Inguinal hernia repair by surgical trainees at a Malaysian-teaching hospital

Kin Yoong Chan, Rohaizak Muhammad, Nadesan Sukumar, Shaharin Shaharuddin, Ali Yaakub Jasmi

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

OBJECTIVE: To assess the outcome of inguinal hernia repaired by surgical trainees at Universiti Kebangsaan Malaysia Hospital. METHODS: Retrospective review of 103 patients who underwent surgery between November 2001 and October 2002. RESULTS: The mean age of patients was 50 years and the male-to-female ratio was 20:1. Most hernias (60%) were right-sided inguinal hernias. Admissions consisted of 60% elective, 31% day-case and 9% emergency. General anaesthesia was administered in 66% of cases, spinal anaesthesia in 33% and local anaesthesia in 1%. Ten inguinal hernia repairs were performed by first-year trainees, 61 by third-year trainees and 19 by fourth-year trainees. First-year trainees did more darning (60%) and fewer mesh (40%) repairs. Third-year trainees still used darning (57%) but also performed more mesh repairs (43%). Fourth-year trainees performed 68% darning (mainly to teach the first-year trainees) and 32% mesh repairs. Senior surgeons assisted in 13 difficult cases where mesh repair was preferred (92%) to darning repairs (8%). Prophylactic antibiotic was more frequently used in patients undergoing mesh repair (p < 0.001). The mean operative time was the same for both types of repair. There were no significant differences in complications between the two types of repair. One hernia recurred after darning repair but none after mesh repair. CONCLUSIONS: Mesh repair of inguinal hernia is effective. Trainees easily acquire this skill and it becomes their preferred method of repair.

Original languageEnglish
Pages (from-to)306-312
Number of pages7
JournalAsian Journal of Surgery
Volume27
Issue number4
Publication statusPublished - Oct 2004

Fingerprint

Inguinal Hernia
Herniorrhaphy
Teaching Hospitals
Hernia
Spinal Anesthesia
Malaysia
Local Anesthesia
Operative Time
General Anesthesia
Emergencies
Anti-Bacterial Agents

ASJC Scopus subject areas

  • Surgery

Cite this

Chan, K. Y., Muhammad, R., Sukumar, N., Shaharuddin, S., & Jasmi, A. Y. (2004). Inguinal hernia repair by surgical trainees at a Malaysian-teaching hospital. Asian Journal of Surgery, 27(4), 306-312.

Inguinal hernia repair by surgical trainees at a Malaysian-teaching hospital. / Chan, Kin Yoong; Muhammad, Rohaizak; Sukumar, Nadesan; Shaharuddin, Shaharin; Jasmi, Ali Yaakub.

In: Asian Journal of Surgery, Vol. 27, No. 4, 10.2004, p. 306-312.

Research output: Contribution to journalArticle

Chan, KY, Muhammad, R, Sukumar, N, Shaharuddin, S & Jasmi, AY 2004, 'Inguinal hernia repair by surgical trainees at a Malaysian-teaching hospital', Asian Journal of Surgery, vol. 27, no. 4, pp. 306-312.
Chan, Kin Yoong ; Muhammad, Rohaizak ; Sukumar, Nadesan ; Shaharuddin, Shaharin ; Jasmi, Ali Yaakub. / Inguinal hernia repair by surgical trainees at a Malaysian-teaching hospital. In: Asian Journal of Surgery. 2004 ; Vol. 27, No. 4. pp. 306-312.
@article{a3968e55d568422c8c015de4c279316c,
title = "Inguinal hernia repair by surgical trainees at a Malaysian-teaching hospital",
abstract = "OBJECTIVE: To assess the outcome of inguinal hernia repaired by surgical trainees at Universiti Kebangsaan Malaysia Hospital. METHODS: Retrospective review of 103 patients who underwent surgery between November 2001 and October 2002. RESULTS: The mean age of patients was 50 years and the male-to-female ratio was 20:1. Most hernias (60{\%}) were right-sided inguinal hernias. Admissions consisted of 60{\%} elective, 31{\%} day-case and 9{\%} emergency. General anaesthesia was administered in 66{\%} of cases, spinal anaesthesia in 33{\%} and local anaesthesia in 1{\%}. Ten inguinal hernia repairs were performed by first-year trainees, 61 by third-year trainees and 19 by fourth-year trainees. First-year trainees did more darning (60{\%}) and fewer mesh (40{\%}) repairs. Third-year trainees still used darning (57{\%}) but also performed more mesh repairs (43{\%}). Fourth-year trainees performed 68{\%} darning (mainly to teach the first-year trainees) and 32{\%} mesh repairs. Senior surgeons assisted in 13 difficult cases where mesh repair was preferred (92{\%}) to darning repairs (8{\%}). Prophylactic antibiotic was more frequently used in patients undergoing mesh repair (p < 0.001). The mean operative time was the same for both types of repair. There were no significant differences in complications between the two types of repair. One hernia recurred after darning repair but none after mesh repair. CONCLUSIONS: Mesh repair of inguinal hernia is effective. Trainees easily acquire this skill and it becomes their preferred method of repair.",
author = "Chan, {Kin Yoong} and Rohaizak Muhammad and Nadesan Sukumar and Shaharin Shaharuddin and Jasmi, {Ali Yaakub}",
year = "2004",
month = "10",
language = "English",
volume = "27",
pages = "306--312",
journal = "Asian Journal of Surgery",
issn = "1015-9584",
publisher = "Elsevier Taiwan LLC",
number = "4",

}

TY - JOUR

T1 - Inguinal hernia repair by surgical trainees at a Malaysian-teaching hospital

AU - Chan, Kin Yoong

AU - Muhammad, Rohaizak

AU - Sukumar, Nadesan

AU - Shaharuddin, Shaharin

AU - Jasmi, Ali Yaakub

PY - 2004/10

Y1 - 2004/10

N2 - OBJECTIVE: To assess the outcome of inguinal hernia repaired by surgical trainees at Universiti Kebangsaan Malaysia Hospital. METHODS: Retrospective review of 103 patients who underwent surgery between November 2001 and October 2002. RESULTS: The mean age of patients was 50 years and the male-to-female ratio was 20:1. Most hernias (60%) were right-sided inguinal hernias. Admissions consisted of 60% elective, 31% day-case and 9% emergency. General anaesthesia was administered in 66% of cases, spinal anaesthesia in 33% and local anaesthesia in 1%. Ten inguinal hernia repairs were performed by first-year trainees, 61 by third-year trainees and 19 by fourth-year trainees. First-year trainees did more darning (60%) and fewer mesh (40%) repairs. Third-year trainees still used darning (57%) but also performed more mesh repairs (43%). Fourth-year trainees performed 68% darning (mainly to teach the first-year trainees) and 32% mesh repairs. Senior surgeons assisted in 13 difficult cases where mesh repair was preferred (92%) to darning repairs (8%). Prophylactic antibiotic was more frequently used in patients undergoing mesh repair (p < 0.001). The mean operative time was the same for both types of repair. There were no significant differences in complications between the two types of repair. One hernia recurred after darning repair but none after mesh repair. CONCLUSIONS: Mesh repair of inguinal hernia is effective. Trainees easily acquire this skill and it becomes their preferred method of repair.

AB - OBJECTIVE: To assess the outcome of inguinal hernia repaired by surgical trainees at Universiti Kebangsaan Malaysia Hospital. METHODS: Retrospective review of 103 patients who underwent surgery between November 2001 and October 2002. RESULTS: The mean age of patients was 50 years and the male-to-female ratio was 20:1. Most hernias (60%) were right-sided inguinal hernias. Admissions consisted of 60% elective, 31% day-case and 9% emergency. General anaesthesia was administered in 66% of cases, spinal anaesthesia in 33% and local anaesthesia in 1%. Ten inguinal hernia repairs were performed by first-year trainees, 61 by third-year trainees and 19 by fourth-year trainees. First-year trainees did more darning (60%) and fewer mesh (40%) repairs. Third-year trainees still used darning (57%) but also performed more mesh repairs (43%). Fourth-year trainees performed 68% darning (mainly to teach the first-year trainees) and 32% mesh repairs. Senior surgeons assisted in 13 difficult cases where mesh repair was preferred (92%) to darning repairs (8%). Prophylactic antibiotic was more frequently used in patients undergoing mesh repair (p < 0.001). The mean operative time was the same for both types of repair. There were no significant differences in complications between the two types of repair. One hernia recurred after darning repair but none after mesh repair. CONCLUSIONS: Mesh repair of inguinal hernia is effective. Trainees easily acquire this skill and it becomes their preferred method of repair.

UR - http://www.scopus.com/inward/record.url?scp=7044221961&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=7044221961&partnerID=8YFLogxK

M3 - Article

VL - 27

SP - 306

EP - 312

JO - Asian Journal of Surgery

JF - Asian Journal of Surgery

SN - 1015-9584

IS - 4

ER -