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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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4.1.4. Analytical results

Table 1: Distribution of patients basing on comparing sex and type of groin hernia

SEX

TYPE OF GROIN HERNIA

TOTAL

P value

LIH

RIH

Bilateral inguinal hernia

Left femoral hernia

Right femoral hernia

 
 

Male

47 (38.8%)

52 (43%)

6

(5.0%)

0

(0%)

0

(0%)

105 (86.8%)

Female

3

(2.5%)

6 (5.0%)

1

(0.8%)

4

(3.3%)

2

(1.7%)

16 (13.2%)

Total

50 (41.3%)

58 (47.9%)

7

(5.8%)

4

(3.3%)

2

(1.7%)

121 (100%)

0.000 S

«S» for a p value means «significant»

Table 1 above shows that the majority of Groin hernia was inguinal hernia and predominantly seen in male sex. Femoral hernia was only seen in 6 cases and all cases were females.

Table 2: Distribution of patients on comparing age range and type of Groin hernia

AGE RANGE

TYPE OF GROIN HERNIA

TOTAL

P value

LIH

RIH

Bilateral inguinal hernia

Left femoral hernia

Right femoral hernia

 
 

<13 years

10 (8.3%)

16 (13.2%)

1

(0.8%)

0

(0%)

0

(0%)

27 (22.3%)

14-23 years

6

(5%)

7 (5.8%0

0

(0%)

0

(0%)

0

(0%)

13 (10.7%)

24-47 years

19 (15.7%)

18 (14.9%)

1

(0.8%)

1

(0.8%)

0

(0%)

39 (32.2%)

> 47 years

15 (12.4%)

17 (14%)

5

(4.1%)

3

(2.5%)

2

(1.7%)

42 (34.7%)

TOTAL

50 (41.3%)

58 (47.9%)

7

(5.8%)

4

(3.3%)

2

(1.7%)

121 (110%)

0.317 NS

«NS» for a p value means «not significant»

Table 2 above demonstrates that Groin hernia was predominantly seen in the age range >

47 years although the difference was not statistically significant (p value= 0.317). Inguinal hernias were the commonest type of groin hernia seen.

Table 3: Distribution of patients basing on comparing mode of consultation and Pre-operative diagnosis

MODE OF CONSU-LTATION

PRE-OPERATIVE DIAGNOSIS

TOTAL

P value

Reducible

hernia

Non reducible hernia

Incarce-rated

hernia

Obstru-cted

hernia

Strang-ulated

hernia

 
 

Referral

25 (20.7%)

6

(5.0%)

5

(4.1%)

0

(0%)

0

(0%)

36 (29.8%)

Elective

70 (57.9%)

5

(4.1%)

2

(1.7%)

0

(0%)

0

(0%)

77 (63.6%)

Emergency

0

(0%)

1

(0.8%)

2

(1.7%)

3

(2.5%)

2

(1.7%)

8

(6.6%)

TOTAL

95 (78.5%)

12

(9.9%)

9

(7.4%)

3

(2.5%)

2

(1.7%)

121 (100%)

0.000 S

«S» for a p value means «significant»

Results in table 3 above: shows that the mode of consultation differed from each type of pre-operative diagnosis, but all obstructed and strangulated hernias were seen as emergency cases.

Table 4: Distribution of patients basing on comparison between previous medical status and post operative stay

PREVIOUS MEDICAL

STATUS

POST-OPERATIVE STAY

TOTAL

P value

1-3 days

4-7 days

8-14 days

Resp. system (chronic cough)

3 (2.5%)

9 (7.4%)

2 (1.7%)

14 (11.6%)

 

GUT (strain on micturation)

0 (0%)

5 (4.1%)

2 (1.7%)

7 (5.8%)

Others (ascitis)

0 (0%)

0 (0%)

1 (0.8%)

1 (0.8%)

Unremarkable

49 (40.5%)

47 (38.8%)

3 (2.5%)

99 (81%)

TOTAL

52 (43%)

61 (50.4%)

8 (6.6%)

121 (100%)

0.001 S

«S» for a p value means «significant»

Table 4 above shows a significant relationship (p=0.001) between the previous medical status and the post-operative stay on the surgical ward.

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