Types of Hernia in Sulaimani Governorate

Kamal Ahmed Saeed

College of Medicine, University of Sulaimani

a retrospective study done to know the prevalence of abdominal wall hernia from the operations done druing the period of 1 septermber 1994 till the 30 deptermber 2000. Among 21222 patients eperated 4554 (21%) were hernias of different types . The mean age of the patients with abdominal wall hernias was around 46 years. Inguinal hernias appear to affect children and adolescents (0 -30) years more, while other types appear to affect middle ages (21-50) years more. Hernias where mostly of inguinal type, mainly unilateral on the right side, followed by umbilieal (and Para umbilieal), incisional, epigastric and femoral hernia.

Keywords : abdominal wall hernias, inguinal hernias, incisional hernias.


l. Desarda Mohan P. methodfor inguinal hernia repair. Consultant G Surgeon,Poona
Hospital & Research Centre,Kamla Nehru Corporation Hospital , Bharati
Vidyapeeth Medical College, Gold Medallist in Anatomy, an internet - based
presentation. BMC Surgery 20{l,3,
2. chan KY, Rohaizak M, sukurnar N, Shaharuddin s, Jasmi AY.lruguinal heynia
repair by surgical trainees at a malaysian teaching haspital.Asian J Surg. 2004
3. H D E Atkinson, S G Nicol, S Purkayastha, S Paterson-Brown.surgieal management of inguinal
hernia: retrospective cohort study in southeastern Scotland, 1985-2001,
BMJ VOL 329 20A4:815-6.
4. Lichtenstein IL, Shulman AG. Amid PK, Montlor HM. the tension-free hernioplasty. Am J Surg I989; I57:188-93.
5. McCorrnack K, Scott NW, Go PM, Ross S, Grant AM, Laparoscopic techniqnes
versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev
6. Irabor DA, Hernia repair under local or intravenous Ketamine in a tropical low
socio-ecanamicpopulation. West Afr J Med. 2005 (2):143-5,
7. Rutkow lM.,Epidemiologic, economic, and sociologic aspects of hernia surgery in th
United States in the 1990s. Surg CIin North Am. I998;78(6):941-51, v-vi.
8, Vavrik J, Pafko P, FoltynovaY, Surgery of external hernias at the 3" Surgieal
Clinic from 1993 ro 1997. Rozhl Chir. 2000, 79(8):371-5.
9. Sourkati EO, Fahal AFI, Suliman SH, etall. Intestinal obstruction in Khartoum. East
Afr Med J 1996; 73(5):316-9.
10. Schurnpelick V Treutner KH. Arlt G" Inguinal hernia repair in adults, Lancet
11. EU Hernia Trialists Colletboration.Mesh compared with non-mesh method of open
groin hernic repair:: systematic review of randomized conlrolled trails. Br .J Surg
2t)OS; 87:854-9.
l2. Bay-Nielsen M, Kehlet H. Strand L, Maimstrom J, Anderseu FH, Wara P, et al.
Quality assessment of 26304 herniorraphies in Denmark a prospective nationwide
study  Luncet2AAl -:5I:I I24-8.
13. Ofili OP.Possibilities of the strong posterior wall of inguinal canal in women. Cent
Afr J Med. 1990 :36(12):30C-4,
l4,.Leigh Neumayer. M.D., Anita Giobbiert{urder, M.S.. Olga Jonasson.Open Meslt
versus laparoscopic Mesh Repair af lnguinal hernia N Engl J Med
2404.350:1 8 ] 9-27.
15. WYM Leung, IUB, ChB, FRCS (Edin),M Poon, MB, ChB, FRCS (Edin),KW
Chung,lvlB, BS, FHKAM (Surgery),W]i Kwok, MB, BS, F'HKAM
(Surgery).Should we perform ear{y aperatiotis in children who have reducible
inguinal hernia?, HKM:[ \Io1 4 No 3 1998.
16. Dr. Donald R.J. Welsh,The Vlarkplace Safefy and lnsurance Appeals
Trib u n al. Hernias, Augr";st t 994,Ontaris.
17. ACS 200?, Edward Felix Iv{D, FACS Eriward Feiix MD, FACS
Director of the Center for Hemia Repair Director of the Center tor F{ernia
Repair,Assistant Clinieal Frofessor UCSF, irresnc Assistant Clinieal Professor,
UC SF, Fresno "The Hernia Cr.rntroversy, internet- based pre sentation.
18, Mohan P Desarda..gargica! phy'si,tlogt cS inguinal hernia repatr - a studlt of 200
cases, BX6C Surgery 2$03.
19. Danny O. Jacobs, M.D., M.P.H. Mesh Repair of Inguinal Hernias _Redux, nengl j
med, 350; 18,2004"
20. Elie Yahchauchy-Chouillard Taraer Aura Olivier Piccne,Jean-Charles Etienne Abe
Fingerhut. Incisional hernias, Dig Surg 2003:3-9.