Background: Open prostatectomy for the surgical management of benign prostate hyperplasia (BPH) is now rarely used in most developed countries except for large prostates. However, in resource limited coun­tries, open prostatectomy remains the main mode of surgical management of benign prostate hyperplasia irrespective of the prostate size. Surgical treatment is reserved for refractory cases, as well as cases involving recurrent urinary retention, recurrent urinary tract in­fection, recurrent hematuria, bladder calculi or upper urinary tract involvement. The study highlights the surgical management of BPH using open simple pros­tatectomy with emphasis on indication and outcome.

Methods: This is a 5-year retrospective descriptive study performed at the 2 Referral Hospitals from 2018 to 2023.

Results: 60 patients were reviewed following simple prostatectomy. The age range was 55 years to 78 years with a mean age was 65.1 years. The mean preopera­tive hemoglobin was 11.6 g/dl. The age range was 55 years to 78 years with a mean age was 65.1 years. The mean preoperative hemoglobin was 11.6 g/dl. The perioperative transfusion rate was 27/60 (45%). BPH and Chronic urinary retention was the commonest indication for surgery which was 16/60 (26.6%) of all cases. About 45/60 (75.0%) of the procedures were performed through the transvesical approach. Sys­temic hypertension 31/60 (51.7%) was the common­est comorbidity. The data showed a strong correlation between patients with indwelling catheter before sur­gery and surgical site infection 9/13 (69.2%).

Conclusion: In the absence of endourological proce­dures, simple prostatectomy is broadly performed for all sizes of prostate. The postoperative morbidity is high, but the outcome is acceptable.

Background: Surgical site infection (SSI) is a common postoperative complication that causes significant morbidity and mortality, increases antibiotic usage, prolongs hospital stay, adds cost, and decreases pa­tients’ quality of life and has a high disease burden in developing countries.

Objectives: The purpose of this study was to assess the incidence of SSI and to identify risk factors for surgical site infection rate among clean open hernia repair.

Methods: Non-matched Prospective randomized study was conducted using pretested structured ques­tionnaire among 161 patients undergoing elective inguinal hernia repair at Jackson F. Doe Referral Re­gional Hospital, Lower Nimba/ Liberia from July 2016 to February 2017.

Results: With one month follow-up, there were 19 and 7 superficial and deep surgical site infections re­spectively making an overall surgical site infection rate of 26(16.15%) among the study groups, with the majority (88.46%) being detected postoperatively af­ter discharged. The rate of surgical site infection was analyzed by patient characteristics and peri-opera­tive variables. Analysis identified two from patient characteristics and three from peri-operative vari­ables correlating to the occurrence of SSI; Inguino-scrotal hernia (AOR=4.40, CI:1.44-13.48, p=0.009), Blood group AB (AOR=7.03, CI:1.35-36.65, p= 0.021), Povidone iodine for skin preparation (AOR=3.71, CI:1.09-12.61,p=0.035), duration of surgery >60 min(AOR=3.34, CI=1.25-8.96, p=0.017), Residents/ medical officer(AOR=4.57, CI:1.28-16.29, p= 0.019). The mean total hospital stay was also significantly longer in patients with wound infection (p=0.0001)

Conclusion: This study identified high rates of surgi­cal site infection. This study calls that all risk factors should be regarded as potential indicators of SSI and effective and relevant preventive measures should be taken to reduce SSI and improve outcomes.