Abstract
Abstract Objectives In rural África, hernia and caesarean section are the most common elective procedures with a very high burden of morbidity and mortality in inguinal hernias. We present the interventions carried out during 2022 by European aid workers in a referral and third level hospital in Tanzania and the techniques performed from the scarce material available. Material and Methods A retrospective observational study of the number of inguinal hernias operated in a Hospital in Tanzania by European aid workers. Results Throughout 2022 the hospital performed 2818 surgical interventions (1445 men and 1373 women) of which 155 were inguinal hernias (5.5% of total interventions). Of this total, only 5 were repaired with mesh using the Lietchenstein technique (3% of operations). The remaining cases were repaired by herniorrhaphy using the Shouldice technique. The postoperative period was between 24 and 48 hours. Follow-up is carried out in less than 5% due to the fact that this is a rural hospital, with 17 reoperations. Conclusions Treatment of inguinal hernia in cooperative projects are challenging to the surgeon's skills and require a thorough understanding of the anatomy of the inguinal region and nonprosthetic repair options.
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