Clinical and Therapeutic Aspects of Inguinal Hernia at the Reference Health Centre of Commune II of the District of Bamako

Objective: To study the diagnostic and therapeutic aspects of uncomplicated inguinal hernias in the general surgery unit of CSRéf CII.Method: This was a prospective, descriptive, single-centre study from 1 January 2016 to 31 December 2016 of 84 patients operated on for inguinal hernias in the general surgery unit of CSRéf CII.Results: Inguinal hernia accounted for 8% of surgical consultations and hernia repair accounted for 30.22% of surgical procedures.Hernia repair accounted for 30.22% of surgical procedures.The male sex was the most represented with a ratio of 7.40.The average age of our patients was 43.19 years.Recurrence occurred in 10% of cases.The right side was most affected in 71.43% of cases, 19.05% on the left side in; it was bilateral in 09.52%.Local anaesthesia was used in 67.86% of our patients, general anaesthesia in 13.09% of cases and locoregional anaesthesia in 19.05% of cases.The hernia was external oblique in 75% of cases.Shouldice's technique was the most used with 88%; Bassini's technique was used in 7% and Mac Vay's in 5% of cases.The postoperative course was simple in 96.43% of cases, with an early postoperative morbidity rate of 3.57%, one case of wall abscess and two cases of parietal haematoma.No deaths were observed during our study.Conclusion: The new methods of tension-free cure should be used more and more by our users in our facilities.