ABSTRACT
Aim: The aim of this study was to evaluate the outcomes of inguinal hernia repair with prolene hernia system (PHS) mesh under local anaesthesia with sedation as a day surgery procedure within a surgical training programme. Patients and Methods: 5450 patients with inguinal herniae were admitted for hernia repair between 1997 and 2005 in our day surgery unit. 1840 inguinal hernias were repaired with PHS during this time, 1002 patients were operated by residents (54,54 %) under staff supervision. Patients were followed-up at five years post-operatively and the outcome measures of pain and complications recorded. Trainees and staff surgeons were assessed by an evaluation of both knowledge and technique. Results: Local anaesthesia with sedation was used in 97.4 % (1793) of patients; regional anaesthesia in 45 (2.49 %): conversion from local to general anaes-thesia was required in two patients (0.2 %). Mean operation time was 40 min, including the anaesthesic preparation. Mean hospital stay for all patients was 6 hours. The evaluation of hernia repair with the PHS system was similar between the staff members and residents. Conclusion: Inguinal hernia repair using the PHS technique under local anaesthesia with sedation is feasible on a day case basis and is a suitable procedure for training in a residency programme (AU)
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