LES HERNIES PARIETALES DE L'ADULTE A L'HOPITAL DE L'AMITIE TCHAD-CHINE DE N'DJAMENA. ASPECTS EPIDEMIOLOGIQUES, CLINIQUES, DIAGNOSTIQUES ET THERAPEUTIQUES.

Introduction: Parietal hernias were the first pathology after appendicitis at the Chad-China Friendship Hospital. Objective: The aim of this study was to specify the epidemiological, clinical, diagnostic and therapeutic aspects of parietal hernias. Patients and method: This was a retrospective descriptive cross-sectional and analytical study of adult patients operated for parietal hernias between June 2015 and July 2020. Results: Of the 386 cases, there were 281 men (72.8%) and 105 women (27.2%). The sex ratio was 2.68. The mean age of the patients was 43.14 years with extremes of 20 and 79 years. In 7.5% of the cases, it was the strangulated hernias received in emergency (n=29). Inguinal hernia (n=268) was the most frequent variety with 69.4% of cases, followed bylinea alba hernia (78=20.2%) and umbilical hernia (40=10.4%). The main surgical technique used was the Bassini technique. Postoperative complications were 2 cases of hemorrhage (0.5%), 4 cases of hematoma (1%), 7 cases of urinary retention (1.8%) and 10 cases of parietal suppuration (2.6%). Conclusion: Parietal hernias are dominated by inguinal hernias. Raphy was the only technique performed. Early consultations could prevent complications. [ABSTRACT FROM AUTHOR]