Abstract
The objective was to study epidemiological and therapeutic aspects of the inguinal hernia according to the technique of Shouldice. Methodology: we realized a retrospective study, concerning the patients operated for inguinal hernia according to the technique of Shouldice in the service of general surgery of the hospital Sominé Dolo of Mopti, Mali. All the patients operated during the period of study for inguinal hernia according to the technique of Shouldice were included. The patients operated for hernia by other technique than that of Shouldice were not included. Results: The study has been realized in the service of general surgery of the hospital Sominé Dolo of Mopti (Mali). It was about a retrospective study which concerned 25 years from January, 1987 till December, 2012. 675 patients operated according to the technique of Shouldice were registered. The average age was of 49 years +/−17.7. There were 90.7% (612) men. The sex-ratio is 9.7. The farmers, the housewives and the workers represented 51.1% (115). In 75.2% (508) the patients consulted for inguinal tumefaction. In operating meadow, the hernia was complicated to 246 (36.4%) patients among whom 72 cases were of recurrence. The hernia constriction was the main complication operating meadow 58.5% (48/82). The operating suites in one year were simple at 94.2% (636) of the patients; they were marked by 24 cases of recurrence, 12 cases of neuralgia, 6 cases of testicular atrophy, and 3 cases of keloid. Conclusion: The technique of Shouldice is the technique of choice for the cure of the inguinal hernia in developing countries because of the good result and its little expensive cost with compared with the other techniques using medical devices.
Highlights
The inguinal hernia defines itself as a hernia which makes stemming by the inguinal canal over the cruralarch [1]
Methodology: we realized a retrospective study, concerning the patients operated for inguinal hernia according to the technique of Shouldice in the service of general surgery of the hospital Sominé Dolo of Mopti, Mali
All the patients operated during the period of study for inguinal hernia according to the technique of Shouldice were included
Summary
The inguinal hernia defines itself as a hernia which makes stemming by the inguinal canal over the cruralarch [1]. About 95% of the hernias of the groin are inguinal hernias which affect especially the male subject between 20 and 60 years [2]. They represent 10% of the interventions in digestive surgery. The treatment of the inguinal hernia is essentially surgical. The treatment of the inguinal hernia raises the question of the choice among several surgical techniques today offering comparable clinical results but different functional and economic results [2]. In 1996, Simmons concluded that “the intervention of Shouldice is the best conventional technique of cure of the inguinal hernia” [4]. The objectives of this study were: to study the epidemioclinical and therapeutic aspect of the inguinal hernia according to the technique of Shouldice
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