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Introduction: congenital diaphragmatic hernia has been rarely reported in Africa. It can manifests early or late. Prognosis mainly depends on associated malformations. The purpose of this study is to report our experience in the Albert Royer National Children's Hospital, Dakar, Senegal. Methods: we conducted a retrospective study of patients treated for congenital diaphragmatic hernia between January 2010 and December 2019. Results: twelve patients were enrolled, with an average age of 8.9 months. Bochdalek hernias were detected in 10 patients. The most common symptoms were respiratory symptoms (83.3%), followed by digestive symptoms (41.6%). Thoraco-abdominalX-ray was used to make a diagnosis in all patients. Three patients underwent preoperative stabilization. All patients underwent laparotomy. Hernia sac was found in 10 patients, and 50% of patients had a defect measuring between 5 and 10 cm. The postoperative course was simple in 10 patients; a polymalformed patient died. Conclusion: congenital diaphragmatic hernia is a reality in our environment; it most often manifests beyond the neonatal period. Prognosis is generally good in our context. [ABSTRACT FROM AUTHOR]

Aim: The aim of this study was to evaluate the diagnostic, therapeutic and evolutionary aspects of female inguinal hernia (ovarian hernia). Patients and methods: This was a prospective and descriptive study lasting 6 years (1st January 2014 to 31st December 2019). It included all girls aged 0 to 15 years old with ovarian hernia, received in the pediatric surgery department of the Hôpital National AmirouBoubacar Diallo in Niamey. The variables studied were the socio-demographic characteristics of the patients, personal and family history, and those related to diagnostic, therapeutic and evolutionary aspects. Results: With 23 recorded cases, ovarian hernia had a hospital frequency of 8.7%. The average age of the patients was 5.6 years (range: 4 months and 11 years). The average duration of evolution before diagnosis was 8 months (range: 0 days and 36 months). The hernia was mainly located on the right side: 14 cases (60.85%). The hernial sac during the operation was most often empty: 11 cases (47.85%). It contained at least the ovary for 10 patients (43.5%). There were 2 cases of strangulated hernia (8.6%). All the patients benefited from a herniotomy. The average operating time was 26.7 days (range: 0 days and 146 days). No deaths and no postoperative complications were recorded after a 3-month follow-up. Conclusion: Ovarian hernia in this study is a rare condition often encountered in young girls. In spite of a late treatment, the therapeutic results were satisfactory. [ABSTRACT FROM AUTHOR]

Goal: The aim of this study is to evaluate the clinical and biological parameters for detecting early complications of abdominal surgery at Kisangani University Clinics. Material and Methods This is a cross-sectional descriptive study from June 1st, 2017 to September 30th, 2018. It involved 78 patients, including 48 men and 30 women, aged 7 and 80 years. Data was analyzed with SPSS 20 software. Results The average age was 33.49 years, with 15.32 Standard Deviation. Abdominal pain and inguinal swelling were the main reasons for consulting patients. Inguinal hernia (23.5%) and appendicitis (18, 7%) were the predominant diagnoses. In the postoperative period, the persistence of fever, oliguria or pain as well as that of elevated inflammatory tests (C - reactive protein, White Cells and Sedimentation rate) were associated with the occurrence of complications dominated by parietal suppurations and postoperative peritonitis. These complications mainly concerned dirty procedures, ASA II and III and /or NNISS 2. The mortality rate was 6%, observed mainly in patients with generalized acute peritonitis (50%). Conclusion This works shows the place of clinicobiological parameters as indicators of occurrence of complications. The precariousness of patient health and the septicity of surgery favor these complications. [ABSTRACT FROM AUTHOR]

Secondary peritonitis is frequently reported in the literature. It is due to multiple causes. We report an exceptional cause of ileal perforation due to a foreign body during reduction of an inguinal hernia. It caused severe peritonitis with multiple organ failure. [ABSTRACT FROM AUTHOR]

Groin hernia in adults is a frequent affection in digestive surgery. Many repair techniques have been described to date, including laparoscopic surgery. Two methods are quickly adopted by the various practitioners for the surgical treatment of groin hernia using laparoscopy: laparoscopic totally extra-peritoneal (TEP) technique and laparoscopic transperitoneal inguinal hernia repair (TAPP). This study focused on the feasibility of groin hernia repair using coelioscopy, aiming to describe its outcomes in terms of recurrence and postoperative pain. We conducted a singlecenter, retrospective and cross-sectional study of patients who had undergone laparoscopic surgery for groin hernia repair in the Department of Surgery at La Rabta Hospital over a period of 8 years, from January 2006 to December 2013. The main evaluation criterion was hernia recurrence. Postoperative pain and complications were the secondary criteria of judgment. We collected data from 92 patients with 104 hernias, respecting the inclusion criteria in our study. The average age of patients was 48 years (19-83). TAPP was the most used technique: 94 TAPP (90%) versus 10 TEP. No intraoperative complication was reported. Conversion rate was 0. Operative mortality was also 0. Postoperative morbidity was 5% (5 patients). It included hematoma in 3 cases and serum in 2 cases. The mean lenght of stay in hospital was 1.2 days (1-4 days). Postoperative length of stay didn't exceed 2 days in 94% of patients. Only 2 patients had a recurrence. Postoperative chronic pain was reported only in 3 patients. Our study shows that laparoscopic surgery for groin hernia repair gives considerable comfort to our patients with regard to pain, length of stay in hospital and cessation of work. Outcomes are good and consistent with the results already published in the literature. This encourages surgeons to use these techniques and to monitor longer term outcomes. [ABSTRACT FROM AUTHOR]