Inguinal hernia repair in Nigeria: a survey of surgical trainees
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Africa’s inguinal hernia burden is high with large numbers of untreated hernias. Mesh repair is recommended in developed countries, but the best repair in developing countries is unknown. Little is known about knowledge and practice of surgeons in Nigeria performing inguinal hernia repair. Surgical trainees can provide this information.
A questionnaire-based survey was administered to surgical trainees from all over Nigeria who had attended the West African College of Surgeons’ integrated revision course in Jos, on their practice and recommendations concerning elective inguinal hernia repair.
One hundred and nine surgical trainees (90.8%) consisting of 78 (71.6%) registrars and 30 (27.5%) senior registrars responded. Thirty-two (29.4%) used antibiotics routinely for inguinal hernia surgery. Ceftriaxone was the most widely used antibiotic (45%). Ninety-two (84.4%) respondents will perform this surgery as day case. Forty (36.7%) respondents stated modified Bassini repair as their preferred method of repair. Mesh repair was recommended by 93 (85.3%) respondents while 65 of 100 respondents (65%) recommended laparoscopic surgery. Of 103 respondents, 93 (90.3%) had performed inguinal hernia repair and 34 (33%), mesh repair. For 56 (51.4%) respondents, the most difficult part of open hernia surgery was sac dissection.
Surgical trainees in Nigeria perform more tissue-based inguinal hernia repair than mesh but majority would recommend both mesh repair and laparoscopic surgery. Majority found sac dissection as the most difficult part of open hernia surgery.
KeywordsInguinal hernia repair Surgical trainees Nigeria
Compliance with ethical standards
Conflict of interest
BI declares no conflict of interest. BA declares no conflict of interest. EO declares no conflict of interest. AS declares no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This experiment complies with the laws in Nigeria where this study was carried out.
Informed consent was obtained from all individual participants included in the study.
- 3.Beard JH (2014) Characterizing the global burden of surgical disease: a method to estimate inguinal hernia epidemiology in Ghana: reply. World J Surg 18(2):289–295Google Scholar
- 4.Ohene-Yeboah MA Abantanga FA (2011) Inguinal hernia disease in Africa: a common but neglected surgical condition West. Afr J Med 30(2):77–83Google Scholar
- 7.Ismaila BO, Sule AZ, Lindquist L et al. (2012) Plug and patch inguinal hernia repair technique in Jos, Nigeria—a preliminary report. J Med Res Pract 1(2):66–69Google Scholar
- 8.Shamim SM, Shamim MS, Jaffary SA et al (2006) Trends in the management of inguinal hernia in Karachi, Pakistan: a survey of practice patterns. Singap Med J 47(6):512–517Google Scholar
- 9.Mbah N (2007) Morbidity and mortality associated with inguinal hernia in Northwestern Nigeria. West Afr J Med 26(4):288–292Google Scholar
- 13.Arowolo OA, Agbakwuru EA, Adisa AO et al (2011) Evaluation of tension-free mesh inguinal hernia repair in Nigeria: a preliminary report. West Afr J Med 30(2):110–113Google Scholar
- 17.Sanchez-Manuel FJ, Lozano-Garcia J, Seco-Gil JL. Antibiotic prophylaxis for hernia repair. Cochrane Database Syst Rev. 2012(2):Cd003769Google Scholar
- 21.Morgan MS, Reynolds A, Swan AV, Beech R, Devlin HB (1991) Are current techniques of inguinal hernia repair optimal? A survey in the United Kingdom. Ann R Coll Surg Engl 73:341–345Google Scholar