Abstract：
BACKGROUND:Hernia is especially prevalent in developing countries where the population is obliged to undertake strenuous work in order to survive, and International Cooperation Programmes are helping to solve this problem. However, the quality of surgical interventions is unknown. The objective of the present study was to evaluate the quality of hernia repair processes carried out by the Surgical Solidarity Charity in Central African States. MATERIALS AND METHODS:A total of 524 cases of inguinal hernia repair carried out in Cameroon and Mali during 2005 to 2009 were compared with 386 cases treated in a Multicentre Spanish Study (2003). General data (clinical, demographic, etc.), type of surgery, complications, and effectiveness and efficiency indicators were collected. RESULTS:Preoperative studies in the Spanish group were greater in number than in the African group. The use of local anesthesia was similar. Antibiotic prophylaxis was higher in the African group (100% to 75.4%). The use of mesh was similar. The incidence of hematomas was higher in the Spanish group (11.61% to 4.61%), but the incidence of infection of the wound and of hernia recurrence was similar, although follow-up was only carried out in 20.97% in the African group (70% in the Spanish group). Hospital stay of more than 24 h was higher in the Spanish group. CONCLUSIONS:The standard quality of surgery for the treatment of hernia in developing countries with few instrumental means, and in sub-optimal surgical conditions is similar to that provided in Spain.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Gil J,Rodríguez JM,Hernández Q,Gil E,Balsalobre MD,González M,Torregrosa N,Verdú T,Alcaráz M,Parrilla Pdoi
10.1007/s00268-012-1768-9subject
Has Abstractpub_date
2012-12-01 00:00:00pages
2795-801issue
12eissn
0364-2313issn
1432-2323journal_volume
36pub_type
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