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Review of groin hernias at Kibogora hospital

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par Emile NDAHIRO
National University of Rwanda - MB.ChB 2009
  

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REFERENCES

1. Mann CV Hernias. Umbilicus. Abdominal wall In: Mann CV; Russell RCG; Williams NS Bailey and Love's Short practice of surgery. 22nd ed. ELBS with Chapman and Hall, London 1995, Ch.55; 885-903.

2. Wantz GE Abdominal wall hernias In: Schwartz SI; Shires GT; Spencer FC; Fischer JE Principles of surgery 7th ed. New York, McGraw-Hill 1999, Ch.34; 1585-1612).

3. Zuckschwerdt W. Verlag , GmbH, Surgical treatment. Abdominal wall. Hernias, pathogenesis 2001.

4. David C Brooks: Classification and diagnosis of groin hernias; 16.2 May 27, 2008, www.Update.com.

5. Kakande I, Odula P 0, Groin Hernia in Mulago hospital, Kampala. East and Central African Journal of Surgery Volume 9 Number 2 - December 2004. 2004 - bioline. rg.br

6. Kark AE, Kurzer M, Waters KJ. Accuracy of clinical diagnosis of direct and indirect inguinal hernia. Br J Surg 1994; 81:1081-1082. [ISI] [Medline]

7. Cameron AE. Accuracy of clinical diagnosis of direct and indirect inguinal hernia. Br JSurg 1994; 81: 250. [ISI][Medline.

8. Karuranga E., Prevalence and management of abdominal wall hernia at Kanombe Miltary Hospital. From Jan 2006-jan 2007. A desertation presented in partial fulfilments of the requirements for the award of MB.ChB. of the national university of Rwanda.2007.

9. Ohene Yeboah M. Stangulated external hernias in Kumasi. W. Africa J Med 200 22(4) : 310-31.

10. McConkey S.J. Case series of Acute Abdominal surgery in rural Sierra Leone. World J. Surg 2002 26: 509-513

11. Adesunkanmi A.R Agbakwuru EA, Badmus T.A. Obstructed Abdominal Hernia at the Wesley Guide Hosp, Nigeria. E Afr Med. J.2000 Jan 77(1) : 31-33.

12. Wilhelm TJ, S,Anemana , P. KyamanywA, J. Rennie , S. Post , S.Freudenberg . Anaesthesia for elective inguinal hernia repair in rural Ghana, Appeal for local anaesthesia in resource-poor countries. (2006 The Royal Society of Medicine Press). Tropical Doctor, Volume 36, N° 3, Pp 147-149.

13. Paola Primatesta and Micheal J. Goldacre. Inguinal Hernia Repair: Incidence of Elective and Emergency Surgery, Readmissions and Mortality. International Journal of Epidemiology. Volume 25, Number-4, pp. 835-839. (1996 Oxford University Press).

14. Lau H, Lee H , An audit of the early outcome of ambulatory inguinal hernia at a surgical day-care centre. Day Surgery Centre, Department of Surgery, The University of Hong Kong Medical Centre, Tung Wah Hospital, Sheung Wan, Hong. 218 HKMJ Vol 6, No 2 June 2000.

15. Ramyil V.M, Iya D, Ogbonna B.C, Dakum N.K. Safety day care hernia repair in Jos, Nigeria. East African Medical Journal ISSN 0012-835X. (2000, Vol.77, No 6, pp. 326-328).

APPENDIX

DATA COLLECTION SHEET

No

Descriptive question

Response

Code

REGISTRATION DATA

1

Age

< 13 years

1

14-3 years

2

24-46 years

3

> 47 years

4

2

Sex

Male

1

Female

2

3

Mode of consultation

Referral

1

Elective

2

Emergency

3

4

Previous Medical Status

Resp. system (e.g. Chronic cough)

1

GIT ( e.g. constipation)

2

GUT (e.g. strain on micturation)

3

Obstetrical (pregnancy)

4

Others ( e.g. ascitis)

5

Unremarkable

6

CLINICAL ASSESSMENT

5

Site/type of Groin Hernia

LIH

1

RIH

2

Bilateral Inguinal Hernia

3

Left Femoral Hernia

4

Right Femoral Hernia

5

6

Pre-operative diagnosis

Reducible Hernia

1

Non reducible

2

Incarcerated Hernia

3

Obstructed Hernia

4

Strangulated Hernia

5

7

Type of operation

Modified Bassini technique

1

Shouldice

2

Herniotomy

3

Figure of eight for Femoral hernia

4

Simple closure of defect

5

Others

6

8

Anaesthesia

General anaesthesia

1

Spinal anaesthesia

2

Local anaesthesia

3

9

Post-operative stay (in days)

1-3 days

1

4-7 days

2

8-14 days

3

> 2 weeks

4

10

Post-operative complications

Hematoma formation

1

Retension of urine

2

Wound sepsis

3

Wound sinus

4

Testicular ischemia

5

Nerve entrapment

6

Scrotal edema

7

11

Condition on discharge

Good condition

1

Fair condition

2

Died

3

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