Abstract
Thirty-six cases of strangulated external hernia were operated upon in Bethesda Hospital Ikachi, Eastern Nigeria, during a period of 27 months. Gut resection was necessary in nine. The causes of an increased case fatality rate after resection are reviewed. Three lesscommon conditions — Reduction en masse, lumbar hernia and Richter's hernia — are discussed. The overall case fatality rate from strangulated external hernia in Nigeria is not very different from that in Europe and the USA, although in Nigeria the resection rate is high.
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References
1.
Chiedozi
LC
Aboh
LO
Piserchia
NE.
Mechanical bowel obstruction . Am J Surg
1980 ;139 :389 –93 .
2.
Davey
WW.
Companion to surgery in Africa . Edinburgh & London : Churchill Livingstone , 1968 :280 –94 .
3.
Schrock
TR.
Small intestine . In:
Dunphy
JE
Way
LW
, eds. Current surgical diagnosis and treatment . Los Altos : Lange Medical , 1979 ;600–24.
4.
Andrews
NJ.
Presentation and outcome of strangulated external hernia in a district general hospital . Br J Surg
1981 ;68 :329 –32 .
5.
Hjaltason
E.
Incarcerated hernia . Acta Chir Scand
1981 ;147 :263 –7 .
6.
Verberne
GHM
Luyk
CI.
De beklemde hernia femoralis . Ned Tijdschr Geneeskd
1981 ;125 :1225 –6 .
7.
Keynes
WM.
Richter's and Littre's hernias . In:
Nyhus
LM
Condon
RE
, eds. Hernia . Philadelphia : Lippincott , 1978 :320 –6 .
8.
Dennis
C
Emquist
IF.
Strangulated external hernia . In:
Nyhus
LM
Condon
RE
, eds. Hernia . Philadelphia : Lippincott , 1978 :279 –99 .
9.
Dudley
HAF.
Strangulated external hernia . In:
Dudley
HAF
, ed. Hamilton Bailey's emergency surgery . Bristol : John Wright , 1977 :497 –505 .
10.
Condon
RE
Nyhus
LM.
Complications of groin hernia . In:
Nyhus
LM
Condon
RE
, eds. Hernia . Philadelphia : Lippincott , 1978 :264 –75 .
11.
Wright
RN
Arensman
RM
Coughlin
TR
Nyhus
LM.
Hernia reduction en masse . Am Surg
1977 ;43 :627 –30 .
12.
Gerhardt
PG.
Reposisjon en masse av lyskebrokk . Tidsskr Nor Laegeforen
1980 ;100 :1778 –80 .
13.
Orcutt
TW.
Hernia of the superior lumbar triangle . Ann Surg
1971 ;173 :294 –7 .
14.
Swartz
WT.
Lumbar hernia . In:
Nyhus
LM
Condon
RE
, eds. Hernia . Philadelphia : Lippincott , 1978 :409 –26 .
15.
Attah
CA
Anikwe
RM.
Obstructed hernia in Nigeria . NY State J Med
1982 ;82 :305 –8 .