Our Summary

This study aimed to understand the methods used by surgical trainees in Nigeria to treat inguinal hernias, a common medical condition where tissue, often part of the intestine, pushes through a weak spot in the lower abdominal wall. The researchers used a questionnaire to gather information from trainees who had attended a revision course at the West African College of Surgeons.

Out of the 109 trainees who responded, most of them performed the surgery as a day case, meaning the patient is discharged on the same day as the surgery. About 30% of the trainees used antibiotics as part of the treatment, with Ceftriaxone being the most common choice.

In terms of surgical techniques, the modified Bassini repair, a tissue-based repair method, was the most common choice. However, a large number of trainees also recommended mesh repair, a technique widely used in developed countries. A smaller number also recommended laparoscopic surgery, a minimally invasive procedure.

Despite this, the majority of trainees found the process of sac dissection, a part of the surgery where the hernia sac is separated from surrounding tissues, to be the most challenging aspect of the operation.

In summary, while tissue-based repair methods are most commonly used by Nigerian trainees, there’s a significant interest in the use of mesh repair and laparoscopic surgery. The study also highlighted the need for further training in certain aspects of the surgery.

FAQs

  1. What is the most commonly used method for inguinal hernia repair among surgical trainees in Nigeria?
  2. What percentage of surgical trainees in Nigeria use antibiotics routinely for inguinal hernia surgery?
  3. What is commonly considered the most difficult part of open hernia surgery according to the surgical trainees in Nigeria?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hernia repair is to follow post-operative care instructions carefully to ensure proper healing and reduce the risk of complications. This may include avoiding heavy lifting, taking prescribed medications, and attending follow-up appointments with your healthcare provider. It is also important to communicate any concerns or changes in symptoms to your doctor promptly.

Suitable For

Patients who are typically recommended for hernia repair include those with symptomatic inguinal hernias, recurrent hernias, or hernias that are causing complications such as incarceration or strangulation. In some cases, elective hernia repair may also be recommended for patients with asymptomatic hernias to prevent future complications. The choice of repair method, whether tissue-based or mesh repair, may vary depending on the surgeon’s experience and the specific characteristics of the hernia. Laparoscopic surgery may also be recommended for certain patients, especially those who are at higher risk for complications with traditional open surgery.

Timeline

  • Before hernia repair: The patient may experience symptoms such as pain, swelling, and a visible bulge in the groin area. They may also have difficulty with physical activities and lifting heavy objects. The patient may consult with a healthcare provider who may recommend surgery to repair the hernia.

  • Day of hernia repair: The patient will undergo the surgical procedure, which may be performed as a day case or may require an overnight stay in the hospital. The surgical team may use antibiotics to prevent infection during the procedure.

  • After hernia repair: The patient will be given post-operative instructions on wound care, pain management, and physical activity restrictions. The patient may experience some pain and discomfort in the days following the surgery, but this should improve over time. The patient may also be advised to avoid heavy lifting and strenuous activities for a certain period of time. Follow-up appointments may be scheduled to monitor the patient’s recovery and ensure that the hernia has been successfully repaired.

What to Ask Your Doctor

  1. What type of hernia repair method do you recommend for my specific case?
  2. What are the potential risks and complications associated with hernia repair surgery?
  3. How long is the recovery period after hernia repair surgery?
  4. Are there any specific post-operative instructions or restrictions I should follow?
  5. Will I need to take antibiotics before or after the surgery?
  6. Will the surgery be performed as a day case or will I need to stay overnight in the hospital?
  7. What is your experience and success rate with performing hernia repair surgeries?
  8. Are there any alternative treatment options to consider for my hernia?
  9. Is there a possibility of the hernia recurring after the surgery?
  10. How should I prepare for the hernia repair surgery, both physically and mentally?

Reference

Authors: Ismaila BO, Alayande BT, Ojo EO, Sule AZ. Journal: Hernia. 2019 Jun;23(3):625-629. doi: 10.1007/s10029-019-01885-0. Epub 2019 Jan 17. PMID: 30656498