{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T05:40:34Z","timestamp":1793598034572,"version":"4.5.0"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Hernias represent a common pathology worldwide. In low-income settings, there is difficulty in implementing existing guidelines, and a lack of research funding prevents the development of local guidelines. This article aims to describe the current management of abdominal wall hernias in a secondary centre in Senegal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We conducted a cross-sectional study over a six-month period in the surgical department of a second-level centre hospital based in a semi-urban area of Senegal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 199 surgeries performed at our centre during this period, hernia repairs accounted for 34.2% of surgical activity. Inguinal hernias accounted for 25.6% and midline ventral hernias for 8.5% of all procedures, with inguinal hernias constituting 75% of the hernias operated on. All inguinal hernias were primary, and 82.3% were primary midline ventral hernias. Procedures performed on an emergency basis were 19.1% of repair. A mesh was used for 51.5% of hernias and tissue repair for 48.5%. Treatment of inguinal hernias was performed under spinal anaesthesia in 90.2% of cases and under general anaesthesia in 9.8% of cases. The treatment techniques used were Lichtenstein in 64.8% of cases, Desarda in 33.3% of cases and Bassini in 2% of cases. Complications included pain at the surgical site in 17.7%, lower urinary tract obstructive disorders in 11.8% including acute urinary retention in 5.9%; headache in 7.8% and spermatic cord induration in 9.8%. Treatment of midline ventral hernias was performed under general anaesthesia in 100% of cases. This involved Primary aponeurotic closure in 88.2% of cases and Onlay repair in 17.7 of cases. Complications included pain at the surgical site in 5.9%, infection at the surgical site in 5.9% and post-operative ileus in 5.9%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The management of abdominal wall hernias has advanced in our region. However, efforts are needed to raise awareness among the population and encourage consultation before complications arise. Complications related to spinal anaesthesia are numerous. Guidelines adapted to Africa need to be developed in order to standardise the treatment and follow-up of patients with abdominal wall hernias.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1864822","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:46:46Z","timestamp":1782452806000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Abdominal wall hernia management in a second level hospital of Senegal: a cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Guillaume","family":"Tcheutchoua Soh","sequence":"first","affiliation":[{"name":"Department of Surgery, Gaston Berger University","place":["Saint-Louis, Senegal"]},{"name":"Department of Surgery, St Christopher University","place":["Dakar, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seneba Aicha","family":"Gaye","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universite Cheikh Anta Diop Bibliotheque Universitaire","place":["Dakar, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Papa Mamadou","family":"Faye","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universite Cheikh Anta Diop Bibliotheque Universitaire","place":["Dakar, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierno Amadou Telly","family":"Diallo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universite Cheikh Anta Diop Bibliotheque Universitaire","place":["Dakar, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdoul Kharim","family":"Diop","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universite Cheikh Anta Diop Bibliotheque Universitaire","place":["Dakar, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques Noel","family":"Tendeng","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University","place":["Saint-Louis, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ousmane","family":"Thiam","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universite Cheikh Anta Diop Bibliotheque Universitaire","place":["Dakar, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe Manyacka Ma","family":"Nyemb","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University","place":["Saint-Louis, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alpha Oumar","family":"Toure","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universite Cheikh Anta Diop Bibliotheque Universitaire","place":["Dakar, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibrahima","family":"Konate","sequence":"additional","affiliation":[{"name":"Department of Surgery, Gaston Berger University","place":["Saint-Louis, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamadou","family":"Cisse","sequence":"additional","affiliation":[{"name":"Department of Surgery, Universite Cheikh Anta Diop Bibliotheque Universitaire","place":["Dakar, Senegal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10029-017-1668-x","article-title":"International guidelines for groin hernia management","volume":"22","year":"2018","journal-title":"Hernia"},{"key":"B2","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1002\/bjs.11489","article-title":"Guidelines for treatment of umbilical and epigastric hernias from the European hernia society and americas hernia society","volume":"107","author":"Henriksen","year":"2020","journal-title":"Br J Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"103801","DOI":"10.1016\/j.amsu.2022.103801","article-title":"Management of midline ventral hernias in a surgical department of sub-saharan Africa: a retrospective cohort study","volume":"78","author":"Ndong","year":"2022","journal-title":"Ann Med Surg (Lond)"},{"key":"B4","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1186\/s12884-019-2370-z","article-title":"Grand multiparity in rural Cameroon: prevalence and adverse maternal and fetal delivery outcomes","volume":"19","author":"Ajong","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"key":"B5","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1007\/s10029-013-1177-5","article-title":"An estimation of inguinal hernia epidemiology adjusted for population age structure in Tanzania","volume":"18","author":"Beard","year":"2014","journal-title":"Hernia"},{"key":"B6","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1007\/s10029-022-02669-9","article-title":"Adult groin hernia surgery in sub-saharan Africa: a 20-year systematic review and meta-analysis","volume":"27","author":"Ndong","year":"2023","journal-title":"Hernia"},{"key":"B7","first-page":"352","article-title":"Longterm followup (12\u201315 years) of a randomized controlled trial comparing bassini-stetten, shouldice, and high ligation with narrowing of the internal ring for primary inguinal hernia repair","volume":"185","author":"Beets","year":"1997","journal-title":"J Am Coll Surg"},{"key":"B8","first-page":"94","article-title":"Adult abdominal wall hernia in ibadan","volume":"13","author":"Ayandipo","year":"2015","journal-title":"Ann Ib Postgrad Med"},{"key":"B9","first-page":"20","article-title":"La cure auto-prothetique sans tension par lambeau de l'aponevrose Du grand oblique dans les hernies inguinales etranglees de l'adulte Au CHU de saint-louis du Senegal\u202f: \u00e0 propos de 38 cas","volume":"4","author":"Tendeng","year":"2021","journal-title":"Revue de Chirurgie d'Afrique Centrale (RECAC)"},{"key":"B10","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/j.jss.2018.04.058","article-title":"The use of mesh for inguinal hernia repair in northern Ghana","volume":"230","author":"Tabiri","year":"2018","journal-title":"J Surg Res"},{"key":"B11","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1684\/mst.2013.0133","article-title":"Management of giant inguinal hernias: five cases","volume":"23","author":"Diop","year":"2013","journal-title":"Med Sante Trop"},{"key":"B12","doi-asserted-by":"publisher","first-page":"212","DOI":"10.4103\/jiaps.jiaps_115_22","article-title":"Management of umbilical hernia in African children: the experience of 2146 cases","volume":"28","author":"Ngom","year":"2023","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"B13","year":"2019"},{"key":"B14","doi-asserted-by":"publisher","first-page":"13764","DOI":"10.3389\/jaws.2025.13764","article-title":"Knowledge and practices regarding chronic pain after groin hernia surgery: a national resident survey in Senegal","volume":"4","author":"Ndong","year":"2025","journal-title":"J Abdom Wall Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"S31","DOI":"10.4103\/sja.SJA_543_18","article-title":"The STROBE guidelines","volume":"13","author":"Cuschieri","year":"2019","journal-title":"Saudi J Anaesth"},{"key":"B16","first-page":"43","article-title":"Caract\u00e9ristiques epid\u00e9miologiques et th\u00e9rapeutiques des hernies pari\u00e9tales au centre hospitalier universitaire du borgou A parakou, b\u00e9nin","volume":"4","author":"Hodonou","year":"2018","journal-title":"WWJMRD"},{"key":"B17","doi-asserted-by":"publisher","first-page":"1214","DOI":"10.53738\/REVMED.2018.14.611.1214","article-title":"Chirurgie des hernies de la paroi en 2018\u202f: mise au point","volume":"611","author":"Kefleyesus","year":"2018","journal-title":"Rev Med Suisse"},{"key":"B18","doi-asserted-by":"publisher","first-page":"zrad080","DOI":"10.1093\/bjsopen\/zrad080","article-title":"Update of the international HerniaSurge guidelines for groin hernia management","volume":"7","author":"Stabilini","year":"2023","journal-title":"BJS Open"},{"key":"B19","doi-asserted-by":"publisher","first-page":"50","DOI":"10.11604\/pamj.2015.22.50.6803","article-title":"Hernie inguinale en afrique subsaharienne: quelle place pour la technique de shouldice?","volume":"22","author":"Traor\u00e9","year":"2015","journal-title":"Pan Afr Med J"},{"key":"B20","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/j.jss.2019.06.035","article-title":"The prevalence and characteristics of untreated hernias in southwest Cameroon","volume":"244","author":"Chendjou","year":"2019","journal-title":"J Surg Res"},{"key":"B21","first-page":"77","article-title":"Inguinal hernia disease in Africa: a common but neglected surgical condition","volume":"30","author":"Ohene-Yeboah","year":"2011","journal-title":"West Afr J Med"},{"key":"B22","first-page":"2805","article-title":"Prise en charge des hernies inguinales dans un service d'urologie d'afrique subsaharienne: \u00e0 propos de 205 CAS","volume":"19","author":"Sine","year":"2019","journal-title":"J Afr Chir Digest"},{"key":"B23","doi-asserted-by":"publisher","first-page":"363","DOI":"10.4236\/oju.2023.139041","article-title":"Simultaneous management of inguinal hernia and benign prostatic hypertrophy in a single operation at the chu D'abeche\/Chad","volume":"13","author":"Valentin","year":"2023","journal-title":"Open Journal of Urology"},{"key":"B24","first-page":"767","article-title":"Should hernioplasty be combined with surgery of the prostate?","volume":"51","author":"Granados","year":"1998","journal-title":"Arch Esp Urol"},{"key":"B25","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1186\/s12894-024-01571-z","article-title":"Transurethral resection of the prostate (TURP) and concomitant inguinal hernioplasty: a single-center experience","volume":"24","author":"Hsu","year":"2024","journal-title":"BMC Urol"},{"key":"B26","doi-asserted-by":"publisher","first-page":"159","DOI":"10.11604\/pamj-cm.2020.2.159.22322","article-title":"Particularit\u00e9s diagnostiques, th\u00e9rapeutiques et \u00e9volutives des hernies inguinales du sujet de plus de 60 ans","volume":"2","author":"Ndong","year":"2020","journal-title":"PAMJ-CM"},{"key":"B27","doi-asserted-by":"publisher","first-page":"53","DOI":"10.15537\/1658-3175.4932","article-title":"Outcomes of giant inguinoscrotal hernia repair with local lidocaine anesthesia","volume":"31","author":"Osifo","year":"2010","journal-title":"Saudi Med J"},{"key":"B28","doi-asserted-by":"publisher","first-page":"E294","DOI":"10.1111\/ans.13849","article-title":"Repair of groin hernia under local anaesthesia in secondary health facility","volume":"88","author":"Olaogun","year":"2018","journal-title":"ANZ J Surg"},{"key":"B29","doi-asserted-by":"publisher","first-page":"1008","DOI":"10.1016\/j.amjsurg.2019.06.024","article-title":"Other forms of anesthesia for open inguinal hernia repair: a meta-analysis of randomized controlled trials","volume":"218","author":"Argo","year":"2019","journal-title":"Am J Surg"},{"key":"B30","doi-asserted-by":"publisher","first-page":"14076","DOI":"10.3389\/jaws.2025.14076","article-title":"Choice of surgical technique in groin hernia surgery among residents in Senegal: experience and influencing factors","volume":"4","author":"Ndong","year":"2025","journal-title":"J Abdom Wall Surg"},{"key":"B31","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1258\/004947506777978046","article-title":"Anaesthesia for elective inguinal hernia repair in rural Ghana\u2014appeal for local anaesthesia in resource-poor countries","volume":"36","author":"Wilhelm","year":"2006","journal-title":"Trop Doct"},{"key":"B32","author":"Warwick","year":"2013"},{"key":"B33","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1016\/j.amsu.2020.11.086","article-title":"Is desarda technique suitable to emergency inguinal hernia surgery? A systematic review and meta-analysis","volume":"60","author":"Ndong","year":"2020","journal-title":"Annals of Medicine and Surgery"},{"key":"B34","doi-asserted-by":"publisher","first-page":"481","DOI":"10.26574\/maedica.2022.17.2.481","article-title":"Use of the desarda technique in emergency settings: a comprehensive review","volume":"17","author":"Coco","year":"2022","journal-title":"Maedica (Buchar)"},{"key":"B35","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.3390\/jcm12031001","article-title":"Quality of life after desarda technique for inguinal hernia repair-A comparative retrospective multicenter study of 120 patients","volume":"12","author":"Philipp","year":"2023","journal-title":"J Clin Med"},{"key":"B36","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1111\/ases.12392","article-title":"Evolution of ventral hernia repair","volume":"10","author":"Faylona","year":"2017","journal-title":"Asian J Endosc Surg"},{"key":"B37","doi-asserted-by":"publisher","first-page":"8304","DOI":"10.1097\/MS9.0000000000004183","article-title":"Postgraduate surgical hernia training with a standardized hernia surgery training tool: training while serving humanity","volume":"87","author":"Francis","year":"2025","journal-title":"Ann Med Surg (Lond)"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1864822\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T05:46:47Z","timestamp":1782452807000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1864822\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,26]]},"references-count":37,"alternative-id":["10.3389\/fsurg.2026.1864822"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1864822","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,26]]},"article-number":"1864822"}}