TITLE:
Parietal Hernias in Adults at Bouaké University Hospital: Epidemiological and Diagnostic Aspects
AUTHORS:
Leh Bi Kalou Ismaèl, Bamba Inza, Akowendo Ezéchiel, Kouakou Blaise Amos, Ekra Amos Serge, N’Dri Ahou Bernadette, Diané Bamourou
KEYWORDS:
Hernia, Wall, Topography, Surgery
JOURNAL NAME:
Surgical Science,
Vol.14 No.12,
December
26,
2023
ABSTRACT: Introduction: A hernia of the abdominal wall is defined as the externalization of a
viscera of the abdominal cavity in relation to a deficiency of the components
of the wall. Topographies are diverse and diagnosis is based on clinical
practice. The objective of this study was to describe the epidemiological and
diagnostic aspects of abdominal wall hernias at the University Hospital of Bouaké,
Côte d’Ivoire. Patients and
Methods: This was a descriptive retrospective study that ran
from January 2010 to December 2022. It concerned all
patients admitted for abdominal wall hernias. Results: We collected
497 records of patients admitted for abdominal wall hernia. Abdominal wall
hernias accounted for 7.6% of patients admitted to the ward (n = 6512) and were
the fourth most common patient. These were males (79%; n = 392) and females
(21%; n = 105). The mean age was 43 years [range: 17 and 70 years]. The
occupation was dominated by forced labourers with 73% (n = 372) more
specifically farmers (42%; n = 209). The average consultation time was 2 days
(extreme 1 and 8 days). The main clinical signs were abdominal pain for
strangulated hernias with or without occlusive signs (n = 397; 79.8%)
and reducible bothersome swelling with intermittent pain (n = 100; 20.2%) for
non-strangulated hernias. Hernias of the groin (inguinal and femoral hernia)
were the most frequent with 85% (n = 422) followed by hernias of the white line
(epigastric, umbilical and hypogastric) with 14% (n = 71) and lumbar hernias
(Spiegel, Jean-Louis Petit and Grynfeltt) with 1% (n = 4), we did not note any
cases of pelvic hernia (obturator and ischiatic). Conclusion: Parietal hernias are a common surgical
condition at the Ivory Coast University Hospital, particularly in Bouaké. Groin
hernia is the most common topographic variety. Strangulation is the main
complication.