[Experience with preperitoneal hernioplasty using Stoppa's procedures in the Ivory Coast].
OBJECTIVE
The treatment of groin hernias with a high risk of recurrence often provides therapeutic difficulties in Africa for fear of using mesh due to the potential risk of sepsis. The aim of this retrospective study was to emphasize the simplicity and efficacy of Stoppa's technique.


METHODS
From 1994 to 1999, 128 patients with 239 groin hernias underwent hernioplasty with Stoppa's technique. They were all men with a mean age of 54 +/- 8 years. They were classified in stages III and IV (46.8%, n = 60) of Nyhus. One hundred and eleven patients (86.7%) had bilateral hernias and 64 had a factor of recurrence (50%).


RESULTS
Mean operating time was 150 +/- 42 min (50-240 min). Follow-up ranged from 6 months to 6 years, with a mean time of 26 months. Eighteen patients were lost to follow-up. The mortality rate was 0.8% (n = 1). The morbidity rate was 18.7% (n = 24) with five hematomas (3.9%), 11 seromas (8.6%), one parietal infection (0.8%) and one recurrence (0.8%).


CONCLUSIONS
These results suggest that Stoppa's technique is efficient and technically feasible in our conditions and has to be performed more frequently.
Diarra
B
B
Service de chirurgie digestive, CHU de Yopougon, BP 632 Abidjan 21, Ivory Coast.
Coulibaly
A
A
Ehua-Somian
F
F
Soro
K G
KG
Souaga
K A
KA
Kanga-Miessan
J B
JB
D000328:Adult; D007560:Cote d'Ivoire; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D013514:Surgical Procedures, Operative / Q000379:methods*; D016896:Treatment Outcome