Minimal access surgery training in South Africa – changing philosophy and enabling the future
In this issue two articles highlight the experience with inguinal hernia repair in public facilities affiliated to tertiary university centres in a South African1,2. In the first paper the authors highlight their single centre experience with inguinal hernia repair over a 5-year period and in the other the authors recount their 1-year multicentre experience with inguinal hernia repair. Interestingly, the number of inguinal hernia repairs performed minimally invasively in both series was relatively low. In the first paper, there was more involvement of trainees in the performance of both laparoscopic and open inguinal hernia repair, while 1 in the second study, only 15% of the hernias were repaired laparoscopically and 75% were underwent open repair. There was less involvement of trainees as first surgeons in the procedures. Both articles reflect a relatively low utilization of laparoscopic inguinal hernia repair in public training facilities in South African. The experience in the private sector as recounted by McGuire et al 3 also describes an equally low uptake in the private sector.
The South African Journal of Surgery (SAJS) reserves copyright of the material published. The work is licensed under a Creative Commons Attribution-Noncommercial Works 4.0 South Africa License. Material submitted for publication in the SAJS is accepted provided it has not been published elsewhere. The SAJS does not hold itself responsible for statements made by the authors.