title: [Epidemiologic and therapeutic factors of postoperative incisional hernia at CHU Gabriel Touré].
abstract: BACKGROUND
  The incisional hernia is a frequent complication of the opened abdominal surgery. The objectives of this study were to determine the hospital frequency and the favoritizing factors, to analyze the therapeutic aspects.
  
  
  METHODS
  We realized a retrospective study from January, 1999 to December, 2005 in the services of general and paediatric surgery of teaching hospital Gabriel Touré. It concerned 45 cases of incisional hernia. The hernias of the abdominal wall, the abdominal and traumatic hernia were not retained.
  
  
  RESULTS
  The frequency was 0.52%; the average age of our patients was 37.8 years with a sex ratio of 2 in favour of the woman. The average delay of consultation was of 59 months with extremes going from 2 to 11 months. Favoritizing factors found were the parietal suppuration to 13 (28.8%) patients and the multiple interventions to 8 (17.8%) patients. The average dimension of the hernia was 9.5 cms ± 3.8 with extremes going from 5 to 14 cms. The 45 patients benefited from the cure of the hernia according to Mayo. We didn't lost any patient. 2 parietal suppurations happened post-operatively.
  
  
  CONCLUSIONS
  Incisional hernia treatment consists for Mayo's method or prosthesis. The laparoscopic surgery can reduce complications.
authors.affiliation: Faculté de Médecine de Pharmacie etD’Odonto stomatologie (FMPOS) Bamako. lassanakante@gmail.com
authors.forename: L
authors.initials: L
authors.lastname: Kanté
authors.forename: A
authors.initials: A
authors.lastname: Togo
authors.forename: I
authors.initials: I
authors.lastname: Diakité
authors.forename: A
authors.initials: A
authors.lastname: Traoré
authors.forename: B T
authors.initials: BT
authors.lastname: Dembélé
authors.forename: Y
authors.initials: Y
authors.lastname: Coulibaly
authors.forename: A
authors.initials: A
authors.lastname: Samaké
authors.forename: A
authors.initials: A
authors.lastname: Maiga
authors.forename: H
authors.initials: H
authors.lastname: Samaké
authors.forename: M
authors.initials: M
authors.lastname: Keita
authors.forename: L
authors.initials: L
authors.lastname: Diabira
authors.forename: G
authors.initials: G
authors.lastname: Diallo
mesh_terms: D000005:Abdomen / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006555:Hernia, Ventral / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008302:Mali / Q000453:epidemiology; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D055815:Young Adult