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Cost and Results of Prosthesis Placement for Hernia Repair at Ignace Deen Hospital (Guinea)

Received: 9 October 2024     Accepted: 29 October 2024     Published: 20 November 2024
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Abstract

Introduction: The aim of the study was to evaluate the cost and results of prosthesis placement in hernia repairs in the general surgery department of university hospital centre CHU Ignace Deen. Material and methods: This was a prospective, descriptive cohort of 06 months' duration (June to December 2023) monitored in the general surgery department of university hospital centre (CHU) Ignace Deen. All patients operated on for hernias with placement of a drill bit who agreed to answer our questions were included in the study. The variables were sociodemographic, clinical, therapeutic and evolutionary. Results: We included 120 patients, representing 57.4% of all surgical procedures. The mean age was 58.1 ± 16.1 years, with extremes ranging from 20 to 91 years. The 60 to 69 age group was most affected (25.8%). The sex ratio was 3.2 in favor of men. The site of the hernias was dominated by the inguinal region (93%). The Liechtenstein technique was used for all patients. Only one type of mesh was used, polypropylene. Mean operating time was 89.9 ± 28 min. The average cost of treatment was 3,308,333.3 ± 56,9594.3 Guinean francs (GF). Pain was noted in 12 patients (10%), recurrence in 3 (2.5%) and delayed healing in 5 (4.2%). Average hospital stay was 1.8 ± 1.1 days. Conclusion: The results of our study show that the use of the wick in hernia repair is highly beneficial for the patient, as the post-operative outcome was favorable in the majority of cases.

Published in Journal of Surgery (Volume 12, Issue 6)
DOI 10.11648/j.js.20241206.11
Page(s) 129-132
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cost, Results, Prostheses, Cure, Hernias, Ignace Deen

References
[1] Kingsnorth A, LeBlanc K. Inguinal and incisional hernias. Lancet 2003; 362: 1561-71.
[2] Attolou SGR, Gandji WE, Souaibou YI, Komandan S, Gnangnon F, Natta H, et al. Results of inguinal hernia cures by prosthesis at the Ouidah zone hospital of Benin. SBC-BENI 2019; 30: 99-103.
[3] Marre P, Damas JM, Penchet A, Pélissier EP. Traitement de la hernie inguinale de l'adulte: résultats des réparations sans tension1Communication présentée à l'Académie nationale de chirurgie au cours de la séance du 5 juin. Ann chir 2001; 126: 644-8.
[4] Dalibert L, Goffette J. What is a prosthesis? Concepts and uses. HAL 2020; 222: 10-7.
[5] Kokotovic D, Bisgaard T, Helgstrand F. Long-term Recurrence and Complications Associated With Elective Incisional Hernia Repair. JAMA 2016; 316: 1575-82.
[6] Ouedraogo S, Sanou A, Zida A, Traore SS. Results of inguinal hernia repair using the Desarda technique in Burkina Faso. AJOL 2014; 8: 15-8.
[7] Amougou B, Cisse D, Ngandeu M, Engbang JP, Djoufang R, Beyeme T, et al. Article Original Les Hernies Inguinales de l'Adulte à l'Hôpital Central de Niete: Aspects Épidémiologiques et Anatomocliniques, Health Sci. Dis2021; 22(7): 107-11.
[8] Tamegnon D, Kokou KK, Iroukora K, Olivier AE-G, Komlan A, David DE. Prise En Charge Des Hernies De L'aine Au Chu-Kara (Togo). ESJ 2021; 17: 256-256.
[9] Zaré C, Sékou T, Edgard O, Belemlilga H, Maurice Z, Ibrahim T. Traitement Chirurgical Des Eventrations Abdominales Avec Pose De Prothese: Experience A Court Terme Du Chu Yalgado Ouedraogo. ESJ 2017; 13(36): 424-31.
[10] Ndong A, Sine B, Faye M, Diallo AC, Bagayogo NA, Ndiaye M, et al. Diagnostic, therapeutic and evolutionary particularities of inguinal hernias in subjects over 60 years of age. PAMJ - Clinical Medicine 2020; 2 (157): 1-6.
[11] Diarra K. Use of the parietal prosthesis in the cure of inguinal hernia in open surgery. PAMJ 2013; 6: 2-7.
[12] Tamegnon D, Kouliwa Kokou K, Olivier AE-G, Iroukora K, Komlan A, Ekoué David D. Prise En Charge Des Hernies De L'aine Au Chu-Kara (Togo). ESJ 2021; 17(21): 256-64.
[13] Koutora B, Alassani F, Amouzou E-G, Sakiye A, Geraldo RF, Tchangai BK, et al. Prise en Charge des Hernies de l'aine: Expérience d'un Hôpital Confessionnel en Zone Rurale au Togo. ESJ 2019; 15: 191-191.
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  • APA Style

    Yawo, K. S., Ibrahima, O., Mampan, K. A., Lamarana, B. F., Mohamed, K., et al. (2024). Cost and Results of Prosthesis Placement for Hernia Repair at Ignace Deen Hospital (Guinea). Journal of Surgery, 12(6), 129-132. https://doi.org/10.11648/j.js.20241206.11

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    ACS Style

    Yawo, K. S.; Ibrahima, O.; Mampan, K. A.; Lamarana, B. F.; Mohamed, K., et al. Cost and Results of Prosthesis Placement for Hernia Repair at Ignace Deen Hospital (Guinea). J. Surg. 2024, 12(6), 129-132. doi: 10.11648/j.js.20241206.11

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    AMA Style

    Yawo KS, Ibrahima O, Mampan KA, Lamarana BF, Mohamed K, et al. Cost and Results of Prosthesis Placement for Hernia Repair at Ignace Deen Hospital (Guinea). J Surg. 2024;12(6):129-132. doi: 10.11648/j.js.20241206.11

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  • @article{10.11648/j.js.20241206.11,
      author = {Kondano Saa Yawo and Oulare Ibrahima and Koundouno Aly Mampan and Balde Fatoumata Lamarana and Kaba Mohamed and Diallo Mariama Cire and Camara Mariama and Kourouma Mohamed and Mbouemboue Nsa’a Aichetou Laila and Soumaoro Labilé Togba and Fofana Houssein and Toure Aboubacar},
      title = {Cost and Results of Prosthesis Placement for Hernia Repair at Ignace Deen Hospital (Guinea)
    },
      journal = {Journal of Surgery},
      volume = {12},
      number = {6},
      pages = {129-132},
      doi = {10.11648/j.js.20241206.11},
      url = {https://doi.org/10.11648/j.js.20241206.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20241206.11},
      abstract = {Introduction: The aim of the study was to evaluate the cost and results of prosthesis placement in hernia repairs in the general surgery department of university hospital centre CHU Ignace Deen. Material and methods: This was a prospective, descriptive cohort of 06 months' duration (June to December 2023) monitored in the general surgery department of university hospital centre (CHU) Ignace Deen. All patients operated on for hernias with placement of a drill bit who agreed to answer our questions were included in the study. The variables were sociodemographic, clinical, therapeutic and evolutionary. Results: We included 120 patients, representing 57.4% of all surgical procedures. The mean age was 58.1 ± 16.1 years, with extremes ranging from 20 to 91 years. The 60 to 69 age group was most affected (25.8%). The sex ratio was 3.2 in favor of men. The site of the hernias was dominated by the inguinal region (93%). The Liechtenstein technique was used for all patients. Only one type of mesh was used, polypropylene. Mean operating time was 89.9 ± 28 min. The average cost of treatment was 3,308,333.3 ± 56,9594.3 Guinean francs (GF). Pain was noted in 12 patients (10%), recurrence in 3 (2.5%) and delayed healing in 5 (4.2%). Average hospital stay was 1.8 ± 1.1 days. Conclusion: The results of our study show that the use of the wick in hernia repair is highly beneficial for the patient, as the post-operative outcome was favorable in the majority of cases.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Cost and Results of Prosthesis Placement for Hernia Repair at Ignace Deen Hospital (Guinea)
    
    AU  - Kondano Saa Yawo
    AU  - Oulare Ibrahima
    AU  - Koundouno Aly Mampan
    AU  - Balde Fatoumata Lamarana
    AU  - Kaba Mohamed
    AU  - Diallo Mariama Cire
    AU  - Camara Mariama
    AU  - Kourouma Mohamed
    AU  - Mbouemboue Nsa’a Aichetou Laila
    AU  - Soumaoro Labilé Togba
    AU  - Fofana Houssein
    AU  - Toure Aboubacar
    Y1  - 2024/11/20
    PY  - 2024
    N1  - https://doi.org/10.11648/j.js.20241206.11
    DO  - 10.11648/j.js.20241206.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 129
    EP  - 132
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20241206.11
    AB  - Introduction: The aim of the study was to evaluate the cost and results of prosthesis placement in hernia repairs in the general surgery department of university hospital centre CHU Ignace Deen. Material and methods: This was a prospective, descriptive cohort of 06 months' duration (June to December 2023) monitored in the general surgery department of university hospital centre (CHU) Ignace Deen. All patients operated on for hernias with placement of a drill bit who agreed to answer our questions were included in the study. The variables were sociodemographic, clinical, therapeutic and evolutionary. Results: We included 120 patients, representing 57.4% of all surgical procedures. The mean age was 58.1 ± 16.1 years, with extremes ranging from 20 to 91 years. The 60 to 69 age group was most affected (25.8%). The sex ratio was 3.2 in favor of men. The site of the hernias was dominated by the inguinal region (93%). The Liechtenstein technique was used for all patients. Only one type of mesh was used, polypropylene. Mean operating time was 89.9 ± 28 min. The average cost of treatment was 3,308,333.3 ± 56,9594.3 Guinean francs (GF). Pain was noted in 12 patients (10%), recurrence in 3 (2.5%) and delayed healing in 5 (4.2%). Average hospital stay was 1.8 ± 1.1 days. Conclusion: The results of our study show that the use of the wick in hernia repair is highly beneficial for the patient, as the post-operative outcome was favorable in the majority of cases.
    
    VL  - 12
    IS  - 6
    ER  - 

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Author Information
  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Kankan Regional Hospital, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital, Conakry University Hospital Conakry/ Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University, Conakry, Guinea

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