REPORT OF MESH REPAIR TRAINING, Takoradi, Ghana

November 2010

Teaching in Kumasi
Teaching in Kumasi

We will start by saying Operation Hernia Repair for 2010 was a complete success and it will forever change the image of hernia repair at Komfo Anokye Teaching Hospital.

The whole trip had initial setbacks when the hospital administration refused to sponsor trainees for the trip, but after persistent diplomatic efforts they succumbed. We got to Takoradi a day before the commencement of the programme and we immediately familiarise ourselves with the Operation Hernia Team.

On the first day of the programme we had a brief orientation and quickly moved to our first station which was Axim district hospital; there we were taken through kingsnorth classification of inguinal hernia by a consultant. We then reassessed the patients and those with other medical problems that the surgery was going to affect were either rescheduled or the surgery totally cancelled. We also had a quick refreshment of the anatomy of the groin and a theory of the mesh repair.

We were ushered into the theatre by a fantastic local team at Axim and they were of tremendous help to the Operation Hernia team. We assisted with the first two cases of mesh repair and we were carefully taken through hernia repair using mesh. Subsequently we were assisted by the consultant to do the mesh repair ourselves alternately. We then did the cases amongst ourselves interchangeably with the consultant supervising us.

I must emphasize again that Operation Hernia was a very huge success for both the patients and we the trainees. A few suggestions which we have itemised if considered can make Operation Hernia better for all Ghanaians and the trainees. They are;
The trainees should be rotated amongst the other consultants so that they can learn from the other consultants.
Medical officers from other district hospitals should also be invited as trainees.
More patients should be incorporated into the programme so that more experience can be acquired.
Operation Hernia should be held at other regions so that more Ghanaians can benefit.
Finally ethical clearance should be sought so that mosquito nets will be the sole ingredient for Operation Hernia in Ghana.

We are sure that the knowledge gained from mesh repair will change the image of hernia repair at Komfo Anokye Teaching Hospital. We say thank you all. The team was fantastic and it was a big family to us. We say long live Operation Hernia team and together we shall all make an effort to reduce hernia recurrence to the minimum by also training our colleagues here at Komfo Anokye.

Thank you and God bless you all. Happy new year.

Dr. Boateng Nimako
Dr. Abeeku A. Hammond