Publications The reality of general surgery training and increased complexity of abdominal wall hernia surgery
Conclusion A tailored approach is now employed and seen more so in hernia surgery and this fact is referred to and highlighted
in the contemporaneous hernia guidelines published to date. In addition, with the increasing complexity of abdominal
wall surgery, the number of procedures actually performed by trainees is no longer considered adequate to overcome any
recognized learning curve. Therefore, to supplement general surgery training young surgeons should be offered a clinical
fellowship to obtain an additional qualification as an abdominal wall surgeon and thus improve their clinical and operative
experience under supervision in this field. Practicing general surgeons with a special interest in hernia surgery can undertake
intensive further training in this area by participating in clinical work shadowing in hernia centers, workshops and congresses.