PPRuNe Forums - View Single Post - Hernias
Thread: Hernias
View Single Post
Old 4th Mar 2014, 05:28
  #10 (permalink)  
AngioJet
 
Join Date: Nov 2013
Location: FL000
Posts: 58
Received 0 Likes on 0 Posts
If you're in the UK, there are regional differences in the funding of elective hernia surgery. Some clinical commissioning bodies do not fund uncomplicated hernias without any history of incarceration (which clearly is an indication for emergent surgery) and some will.
However, bilateral hernias are usually deemed 'worthy' of funding.

Moreover, in today's increasingly competitive environment even within the confines of the NHS, hernia repairs are increasingly performed by consultants, to meet production and quality targets. This is especially true for laparoscopic repair which is quite a specialised procedure which is not offered by everyone. So I wouldn't worry too much about being palmed off to a junior trainee!
That said, there are definitely registrars who by virtue of being more recent in their training and having larger current volumes are better hernia surgeons than their bosses, who may normally on a day-to-day basis do highly specialised e.g. colorectal or hepatobiliary surgery and only do a few hernias 'as and when'...

Last edited by AngioJet; 4th Mar 2014 at 07:29.
AngioJet is offline