OBSTRUCTED ABDOMINAL WALL HERNIAS IN A RURAL NIGER DELTA PRACTICE

Author(s): 
PO DIENYE 1,AB AKANl 1, PK GBENEOL 1
1 University of Port Harcourt Teaching Hospital, Nigeria
Text: 
AIM: Abdominal wall hernias and their complications are common in the Niger Delta region because of their occupation. This study was aimed to determine the socio-demographic characteristics, pattern of presentation and treatment outcome of patients with obstructed abdominal wall hernias in a rural Niger Delta practice in Nigeria.
METHODS: This was a retrospective study.
RESULTS: Obstruction occurred in 13(10.2%) of the patients who presented with hernias. Their age range was 17 - 97 years with a mean of 46.2 ± 14.3 years. There were 9 (69.2%) males and 4 (30.8 %) females with a ratio of 1.25: I. 92.3% were in the lower social classes and 7. 7% in the higher social classes. 84.6% of them resided in the fishing ports. All of the patients presented with swelling and severe pain at the sites. There was no case of femoral hernia seen in the study. Obstruction occurred after hernia had been noticed for an average 8.21 ± 2 years. The duration of obstruction ranged from 6 to 45 hours. Five patients had bowel resection. Post operative complications included wound infection and scrotal haematoma. Average stay in the hospital was 10.54 ± 3.21 days.
CONCLUSION: Obstructed abdominal wall hernias are common among the migrant fishers. Early diagnosis and elective repair of uncomplicated hernias should remain the strategy in patients of all ages to prevent complications.