Improving surgical education in East Africa with a standardized hernia training program.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
R LorenzR Wiessner

Abstract

Inguinal hernias are among the most common surgical diseases in Africa. The current International HerniaSurge Guidelines recommend mesh-based surgical techniques in Low Resource Settings (LRS). This recommendation is currently unachievable in large parts of Africa due to the unaffordability of mesh and lack of appropriate training of the few available surgeons. There is, therefore, a need for formal training in mesh surgery. There is an experience in Hernia Repair for the Underserved in Central and South America, however, inadequate evidence of structured training in Africa. Since 2016, the aid Organizations, Surgeons for Africa and Operation Hernia have developed and employed a structured hernia surgical training program for postgraduate surgical trainees and medical doctors in Rwanda. This course consists of lectures on relevant aspects of hernia surgery and hands-on training in operating theatres. The lectures emphasize anatomy and surgical technique. All parts of the training were evaluated. Formal pre-course evaluation was conducted to assess the personal surgical experience of the trainees. Over a 3-year period, a structured hernia training programme was employed to train a total of 36 surgical trainees in both mesh and a...Continue Reading

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Citations

Sep 26, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Reiko WiessnerM Philipp
Mar 9, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J A Akoh

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