Types of Hernia in Sulaimani Governorate


Kamal Ahmed Saeed

College of Medicine, University of Sulaimani





Abstract
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.



References

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
(4):306-12.
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
2003(1):CD001785.
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
1994;344:375-9.
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.