World Journal of Surgery

, Volume 40, Issue 4, pp 806–812 | Cite as

Prevalence of Inguinal Hernia in Adult Men in the Ashanti Region of Ghana

  • Michael Ohene-Yeboah
  • Jessica H. Beard
  • Benjamin Frimpong-Twumasi
  • Adofo Koranteng
  • Samuel Mensah
Original Scientific Report
  • 173 Downloads

Abstract

Background

Inguinal hernia is thought to be common in rural Ghana, though no recent data exist on hernia prevalence in the country. This information is needed to guide policy and increase access to safe hernia repair in Ghana and other low-resource settings.

Methods

Adult men randomly selected from the Barekese sub-district of Ashanti Region, Ghana were examined by surgeons for the presence of inguinal hernia. Men with hernia completed a survey on demographics, knowledge of the disease, and barriers to surgical treatment.

Results

A total of 803 participants were examined, while 105 participants completed the survey. The prevalence of inguinal hernia was 10.8 % (95 % CI 8.0, 13.6 %), and 2.2 % (95 % CI 0, 5.4 %) of participants had scars indicative of previous repair, making the overall prevalence of treated and untreated inguinal hernia 13.0 % (95 % CI 10.2, 15.7 %). Prevalence of inguinal hernia increased with age; 35.4 % (95 % CI 23.6, 47.2 %) of men aged 65 and older had inguinal hernia. Untreated inguinal hernia was associated with lower socio-economic status. Of those with inguinal hernia, 52.4 % did not know the cause of hernia. The most common reason cited for failing to seek medical care was cost (48.2 %).

Conclusion

Although inguinal hernia is common among adult men living in rural Ghana, surgical repair rates are low. We propose a multi-faceted public health campaign aimed at increasing access to safe hernia repair in Ghana. This approach includes a training program of non-surgeons in inguinal hernia repair headed by the Ghana Hernia Society and could be adapted for use in other low-resource settings

Notes

Grant support

Ghana Universities Book and Research Allowance and personal funding.

Compliance with ethical standards

Conflict of interest

No conflicts of interest potential or real.

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Copyright information

© Société Internationale de Chirurgie 2015

Authors and Affiliations

  • Michael Ohene-Yeboah
    • 1
  • Jessica H. Beard
    • 2
  • Benjamin Frimpong-Twumasi
    • 3
  • Adofo Koranteng
    • 4
  • Samuel Mensah
    • 5
  1. 1.Department of Surgery, School of Medicine and Dentistry, College of Health Sciences (Korle-Bu teaching Hospital)University of GhanaLegon, AccraGhana
  2. 2.Division of Trauma, Penn Presbyterian Medical CenterSurgical Critical Care & ESSPhiladelphiaUSA
  3. 3.Department of SurgeryKomfo Anokye Teaching HospitalKumasiGhana
  4. 4.Department of Community HealthKwame Nkrumah University of Science and TechnologyKumasiGhana
  5. 5.Department of SurgeryKumasi Regional HospitalKumasiGhana

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