Abstract:
BACKGROUND:Inguinal hernia is thought to be common in rural Ghana, though no recent data exist on hernia prevalence in the country. This information is needed to guide policy and increase access to safe hernia repair in Ghana and other low-resource settings. METHODS:Adult men randomly selected from the Barekese sub-district of Ashanti Region, Ghana were examined by surgeons for the presence of inguinal hernia. Men with hernia completed a survey on demographics, knowledge of the disease, and barriers to surgical treatment. RESULTS:A total of 803 participants were examined, while 105 participants completed the survey. The prevalence of inguinal hernia was 10.8 % (95 % CI 8.0, 13.6 %), and 2.2 % (95 % CI 0, 5.4 %) of participants had scars indicative of previous repair, making the overall prevalence of treated and untreated inguinal hernia 13.0 % (95 % CI 10.2, 15.7 %). Prevalence of inguinal hernia increased with age; 35.4 % (95 % CI 23.6, 47.2 %) of men aged 65 and older had inguinal hernia. Untreated inguinal hernia was associated with lower socio-economic status. Of those with inguinal hernia, 52.4 % did not know the cause of hernia. The most common reason cited for failing to seek medical care was cost (48.2 %). CONCLUSION:Although inguinal hernia is common among adult men living in rural Ghana, surgical repair rates are low. We propose a multi-faceted public health campaign aimed at increasing access to safe hernia repair in Ghana. This approach includes a training program of non-surgeons in inguinal hernia repair headed by the Ghana Hernia Society and could be adapted for use in other low-resource settings.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Ohene-Yeboah M,Beard JH,Frimpong-Twumasi B,Koranteng A,Mensah Sdoi
10.1007/s00268-015-3335-7subject
Has Abstractpub_date
2016-04-01 00:00:00pages
806-12issue
4eissn
0364-2313issn
1432-2323pii
10.1007/s00268-015-3335-7journal_volume
40pub_type
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journal_title:World journal of surgery
pub_type: 杂志文章
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journal_title:World journal of surgery
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journal_title:World journal of surgery
pub_type: 杂志文章,随机对照试验
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更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:We investigated the implications of HER2 amplification in Asian women with small, node-negative breast cancer in low- and middle-income countries (LMCs). METHODS:We reviewed the charts patients treated between 1989 and 2009 with breast conservation therapy for node-negative breast cancers measuring ≤ 2 cm. ...
journal_title:World journal of surgery
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journal_title:World journal of surgery
pub_type: 杂志文章,多中心研究,随机对照试验
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journal_title:World journal of surgery
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journal_title:World journal of surgery
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journal_title:World journal of surgery
pub_type: 杂志文章
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journal_title:World journal of surgery
pub_type: 杂志文章
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:World journal of surgery
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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更新日期:1997-09-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2007-09-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2009-10-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2001-06-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2002-10-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s00268-016-3584-0
更新日期:2016-11-01 00:00:00
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更新日期:2019-12-01 00:00:00