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World Journal of Surgery
Published in: World Journal of Surgery 11/2015

01-11-2015 | Original Scientific Report

The Usefulness of International Cooperation in the Repair of Inguinal Hernias in Sub-Saharan Africa

Authors: José Gil, J. M. Rodriguez, E. Gil, Q. Hernández Agúera, F. M. González, J. A. García, M. D. Balsalobre, J. A. Tortosa, D. Hernández Palazón, A. B. Diallo, P. Parrilla

Published in: World Journal of Surgery | Issue 11/2015

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Abstract

Introduction

The burden of disease and mortality associated with inguinal hernia in Africa, especially in sub-Saharan Africa, is very high. The purpose of this study is to show that International Cooperation work in the field of hernia repair is effective; it minimizes the delay in hernia repairs in the targeted population, and can prevent a large number of disability-adjusted life years (DALYs).

Materials and methods

As a part of an International Cooperation program, a total of 990 black patients with inguinal hernias were studied, in whom hernioplasty was performed using polypropylene mesh. The type of hernia and surgical technique were studied. Indicators of scientific and technical quality, indicators of efficiency and of effectiveness were analyzed. The results on the usefulness of interventions were calculated as avoided DALYs.

Results

Surgery was performed on 926 patients with a total of 1033 hernia repairs. 87.2 % of the repairs were made with mesh. There was no mortality in the series, complications were minor, and 85.7 % of patients remained less than 24 h in the center. There was a 2.8 % of recurrence, with a follow-up 58.7 % of the patients in the first year. 5014 DALYs were avoided, and the average of the avoided DALYs per patient was of 5.41.

Conclusions

Hernia repair with mesh in low development countries is a procedure with low morbidity and high effectiveness that can prevent a large number of DALYs.
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Metadata
Title
The Usefulness of International Cooperation in the Repair of Inguinal Hernias in Sub-Saharan Africa
Authors
José Gil
J. M. Rodriguez
E. Gil
Q. Hernández Agúera
F. M. González
J. A. García
M. D. Balsalobre
J. A. Tortosa
D. Hernández Palazón
A. B. Diallo
P. Parrilla
Publication date
01-11-2015
Publisher
Springer International Publishing
Published in
World Journal of Surgery / Issue 11/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-015-3161-y

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