Les hernies internes étranglées dans les cliniques universitaires de chirurgie viscérale A et B du CNHU HKM de Cotonou de 1998 à 2009
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Date
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
71
Rev.
Afr.
Anesth.
Med.
Urg.
X
1.,
<1,2012
AB5TRACT
rreducible
to
pass
througn
a hale
or
several
depressions
of
the
abdominal
cavity,
internai
hernias
are
strangulated
bowel
obstruction
discovered
during
laparotomy.
Objectives:
-
Identify
internai
hernias,
-
Ta
study
the
circumstances
of
diagnosis,
-
Assess
their
management.
Patients
and
lVlethod
: This
is
a retrospective
study
over
a period
of
12
years
tram
January,
1998
ta
Decernber,
2009
in
the
university
clinics
of
Visceral
Surgery
A and
8-HKM
CNHU
otonou.
esults_:
Three
cases
of
internai
hernias
;:Jre
listed
str,mgled
over
<:1
period
of
12
years.
he
disease
had
affected
the
patients
of
both
sexes:
two
men
and
one
woman.
The
patients
ere
young
and
19
vears
o/d,
23
ye<lrs
and
25
years.
Patients
admitted
ta
the
emergency
showed
diffuse
abdominal
pain
for
ov~r
four
days
with
progressive
abdominal
distension.
The
radiographs
of
th~
abdomen
without
prepëlr<Jtion
S
owed
air-fil/id
leveis
secn
a srnall
bowel
obstruction.
The
median
l<Jparotomies
stradclles
the
umbilicus
found
3
cases
of
internai
hernia
~trangulation:
two
cases
of
para
duodenal
hernia
right
and
one
case
of
intestinal
herniation
fomentai
foramen.
There
was
intestinal
necrosis.
~he
surgery
was
bowel
resection
followed
by
end
to
end
anastornosis.
The
postoperative
ourses
are
simple
in
3 cases.
Conclusion:
Internai
hernias
are
rare
in
CNHU
HKM
Cotonou,
The
diagnosis
is
late
and
there
5
necrosis
of
intestinalloo