Incisional Hernias: Risk Factors and Treatment in a Context of Limited Resources
- 1 Department of Surgery, University Ouaga 1 Pr Joseph Ki Zerbo, Ouagadougou, Burkina Faso
- 2 Department of Surgery, University Ouaga 1 Pr Joseph Ki Zerbo, Ouagadougou, Burkina Faso
- 3 Department of Surgery, University Ouaga 1 Pr Joseph Ki Zerbo, Ouagadougou, Burkina Faso
- 4 Department of Surgery, University Ouaga 1 Pr Joseph Ki Zerbo, Ouagadougou, Burkina Faso
- 5 Department of Surgery, University Ouaga 1 Pr Joseph Ki Zerbo, Ouagadougou, Burkina Faso
- 6 Department of General and Digestive Surgery, University Ouaga 1 Pr Joseph Ki Zerbo, Ouagadougou, Burkina Faso
- 7 Department of General and Digestive Surgery, University Ouaga 1 Pr Joseph Ki Zerbo, Ouagadougou, Burkina Faso
Abstract
Background: The purpose of this study was to describe the etiologic factors and therapeutic modalities of incisional hernias in the department of surgery at the regional hospital of Tenkodogo, in Burkina Faso. Methods: It is a cross sectional study covering the period from 2010 to 2012. Sampling was comprehensive, including all the patients operated for incisional hernias during this period. Results: Fifty-four patients were included. Their average age was 22.3 years. There were 35 (64.8%) males and 19 (35.2%) female patients. We counted 28 large-size incisional hernias, 14 medium-size incisional hernias and 12 incisional hernias of small size. The average time from the first surgery to the diagnosis of incisional hernias was 8 months. Generalized acute peritonitis (44.4%) and acute intestinal obstructions (22.2%) were the main indications of initial surgical interventions. Vertical midline incisions have been involved in 37 cases (68.5%). Therapeutically, two surgical techniques have been used: open suture repair and open mesh repair. Forty-two patients (77.8%) were treated by open suture repair. Twelve patients (22.2%) benefited from open mesh repair. Post-operative complications were noted in 2 patients. Nine patients (16.7%) presented a recurrence after 12 months. Conclusion: In the rural area of Burkina Faso, incisional hernias occur in young patients. Emergencies with abdominal Infections are the main operative indications. Prostheses are relatively high cost and less accessible. The recidivism rate is high.
- Elliott, Y.A., Thomas Kallachil, T. and O’Dwyer, P.J. (2014) Patient Awareness and Symptoms from an Incisional Hernia. International Surgery, 99, 241-246. https://doi.org/10.9738/INTSURG-D-14-00039.1
- Fortelny, R.H., Baumann, P., Thasler, W.E., Albertsmeier, M., Riedl, S. and Steurer, W. (2015) Effect of Suture Technique on the Occurrence of Incisional Hernia after Elective Midline Abdominal Wall Closure: Study Protocol for a Randomized Controlled Trial. Trials, 16, 52. https://doi.org/10.1186/s13063-015-0572-x
- Alaedeen, D.I., Lipman, J., Medalie, D. and Rosen, M.J. (2007) The Single-Staged Approach to the Surgical Management of Abdominal Wall Hernias in Contaminated Fields. Hernia, 11, 41-45. https://doi.org/10.1007/s10029-006-0164-5
- Sit, M., Ilgün, A.S., Cakir, A., Catal, O. and Cakmaz, R. (2014) Comparison of Two Surgical Techniques in Large Incisional Hernias. Journal of Clinical and Experimental Investigations, 5, 36-39. https://doi.org/10.5799/ahinjs.01.2014.01.0355
- Sauerland, S., Schmedt, C.G., Lein, S., et al. (2005) Primary Incisional Hernia Repair with or without Polypropylene Mesh: A Report on 384 Patients with 5-Year Follow-Up. Langenbeck’s Archives of Surgery, 390, 408-412. https://doi.org/10.1007/s00423-005-0567-2
- Venclauskas, L., Silanskaite, J., Kanisauskaite, J. and Kiudelis, M. (2007) Long-Term Results of Incisional Hernia Treatment. Medicina, 43, 855-860.
- Muysoms, F.E., Antoniou, S.A., Bury, K., Campanelli, G., Conze, J. and Cuccurullo, D. (2015) European Hernia Society Guidelines on the Closure of Abdominal Wall Incisions. Hernia, 19, 1-24. https://doi.org/10.1007/s10029-014-1342-5
- Kawaguchi, M., Ueno, H., Takahashi, Y., Watanabe, T., Kato, H. and Hosokawa, O. (2015) Transitional Mesh Repair for Large Incisional Hernia in the Elderly. International Journal of Surgery Case Reports, 7, 70-74. https://doi.org/10.1007/s10029-014-1342-5
- Zafar, H., Zaidi, M., Qadir, I. and Memon, A.A. (2012) Emergency Incisional Hernia Repair: A Difficult Problem Waiting for a Solution. Annals of Surgical Innovation and Research, 6, 1. https://doi.org/10.1186/1750-1164-6-1
- Ouangre, E., Zida, M., Ouedraogo, S., Sanou, A., Bonkoungou, G., Sano, D. and Traoré, S.S. (2012) Les activités chirurgicales du bloc opératoire dans un hopital semi-urbain du Burkina Faso en Afrique subsaharienne: cas du Centre Hospitalier Régional (C.H.R.) de Dédougou. [Surgical Activities in a Semi-Urban Hospital of Burkina Faso in Sub-Saharan Africa: Case of the Regional Hospital Center of Dedougou.] Annals of the University of Ouagadougou, 008, 101-106.