Colorectal
Emergency

Hernia Surgery in Somalia : An Experience of Doctors at International Hospital: Retrospective hospital study

Skills: Clinical Input
retrospective study

Abstract:
Introduction : A hernia is the abnormal exit of tissue or an organ, such as the bowel, through the wall of the cavity in which it normally resides. Hernia is one of the most commonly performed surgical procedures in surgical wards.
Objective: to investigate the patterns of hernias at International Hospital, Mogadishu .Somalia.
Methods: we carried out a retrospective analysis of hospital registry covering all patients at IHM complaining swelling and pain on ventral side of the abdomen from 1st January 2018- December 31st 2018.
Results: sixty four patients were recruited. 29(45.3%) patients were indirect inguinal hernia, 11 (17.2%)Direct inguinal hernia,12(18.75%)Epigastric hernia, 7(10%) umbilical hernia, and the incisional hernia was 4(6.25%) patients. All patients with inguinal hernias were male and age group for indirect inguinal hernias was 9mo to 81 years, the direct Inguinal hernias was 25years to 44 years. 8cases of epigastric Hernia were male while 4 were females and their age group was 30 to 103 years. 5 cases of Umbllical hernia were females while the two patients was male, children and their age group was (4 to 80years). The age group of incisional hernias was 20 to 40 years. 3 cases of incisonal hernia were operated Ceaserian section while other patient wa male and operated Emergency laporatomy due to Gun shut wound. 53 patients came from outside of Mogadishu.
Conclusion: study showed hernia is a common condition in men and the annual surgical correction rate is low.
Recommendation: study recommends more studies and Investment is needed to increase surgical capacity in this healthcare system
Key terms: Hernia, Inguinal and epigastric hernia

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