Day case inguinal hernia surgery in Nigerian children: prospective study

Background: There has been an increase in day case surgery for children worldwide; but there have been few reports of the practice (most of them being retrospec-tive) by many of the surgical sub-specialties in the sub-region. The aim of this study was to document our experience with day case inguinal hernia surgery in a developing economy. Materials and Methods: This was a prospective study of uncomplicated inguinal hernias treated as day case at OAUTHC between April 2004 and December 2004. Data were collected and analysed. Results: Eighty-eight patients were recruited into the study and none defaulted. There were 88 patients; (M:F = 16.6:1). A majority (n = 54) of the hernias occurred on the right side; while just a few (n = 18) occurred on the left. There were 5 cases of wound infections giving an infection rate of 4.8. In all; the morbidity following day case inguinal hernia surgery was slight and no patient required readmission into the hospital. Conclusion: Day case inguinal hernia surgery in children is safe and well accepted by patients and parents alike. Health institutions in which children with inguinal hernias still queue for long periods for space on the operation list need to adopt day case surgery for inguinal hernia in order to forestall the risk of their obstruction

Right-Sided Recurring Catamenial Pneumothorax Complicated by a Diaphragmatic Hernia

No diaphragmatic hernia was reported with a catamenial pneumothorax. We report herein a case of right-sided recurring catamenial pneumothorax complicated by a latent diaphragmatic hernia

Fibrous Stricture of the Small Intestine Following Strangulated Inguinal Hernia: Report of Two Cases

Strangulated inguinal hernia is a common surgical emergency with potentially life threatening consequences. Following reduction of an obstructed hernia the reduced intestine usually returns to normal function. We present two patients each of who presented with obstructed right inguinal hernia of more than 8 hours duration. Following release of the obstructions the intestines were judged viable and returned to the peritoneal cavity and herniorrhapies done. They represented to us several months later with features of intestinal obstruction necessitating laparatomy. Fibrous strictures obliterating the lumen of the intestines were found at the site where their obstructed hernias were previously released. The strictures were resected and end-to-end anastomosis done

Traumatic abdominal wall hernia - four cases and a review of the literature : trauma

Objective. To review blunt traumatic abdominal wall hernias (TAWHs) in our institution. Method. Retrospective review of blunt abdominal trauma cases over a 6-month period. Results. Four patients with TAWH were identified. The mean age was 36 years. Three had been involved in vehicular collisions; and 1 had been assaulted with a large stone. All were diagnosed on presentation; 3 by computed tomography scan and 1 clinically. Two were repaired as emergencies; and 1 was repaired after 4 months. The 4th patient refused surgery. Conclusion. This uncommon injury requires a high index of suspicion and a low threshold for intervention. CT scan offers the best imaging potential

Les hernies ombilicales etranglees chez l'enfant au CNHU de Cotonou : a propos de 11 cas

L'etranglement herniaire ombilical est repute rarissime en Europe. Il n'en est pas de meme en Afrique noire et au Benin. Les auteurs ont analyse 111 cas de hernies ombilicales etranglees operees en 22 ans chez l'enfant. La moyenne annuelle est de 5 cas. Les hernies ombilicales etranglees chez l'enfant sont aussi nombreuses que les hernies anguinales etranglees. Les enfants de 9 mois a 5 ans ont ete les principales victimes; en particulier les nourrissons de 9 mois a 30 mois qui ont represente 54;96 pour cent des cas. Les hernies de petit volume ont ete les plus nombreuses. Les visceres etrangles (grele; epiploon) ont ete reseques dans 9 cas. La mortalite a ete de 1;80 pour cent. Les auteurs preconisent une intervention chirurgicale prophylactique dans les cas d'engouement herniaires ombilicaux

Large ventral incisional hernias repaired by Marlex mesh prosthesis

From January 1987 through December 1989; a study was done to repair large incisional in 10 patients by using Usher's Marlex mesh at Muhimbili Medical Centre. A double breasting (Mayo) technique involving two halves of knitted; woven polypropylene monofiliment (Marlex) mesh was used. This technique was found to be effective in that it enables actual replacemnet of the abdominal wall defect without tension. The follow-up periods ranged from one to three years and the recurrance rate with Marlex was found to be significantly low compared with conventional methods of repair of large incisional hernias

Les hernies etranglees de l'aine chez l'adulte : a propos de 120 cas au C.H.U. de Brazzaville

Deuxieme urgence chirurgicale abdominale apres l'appendicite aigue; la hernie etranglee pose encore un grave probleme de sante publique. En 2 ans; du 1er mars 1988 au 28 fevrier 1990; 120 hernies etranglees de l'aine ont ete operees dans le service de chirurgie digestive du C.H.U. de Brazzaville. L'age des patients varie de 16 a 83 ans avec une moyenne de 39 ans. Toutes les categories socio-professionnelles sont concernees. Le tableau clinique n'est pas univoque. En dehors de la forme type caracterisee par des signes locaux; l'auteur a isole l'etranglement lateral; en W; et l'engouement herniaire. Le traitement est chirurgical; et plusieurs modalites therapeutiques s'offrent au chirurgien dans le souci constant de prevenir toute eventuelle recidive. Une enquete parallelement menee fait ressortir que la diffusion de l'information sur la pathologie herniaire est l'un des principaux facteurs pouvant contribuer a la baisse de l'incidence des hernies etranglees de l'aine