Background: The complications of untreated inguinal hernias are common surgical emergencies in adult Ghanaian men.
Objective: To describe the epidemiology of strangulated inguinal hernia in adult males in Kumasi.
Method: From the hospital records the age and sex of all male adult patients treated for strangulated inguinal hernia were recorded at the Komfo Anokye Teaching Hospital(KATH), the University Hospital (UH), the Seventh Day Adventist Hospital (SDAH) and the Kumasi South Hospital (KSH) for the period January 2007 to December 2011 inclusive. The total number of inguinal hernia repairs from all four facilities was also recorded. The annual incidence of strangulated inguinal hernia and the hernia repair rates were estimated using the 2010 population data.
Results: Five-hundred and ninety-two cases of strangulated inguinal hernia were treated over the five years. The incidence of strangulated inguinal hernia was 0.26%. A total of 2243 inguinal hernia repairs were performed and 26.4 % of these repairs were for strangulation. The total number of inguinal hernia repairs averaged 77.3 repairs per 100 000 adult males per year and the elective repair rate was low at 0.9%.
Conclusion: There is the need to increase the levels of elective repair of inguinal hernia in Kumasi.
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http://dx.doi.org/10.4314/gmj.v48i2.8 | DOI Listing |
Hernia
March 2025
Department of General Surgery, MedStar Georgetown University Hospital, Washington, DC, USA.
Purpose: As the use of robotic platforms for inguinal hernia repairs continues to grow, the rTAPP (Robotic Trans-Abdominal Pre-Peritoneal) approach is being performed significantly more often than rTEP (Robotic Totally Extra-Peritoneal) and is predominantly taught to newly trained robotic surgeons. This study's primary objective was to evaluate the feasibility of a proposed modified rTEP technique that incorporates balloon dissection as a primary tool, enabling the horizontal placement of three trocars aligned with the umbilicus. Secondary objectives included evaluation of safety and effectiveness of this technique, and of the learning curve required to reach proficiency.
View Article and Find Full Text PDFHCA Healthc J Med
February 2025
Texas College of Osteopathic Medicine, Forth Worth, Texas.
Background: Ovarian or adnexal torsions occur when an ovary rotates around one of the supporting ligaments, often the infundibulopelvic (IP) ligament. This rotation can cause the blood flow to the ovary to be hindered, and this decrease in perfusion can often present as adnexal pain, nausea, and vomiting. A significant risk factor for developing an ovarian torsion is the presence of an ovarian mass, such as a cyst.
View Article and Find Full Text PDFCureus
February 2025
Surgery, One Brooklyn Health, Interfaith Medical Center, Brooklyn, USA.
Mesenteric hematomas, a rare and clinically significant condition, are typically associated with abdominal trauma, vascular conditions, or surgical complications. Spontaneous mesenteric hematomas, an even rarer subtype, are often seen in patients who are on anticoagulation therapy or have inguinal hernias. In this case report, we discuss an 89-year-old male patient who initially presented with stable vital signs and abdominal pain but was later discovered to have a large, stable mesenteric hematoma on an abdominal computed tomography scan.
View Article and Find Full Text PDFJ Med Case Rep
March 2025
Department of Minimal Access and General Surgery, Government Gousia Hospital, DHS, Srinagar, 1900003, Kashmir, India.
Background: Female inguinal hernias are rare to see. All inguinal hernias in females occur as indirect hernias. A single hernia sac is usually seen, but the occurrence of more than one sac in female indirect inguinal hernias is extremely rare.
View Article and Find Full Text PDFBackground: Occult inguinal hernia is a unique clinical challenge characterized by asymptomatic presentation and the absence of detectable signs on physical examination, leading to frequent misdiagnosis and underdiagnosis. The advancement of laparoscopic hernia surgery has facilitated the identification of occult hernias, yet effective diagnostic and predictive methods remain lacking.
Objective: This study aims to evaluate the incidence and clinical characteristics of occult inguinal hernias detected during laparoscopic unilateral inguinal hernia repair and to provide evidence-based recommendations for their management.
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