[show abstract][hide abstract] ABSTRACT: Spigelian herniae are uncommon and frequently pose a diagnostic challenge.
We report the case of a 71-year-old man in whom an ischaemic appendix was found within the sac of a Spigelian hernia during emergency repair.
There are very few reported cases in which an appendix has been found within a Spigelian hernia, in the absence of inflammatory bowel disease. An awareness of the range of viscera which may be encountered in Spigelian herniae is important for safe repair.
[show abstract][hide abstract] ABSTRACT: Surgical training in the UK has undergone a series of major changes in the last few years: both trainees and trainers have struggled to keep abreast of developments. The traditional apprenticeship model has been replaced by a more structured training programme with clearly defined objectives. In this article we explore the application of the educational principles underlining training and assessment in the new training pathway.