ArticleHernia : the journal of hernias and abdominal wall surgery2008
Indirect inguinal hernia in Nigerian older children and young adults: is herniorrhaphy necessary?
Article in Hernia : the journal of hernias and abdominal wall surgery, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Optimal surgical approach to inguinal hernia repair in adolescents and young adults: is herniotomy alone adequate? a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Open inguinal herniotomy: Analysis of variations.African journal of paediatric surgery : AJPSTrial
- Is young age a risk factor for chronic postoperative inguinal pain after endoscopic totally extraperitoneal (TEP) repair?Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Herniotomy in young adults as an alternative to mesh repair: a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- Congenital hernias and hydrocele: Importance of age.African journal of paediatric surgery : AJPSArticle
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn many centers in sub-Saharan Africa, adults and children aged over 12 years with indirect inguinal hernias are treated with Bassini's herniorrhaphy with many avoidable complications. The objective of this study was to determine the applicability of herniotomy in patients aged between 12 and 45 years.
methodsA prospective study was carried out on patients aged between 12 and 45 years with indirect inguinal hernias who were treated with herniotomy at the Leadeks Medical Center, Benin City, Nigeria, between January 2002 and December 2007.
resultsA total of 316 patients aged between 12 and 45 years (mean 25 +/- 5.3 years), comprising 305 males and 11 females with a male:female ratio of 27.7:1, had 326 herniotomies, which accounted for 27.5% of pediatric operations during the study period. Two hundred and eighty-three (86.8%) patients had elective while 43 (13.2%) had emergency surgery following features of obstruction and strangulation, with a mean duration of surgery of 30 min (range 20-40 min). All of the patients were operated on day case with a mean observation period of 8 +/- 3.5 h (range 2-24 h), and no significant immediate postoperative complication was recorded. Postoperative pain was extremely statistically significant in those cases that had strangulation before operation (P < 0.0001), but paracetamol was an adequate analgesia. The patients resumed normal duties between 5 and 14 days after repair and have been followed up for 1-5 years, with one (0.3%) patient, who was also being treated for chronic cough, who had recurrence 3 years after operation.
conclusionHerniotomy was found to be safe, applicable, beneficial, and cost-effective in this age group, with many advantages over Bassini's herniorrhaphy.
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