Prevalence Of Inguinal Hernia And Its Risk Factors In Adult Males Admitted To Surgical Wards Of Teaching Hospitals In Addis Ababa Ethiopia.

Introduction: An inguinal hernia is defined as the protrusion or passage of a peritoneal sac, withrnor without abdominal contents, through a weakened part of the abdominal wall in the groin. Therernare two types of inguinal hernias. In today’s world, the inguinal hernia has a prevalence that is agerelatedrnrnand raise from 12% at group age 25-34 to 30%-40% above 60 years old. Age, sex, andrnfactors increasing intra-abdominal pressure are among major determinants of inguinal hernia. rnObjective: To assess the prevalence and identify risk factors of inguinal hernia among adult malesrnadmitted to the surgical ward at teaching hospitals, in Addis Ababa, Ethiopia.rnMethods: Institution based cross-sectional study was conducted through a retrospective recordrnreview of patients admitted in government teaching hospitals in Addis Ababa. Randomly selectedrnrecords of 589 adult male patients admitted to surgical wards in the period of March 2017-Februaryrn2019 were included in the study. Medical charts of all adult male patients admitted to surgicalrnwards at the three hospitals were included in the study. Medical chart of patients, which had morernthan 10% missed variables, lost from record office during data collection, and lacks evidence onrnessential variables such as date of admission were excluded from the study. Data were analyzedrnusing SPSS version 25. Bivariate analysis and multiple logistic regression were carried out torndetermine the effect of independent factors on the development of inguinal hernia. rnResult: A total of 589 adult male patients’ medical records were reviewed. The patient s’ age rangernwas from 18 to 91 years with the mean and standard deviation of 49.05 and 17.8, respectively. Thernprevalence of inguinal hernia was 6.5%. Of this, 94.7% of the hernias were primary inguinalrnhernia. Indirect inguinal hernia was seen in 23 (60.5%) of patients. In this study, it was found thatrnthe significantly associated risk factor for the development of inguinal hernia was strenuous workrnactivity. The odds of having inguinal hernia among those with strenuous exercise was 4.083rn(95%CI =1.984, 8.403, P

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