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2/3 of the world’s children lack access to surgical care.

Inguinal hernia is one of the most common surgical conditions affecting up to 1 in 20 children.


The risk of complication from inguinal hernias, such as bowel obstruction, occurs 1 in 10 cases and can require emergency surgery.


In rural Nepal, 1 in 10 children with an obstructed hernia will die.

Dr Binod (GP) and patient_1.jpg



Planned surgery to treat inguinal hernias can cure and prevent the complications and death.

HPN train rural doctors to perform the operation to treat inguinal hernias and provide safe surgical care for children from impoverished communities in rural Nepal.


In May 2019 and February 2020, teams of 6 UK clinicians (paediatric surgeons, doctors and nurses) have provided training at Charikot Hospital. The training enables this rural hospital to safely perform the operation with good quality care and prevent deaths.

Dr Binod (GP) and Shabnam Parkar_1.jpg


Dr Binod Dangal is Charikot Hospital’s senior general doctor, with the role as the local community’s physician, obstetrician and surgeon.

He is now trained to perform this procedure with the hospital’s team of doctors and nurses.

Following HPN's training programme, to date, over 100 children have had their inguinal hernias treated with an operation (inguinal herniotomy) at Charikot Hospital by the Dr Binod's Dangal and his team.

Post op patients parents and ward nurses

MARCH 2023

HPN’s team flew out to Nepal in March 2023 to [insert Shabnam notes here]

At the Nepal General Practice and Emergency Medicine International Conference in March 2024 HPN presented the initial findings showing the impact of our work in providing sustainable access to safe paediatric inguinal hernia repair.

Anj presenting.jpeg


HPN’s team will return to Nepal to continue providing training to more rural doctors, anaesthetic assistants and nurses to improve care for children needing surgery.

HPN would like to thank all the donors of the Royal College of Surgeons' Christmas Appeal 2019. The funds raised has enabled us to continue to run the Paediatric Hernia Project's training to improve access to safe surgery in underserved areas.

HPN and Charikot theatre team 2019_1.jpg
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