A prospective cohort study comparing the African and European hernia.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
D L SandersA N Kingsnorth

Abstract

The prevalence of inguinal hernia in Ghana, western Africa, is as high as 7.7% of the population. The elective operation rate is significantly lower because many of the hernias are repaired as emergencies. This discrepancy results in a pool of longstanding large hernias. This prospective cohort study compared consecutive patients having day case local anaesthetic inguinal hernia repairs under the Plymouth Hernia Service, UK, and in Ghana, Africa. Assessment was made of hernia size and subscapular skin-fold thickness. In the Ghanaian group, data were collected on patient age, type of inguinal hernia, duration of the hernia, and disability caused. A total of 241 patients were included in the study (UK: n = 106, Ghana: n = 135). The mean age of the UK group was 62 years (range 28-91 years) and of the Ghanaian group 34 years (range 2 months-80 years). One hundred and twelve (82.9%) of the Ghanaian hernias were indirect. Ninety (67%) of the Ghanaian hernias extended into the scrotum compared with 7 (6.0%) in the UK group. The Ghanaian hernias were significantly larger (P = 0.01) and the patients significantly thinner (P = 0.02). In the Ghanaian group, 22 (16%) of the patients were unable to work due to their hernia, and in a further...Continue Reading

References

Nov 3, 1997·Journal of Health Economics·C J Murray, A K Acharya
Nov 15, 2003·Lancet·Andrew Kingsnorth, Karl LeBlanc
May 18, 2004·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A N Kingsnorth
Aug 17, 2006·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A N KingsnorthR Simmermacher

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Citations

Mar 21, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M Ohene-YeboahR Azorliade
Jul 10, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B DiopS M Sarre
May 25, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J YangF Abdullah
May 12, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A N KingsnorthO A Awojobi
Aug 7, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C G Sørensen, J Rosenberg
Nov 19, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H D PatelS M Wren
Mar 26, 2009·World Journal of Surgery·Andrew N KingsnorthSamuel D Shillcutt
Oct 18, 2012·World Journal of Surgery·Samuel D ShillcuttAndrew N Kingsnorth
Aug 16, 2015·Journal of Surgical Education·Néha DattaDavid C Chen
Nov 19, 2015·World Journal of Surgery·Michael Ohene-YeboahSamuel Mensah
Jul 7, 2015·Polski przeglad chirurgiczny·Sławomir KoziełZbigniew Lorenc
Aug 2, 2014·International Journal of Surgery·Jonathan C SamuelAnthony G Charles
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Jul 6, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S BourgouinP Balandraud
Nov 23, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F KöckerlingM P Simons
Mar 12, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R LorenzR Wiessner
Nov 23, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B M WilliamsA Charles
Jul 13, 2019·The Journal of Surgical Research·William T ChendjouAlain Chichom Mefire

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