that of the patient during its evolution.

Methodology: We had carried out a retrospective study over a period of 2 years from October 1, 2017, to September 31, 2019, inclusive.

All patients admitted and operated on for hernial strangulation during the study period were included. Patients operated on for other pathologies were excluded from the study.

Results: During the study period 71 patient (7.88%)where operated for hernial constriction. All of our patients were men.

78%of our patients came from rural areas while the 21.13%in urban areas. Depending on the location, hernial constrictions occurred in 53 patients, i.e., 76.65 percent on the right while on the left, it was observed that in 18 patients, or 23.35 percent.

In our series, we used the Bassini technique in 65 patients or 91.55 percent and the Mac Vay technique in 6 patients or 8.45 percent.

According to the treatment of the contents of the hernial sac, no resection was carried out in 36 patients or 50.70 percent, appendectomy in 27 patients or 38.03 percent, resection of terminal ileal terminal anastomosis in 7 patients or 9.86 percent, and resection of Merkel’s diverticulum in 1 patient or 1.41 percent.

The average length of hospital stay was five days 8 hours, with extremes of 18 hours and 25 days.

The postoperative follow-up was simple in 66 patients or 92.96 percent and complicated by the abscess of the wall in 3 patients and scrotal hematoma in 2 patients.

We did not record any deaths during our study.

Conclusion: Hernial constrictions represent an emergency whose management is essentially surgical.

Keywords: Hernia, strangled, frequency, management, hospital, Siguiri.