Management of groin hernias in rural. The case of Klouekanme Zone hospital in Bénin.

Abstract

Introduction : The treatment of groin hernias has seen the emergence of a plethora of surgical techniques, all aiming to achieve three main objectives: repairing the wall, reducing the recurrence rate and reducing postoperative pain.  The aim of this study was to describe the management of groin hernias in the surgical department of the Klouékanmè zone hospital in Benin.

Materials and methods : This was a retrospective and prospective descriptive study from June 1, 2019 to June 31, 2022: retrospective phase from June 1, 2019 to November 7, 2021 and prospective phase from November 8, 2021 to June 30, 2022 on patients admitted and operated on for groin hernias who met our inclusion criteria.

Results : Groin hernias represent 95.5% of parietal hernias operated on in general surgery. Power work was found to be the primary risk factor for groin hernia in 70% of cases.) Spinal anaesthesia was used in 90.2% of cases in our study. The most commonly used surgical technique was Shouldice's groin hernia combined with the modified Bassini (64.6%), followed by the Lichtenstein plasty (17.5%). Hospital stay was less than 24 hours in 38.7% of cases.

Conclusion : Several techniques for the cure of groin hernias were used in our study setting, with a predominance of the SHOULDICE technique combined with BASSINI (Modified BASSINI), which, because of its affordability, is an alternative to cure by prosthetic plasty, with fewer postoperative complications in the medium term until now in countries where the Desarda technique is not yet used