Feasibility of elective mass hernia repair in Kano State, Northwestern Nigeria

Abstract

Background: Hernia is a common surgical condition in our environment and constitutes a serious problem in male farmers in northern Nigeria. Complications are frequently seen, especially during the rainy season, due to increased physical activity as a result of farm work; many of these are Life threatening. Elective repair is often delayed due to long waiting time and the cost of operation is not readily affordable to many in the general public. Approach: The government of Kano State decided to embark upon a free campaign to electively treat 1000 patients with hernia across the state in order to decrease the morbidity and mortality associated with its complications and also to increase the capacity of the hospitals by retaining procured equipments used for the campaign for further use. Following public enlightenment, the campaign was carried out over a period of 3 weeks between 4 and 25 December 2006 in six selected hospitals using mobile surgical teams. A protocol and a questionnaire were designed for use during the campaign. Achievements: A total of 2824 patients with hernia and/or hydrocoele were screened during the campaign, out of which 1155 stable patients were successfully operated at no cost. Equipment, surgical outfits, patient drapes including remaining drugs and consumables were left for use in the centers. No untoward event was reported. Conclusion: It is feasible to conduct a mass hernia campaign to decrease the morbidity and mortality associated with its complications and emergency repair. Mass hernia campaigns require adequate organization, trained staff, necessary equipments and enough supply of consumables. The mass turnout of patients demands a regular/scheduled campaign to further alleviate this problem. There is need for participation of non-governmental organizations, professional associations and corporate bodies to be more involved in health care delivery in our society.