CHAPTER 5. CONCLUSION AND RECOMMENDATIONS
5.1. CONCLUSION
At the end of our study, we derived the following
conclusions:
1. The prevalence of GH at Kibogora Hospital was 16% in
121 cases recorded among
the 765 cases of major surgical interventions done
during the period of study.
2. There was a predominance of male sex as regards the
occurrence of GH in
Kibogora Hospital with a Male to Female ratio of
6:1.
3. Modified Bassini technique is the most commonly
performed procedure for Groin
Hernia repair in Kibogora Hospital.
4. Among the post-operative complications, hematoma
formation was predominant
with (14%), followed by scrotal edema at (7%) and
wound sepsis came last with
(5%).
5. The majority of patients who underwent hernia repair
at Kibogora Hospital
are discharged in good conditions.
6. Spinal anesthesia was mainly used during groin hernia
repair, this was followed by
General anesthesia and local anesthesia was not
applied at all during the study
period.
5.2. RECOMMENDATIONS
To the general population
Ø The entire population should all the time seek
medical help whenever they notice a swelling in the groin area because this
limits chance of developing complications.
To the Physicians
Ø General practitioners should always seek surgical
skills from senior surgeons on how to operate on the groin hernia in order to
minimise chances of patients developing post-operative complications.
To the hospitals
Ø Elective hernia repair should be encouraged in order
to prevent complications
Ø There is need for a prospective study on a wider
scale.
To the faculty of medicine, National University of
Rwanda (NUR)
Ø Improve training to enable students have rational
surgical knowledge to enable them improve their surgical skills in general but
more specifically for the management of hernias.
Ø Encourage more medical students to carry out research
on this subject in other hospitals and compare their results with our
findings.
To the ministry of health:
Ø The ministry should carry out a larger fully powered
study to determine the extent of this problem in all major hospitals in the
country and then take appropriate measures.
| 
