E. Anaesthesia
This study at Kibogora Hospital showed a predominance of
applying Spinal anaesthesia during hernia repair with 77% of all hernia
repairs. The rest of cases were under General anaesthesia, no local anaesthesia
application was revealed during the study period. Elsewhere, in a study done in
northern Ghana by Wilhelm TJ et al [12], equally revealed that
spinal anesthesia was predominant with 48% ,followed by general anesthesia on
29.6% whilst local anesthesia on 22.4% which contrasts with our findings in
Kibogora hospital as regards the use of local anesthesia. This trend difference
can be explained by the fact that merits of local anesthesia use in elective
groin hernia repair in our settings are less known.
F. Post-operative
complications/ evolution
In our study, significant complications occurred in 30 (25%)
cases in a total of 121 cases which underwent groin hernia repair. Hematoma
formation was the most common post-operative complication encountered making up
17 (14%), scrotal edema came second with 8 (7%) and Wound sepsis came last with
only 5 (4%) cases. The majority of patients 94 (78%) was discharged from the
surgical ward in a good condition. Only 27 (22%) of were discharged in a fair
condition, no patient died during this study period. In another study by H Lau
and F. Lee in Hong Kong [14] to audit the outcome of 271 cases who
underwent inguinal hernia repair, no patient died, 265 (97%) cases were
discharged home on the day of operation and in good condition, wound
complication was the common morbidity encountered.
| 
