Our Summary

This study reviews different training models for hernia repair surgery, given that traditional surgical training can be challenging due to a steep learning curve and limited time in the operating room for junior doctors. This problem has been accentuated during the COVID-19 pandemic. The researchers looked at 866 records and selected 27 for further analysis. They found different types of models, including ones made from animal tissues, synthetic materials, and virtual reality technology. These models covered different types of hernias, including inguinal, umbilical, incisional, and diaphragmatic hernias. The researchers found that many of these models were effective for training, and some skills learned from these models could even be transferred to the operating room. However, they found that there was little evidence of the educational impact of these models, especially for open hernia repair. The researchers concluded that more research is needed, especially large-scale, randomized controlled trials, to determine how effective these models are for teaching hernia repair surgery.

FAQs

  1. What types of models were found by the researchers for training in hernia repair surgery?
  2. Did the study find these training models to be effective for teaching hernia repair surgery skills?
  3. What further research does the study suggest to determine the effectiveness of these training models for hernia repair surgery?

Doctor’s Tip

A doctor may tell a patient undergoing laparoscopic hernia repair to follow post-operative instructions carefully, including avoiding heavy lifting and strenuous activity for a period of time to allow for proper healing. They may also recommend maintaining a healthy diet and staying hydrated to promote healing and prevent complications. Additionally, the doctor may advise the patient to attend follow-up appointments to ensure the hernia repair is successful and monitor for any potential issues.

Suitable For

Patients who are typically recommended for laparoscopic hernia repair are those with inguinal, umbilical, incisional, and diaphragmatic hernias. These patients may benefit from the minimally invasive nature of laparoscopic surgery, which can result in faster recovery times, less post-operative pain, and reduced risk of complications compared to traditional open surgery. Additionally, patients who are younger, healthier, and have smaller hernias may be good candidates for laparoscopic repair. However, the decision to undergo laparoscopic hernia repair should be made on a case-by-case basis by a surgeon based on the individual patient’s needs and medical history.

Timeline

Before laparoscopic hernia repair:

  • Patient experiences symptoms of a hernia, such as pain, swelling, or a bulge in the abdomen or groin area.
  • Patient consults with a healthcare provider who may diagnose the hernia through physical examination or imaging tests.
  • Patient discusses treatment options with their healthcare provider, including the option of laparoscopic hernia repair.
  • Patient undergoes pre-operative assessments and preparations, such as blood tests and fasting before surgery.

After laparoscopic hernia repair:

  • Patient undergoes laparoscopic hernia repair surgery, which involves making small incisions in the abdomen and inserting a camera and surgical instruments to repair the hernia.
  • Patient is monitored in the recovery room before being discharged home the same day or after a short hospital stay.
  • Patient may experience some discomfort, swelling, or bruising at the incision sites following surgery.
  • Patient is instructed on post-operative care, such as pain management, wound care, and activity restrictions.
  • Patient follows up with their healthcare provider for post-operative appointments to ensure proper healing and recovery.

What to Ask Your Doctor

  1. What type of hernia do I have and is laparoscopic repair the best option for me?
  2. What are the potential risks and complications associated with laparoscopic hernia repair?
  3. How experienced are you in performing laparoscopic hernia repair surgery?
  4. What is the success rate of laparoscopic hernia repair compared to traditional open surgery?
  5. What is the recovery process like after laparoscopic hernia repair?
  6. Will I need to follow any specific post-operative care instructions?
  7. Are there any specific lifestyle changes I should make to prevent future hernias?
  8. How long will it take for me to return to normal activities after the surgery?
  9. Are there any long-term effects or complications I should be aware of?
  10. Will I need any follow-up appointments after the surgery?

Reference

Authors: Pelly T, Vance-Daniel J, Linder C. Journal: Hernia. 2022 Feb;26(1):39-46. doi: 10.1007/s10029-021-02442-4. Epub 2021 Jul 2. PMID: 34213680