Strangulated groin hernia prognosis in adults in sub-Saharan African context: Retrospective study at Zinder, Niger Article Swipe
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· 2024
· Open Access
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· DOI: https://doi.org/10.4103/ejs.ejs_253_23
Background In our context, hernial strangulation has a high incidence. The aim of this work was to investigate prognostic factors in adults diagnosed with strangulated groin hernia. Patients and Methods This was a retrospective cross-sectional study conducted at Zinder National Hospital between 1 January 2016 and 31 December 2022 (7 years). Clinical and prognostic data were collected. Results Out of 568 patients who underwent surgery for groin hernia, 230 cases were strangulated (40.49%). Mean age was 47.8±16.6 years. The proportion of males was 86.65%, i.e. the sex ratio was 5.96. Inguinal hernia accounted for 85.2% ( n =196). The median operative time was 7 h. The Bassini procedure was the most common with 83.5% ( n =192). Small bowel was the content of the hernia sac in 80% ( n =184). Intestinal necrosis occurred in 10.9% ( n =25). This was associated with femoral location (OR=5.39, P =0.00003). Intestinal resection was performed in 13.9% ( n =32) and stoma in 1.7% ( n =4). Postoperative complications occurred in 25.2% ( n =58). The overall mortality (grade V) was 6.5% ( n =15). Mortality was statistically associated with age > 60 years (OR=5.16; P =0.0016), admission time (OR=3.20; P =0.028), time to surgery > 8 h (OR=4.20; P =0.005) and occurrence of necrosis (OR=9.39; P =0.000). Conclusion Strangulated groin hernia is a common surgical emergency. Its prognosis is associated with advanced age, femoral location, and diagnostic and therapeutic delay.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.4103/ejs.ejs_253_23
- OA Status
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4392052318Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.4103/ejs.ejs_253_23Digital Object Identifier
- Title
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Strangulated groin hernia prognosis in adults in sub-Saharan African context: Retrospective study at Zinder, NigerWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
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2024-02-22Full publication date if available
- Authors
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Harissou Adamou, I Amadou, Ousseini Adakal, Abdel Nasser M. Hamidou, Maman Laoul Hassane, Lassey James Didier, Rachid SaniList of authors in order
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https://doi.org/10.4103/ejs.ejs_253_23Publisher landing page
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.4103/ejs.ejs_253_23Direct OA link when available
- Concepts
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Medicine, Groin, Femoral hernia, Context (archaeology), Hernia, Surgery, Retrospective cohort study, Incidence (geometry), Inguinal hernia, General surgery, Paleontology, Optics, Biology, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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23Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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