Patterns of abdominal wall hernias in Yemeni patients in Aden

ABSTRACT

Hernia is a very common medical condition affected all ages and both sexes. This is a prospective descriptive hospital-based study conducted to study the pattern of anterior abdominal wall hernia among adult patients operated at me ourgicai Iseparuiiciu uf Ai-Gamiiuuiia Tv/avliiug Hospital, during the period from Jan. 1[st] through Dec. 31[st], 2007. The frequency of operated hernia in adults was 5.21%. Males were affected more than females [71.2% and 28.8%, respectively], with a ratio of 2.5 1. The age ranges from 15 to 74 years, with a mean of 50.3 +/- 4.4 years and the frequency of hernias increases with age. Commonly, patients presented with reducible hernias [74.6%], and the common types of operated hernias were indirect inguinal hernia [49 2%] direct inguinal hernia [22.9%], and incision hernia [14.4%]. Males had indirect [61.9%] and direct [28.5%] inguinal hernias, while females had incisional [35.3%], femoral [14.7%], and umbilical hernias [11.8%]. Inguinal and femoral hernias were seen more in the right side [85.9%]. Postoperative complications were seen in 11.0%, and the case fatality rate was [0.85%]. The incidence of hernias is more frequent among elderly patients, and there is significant relationship between the type of hernia arid sex. Laparoscopy and outpatient clinics should be available