Cost and Results of Prosthesis Placement for Hernia Repair at Ignace Deen Hospital (Guinea)

Introduction: The aim of the study was to evaluate the cost and results of prosthesis placement in hernia repairs in the general surgery department of university hospital centre CHU Ignace Deen. Material and methods: This was a prospective, descriptive cohort of 06 months' duration (June to December 2023) monitored in the general surgery department of university hospital centre (CHU) Ignace Deen. All patients operated on for hernias with placement of a drill bit who agreed to answer our questions were included in the study. The variables were sociodemographic, clinical, therapeutic and evolutionary. Results: We included 120 patients, representing 57.4% of all surgical procedures. The mean age was 58.1 ± 16.1 years, with extremes ranging from 20 to 91 years. The 60 to 69 age group was most affected (25.8%). The sex ratio was 3.2 in favor of men. The site of the hernias was dominated by the inguinal region (93%). The Liechtenstein technique was used for all patients. Only one type of mesh was used, polypropylene. Mean operating time was 89.9 ± 28 min. The average cost of treatment was 3,308,333.3 ± 56,9594.3 Guinean francs (GF). Pain was noted in 12 patients (10%), recurrence in 3 (2.5%) and delayed healing in 5 (4.2%). Average hospital stay was 1.8 ± 1.1 days. Conclusion: The results of our study show that the use of the wick in hernia repair is highly beneficial for the patient, as the post-operative outcome was favorable in the majority of cases.