INGUINAL HERNIA AMONG PATIENTS ATTENDED A GENERAL PUBLIC SUDANESE HOSPITAL

Elsadig Yousif Mohamed MD*, Sawsan M. Abdalla MD , Sami Eldirdiri MD , Humida Ali Gurashi MD. Mohamed Ahmed A/Gadir Elimam Ounsa MD, Khalid Altohami Medani MD, Waled Amen Mohammed Ahmed MD

ABSTRACT

Objectives: The objectives of the study were to determine risk factors related to inguinal hernia, its types, clinical presentation and line of management in Gedarif Teaching Hospital], Sudan. Research methods: The study was descriptive, retrospective. One hundred and eighty records of patients attended the surgical department in Gadarif Teaching Hospital and diagnosed as inguinal hernia were enrolled in this study. Data were collected by a check list. Analysis was done by the computer using SPSS version 16. Results: Most of the hernias presented to Gedarif teaching hospitals were indirect (66.2%). Direct and strangulated hernias constituted 24.4% and 9.4% respectively. Risk factors related to inguinal hernia were urine retention, chronic cough, constipation, grandmultipara and previous inguinal hernia constituted 35.6%, 28.9%, 22.8%, 6.7%, 3.3 %respectively. Most of the patients were presented with inguinoscrotal swelling (60%) followed by inguinal swelling (28.3%), few patients were presented with pain in the inguinal region (11.7%). The most common Inquinal hernia repair was combined herniotomy and hernioraphy (63%). Conclusion: The study concluded that the most common types of inguinal hernia presented to Gadarif teaching hospital were the indirect followed by the direct and the strangulated. The risk factors of inguinal hernia were urine retention, chronic cough and constipation. The most common clinical presentation of ingunal hernia was inguino-scrotal swelling. Combined herniotomy and herniorophy was the commonest surgical intervention.

Keywords: Inguinal hernia, public hospital.