Department of Paediatric Surgery

Health Partnership Nepal

Level 5, Lanesborough Wing

St. George's Hospital

London

SW17 0QT

Charity Registration No. 1134185

ACCESS TO SURGERY FOR CHILDREN

THE PROBLEM

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.

A SOLUTION

HPN PADIATRIC INGUINAL HERNIA PROJECT

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, a team of 5 UK clinicians (paediatric surgeons and doctors) provided training over a 2-day period at Charikot Hospital. The training enables this rural hospital to safely perform the operation with good quality care and prevent deaths.

SUCCESS

6 children underwent safe and successful surgery in 1 day. There were no complications at 3-month follow up.

 

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. He now continues to operate and treat numerous children with this condition.

WHAT NEXT?

HPN’s paediatric surgical team will return to Charikot Hospital in early 2020 to evaluate the impact of this project. We will provide further training to more doctors and nurses to improve care for children needing surgery.

With the support from the Royal College of Surgeons England, HPN will roll out this training project over the next 2 years to another 3 rural hospital’s in Nepal to improve access to safe surgery in underserved areas.

 

HPN would like to thank the Royal College of Surgeons for choosing this project as their Christmas Appeal 2019.