Inguinal hernia is a frequent surgical ailment in Africa, with an annual incidence of 175 inguinal hernias per 100,000 persons. Chronic groyne discomfort is defined as pain that lasts for at least three months after an inguinal hernia has been repaired. Chronic groyne discomfort is a potentially incapacitating consequence that presents the surgeon with a therapeutic and diagnostic dilemma.
The goal of this study was to find out how common persistent groyne pain was in a group of patients in a rural African hospital setting.
Methodology: Between April 1, 2008, and July 31, 2012, a descriptive retrospective analysis was conducted on all patients under the age of 15 who received an inguinal hernia repair. Age, sex, recurrence of hernia, and post-operative pain lasting at least 3 months were all extracted from patients' clinical notes and theatre log books. The duration of discomfort, pain at the operation site, and kind of postoperative analgesia were all collected in the interview questionnaire, and a physical examination to assess recurrence was performed at the surgical-out-patients clinic.
The results of 158 individuals who had an inguinal hernia repaired with the modified Bassini technique were studied. The average age was 44.84. With a male predominance, the male:female ratio was 3.65:1. Chronic groyne pain/discomfort was reported by 22 people (13.92%), and it remained for at least 3 months after surgery.
Conclusions: The low frequency of persistent groyne pain in our study could be attributable to the fact that the majority of them were performed as elective procedures under local anaesthetic with regular ilioinguinal nerve identification. To determine the true prevalence of chronic groyne discomfort after inguinal hernia surgery in rural Africa, a bigger sample size and longer follow-up may be required.Author(S) Details
Richard Wismayer
Department of Surgery, St. Joseph’s Maracha Hospital, Maracha, West Nile, Uganda and Department of Surgery, Habib Medical School, IUIU University, Kampala, Uganda.
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