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Article: Learning curve for unilateral endoscopic totally extraperitoneal (TEP) inguinal hernioplasty

TitleLearning curve for unilateral endoscopic totally extraperitoneal (TEP) inguinal hernioplasty
Authors
KeywordsHernia
Inguinal hernia
Inguinal herniorrhaphy
Laparoscopy
Learning curve
Totally extraperitoneal hernioplasty
Issue Date2002
PublisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/
Citation
Surgical Endoscopy And Other Interventional Techniques, 2002, v. 16 n. 12, p. 1724-1728 How to Cite?
AbstractBackground: Performance of endoscopic totally extraperitoneal inguinal hernioplasty (TEP) requires specialized anatomical knowledge and surgical dexterity. The present study was undertaken to evaluate the learning curve for a general surgeon to master the technique of TEP in the absence of an experienced supervisor. Methods: A retrospective analysis of the first 120 consecutive unilateral TEPs was performed. Medical records were reviewed to evaluate demographic features, perioperative outcome, and follow-up results. The study population was divided into six consecutive groups of 20 patients. Clinical data were compared among the groups to evaluate the impact of operative experience on perioperative outcome. Results: Operative time was the only clinical parameter that showed significant improvement with experience; it reached a plateau value of <1 h after the fourth group. Conversions to transabdominal and open approaches were required in only one patient in groups 1 and 6, respectively, Comparison of demographic features, hernia types, postoperative morbidity rates, length of hospital stay, and number of days to resume normal activities showed no significant differences among the groups. All complications were minor and resolved uneventfully. No recurrence was detected during follow-up. Conclusions: The learning curve for unilateral TEP by a general surgeon peaked after performing 80 procedures. In most cases, unilateral TEP can be accomplished safely within 1 h. Even during the learning process, TEP carries a low morbidity and conversion rate.
Persistent Identifierhttp://hdl.handle.net/10722/84564
ISSN
2015 Impact Factor: 3.54
2015 SCImago Journal Rankings: 1.695
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorPatil, NGen_HK
dc.contributor.authorYuen, WKen_HK
dc.contributor.authorLee, Fen_HK
dc.date.accessioned2010-09-06T08:54:26Z-
dc.date.available2010-09-06T08:54:26Z-
dc.date.issued2002en_HK
dc.identifier.citationSurgical Endoscopy And Other Interventional Techniques, 2002, v. 16 n. 12, p. 1724-1728en_HK
dc.identifier.issn0930-2794en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84564-
dc.description.abstractBackground: Performance of endoscopic totally extraperitoneal inguinal hernioplasty (TEP) requires specialized anatomical knowledge and surgical dexterity. The present study was undertaken to evaluate the learning curve for a general surgeon to master the technique of TEP in the absence of an experienced supervisor. Methods: A retrospective analysis of the first 120 consecutive unilateral TEPs was performed. Medical records were reviewed to evaluate demographic features, perioperative outcome, and follow-up results. The study population was divided into six consecutive groups of 20 patients. Clinical data were compared among the groups to evaluate the impact of operative experience on perioperative outcome. Results: Operative time was the only clinical parameter that showed significant improvement with experience; it reached a plateau value of <1 h after the fourth group. Conversions to transabdominal and open approaches were required in only one patient in groups 1 and 6, respectively, Comparison of demographic features, hernia types, postoperative morbidity rates, length of hospital stay, and number of days to resume normal activities showed no significant differences among the groups. All complications were minor and resolved uneventfully. No recurrence was detected during follow-up. Conclusions: The learning curve for unilateral TEP by a general surgeon peaked after performing 80 procedures. In most cases, unilateral TEP can be accomplished safely within 1 h. Even during the learning process, TEP carries a low morbidity and conversion rate.en_HK
dc.languageengen_HK
dc.publisherSpringer New York LLC. The Journal's web site is located at http://link.springer-ny.com/link/service/journals/00464/en_HK
dc.relation.ispartofSurgical Endoscopy and Other Interventional Techniquesen_HK
dc.subjectHerniaen_HK
dc.subjectInguinal herniaen_HK
dc.subjectInguinal herniorrhaphyen_HK
dc.subjectLaparoscopyen_HK
dc.subjectLearning curveen_HK
dc.subjectTotally extraperitoneal hernioplastyen_HK
dc.titleLearning curve for unilateral endoscopic totally extraperitoneal (TEP) inguinal hernioplastyen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0930-2794&volume=16&issue=12&spage=1724&epage=1728&date=2002&atitle=Learning+curve+for+unilateral+endoscopic+totally+extraperitoneal+(TEP)+inguinal+hernioplastyen_HK
dc.identifier.emailPatil, NG: ngpatil@hkucc.hku.hken_HK
dc.identifier.authorityPatil, NG=rp00388en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00464-001-8298-0en_HK
dc.identifier.pmid12098025-
dc.identifier.scopuseid_2-s2.0-0036908756en_HK
dc.identifier.hkuros76940en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036908756&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume16en_HK
dc.identifier.issue12en_HK
dc.identifier.spage1724en_HK
dc.identifier.epage1728en_HK
dc.identifier.isiWOS:000180337500017-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridPatil, NG=7103152514en_HK
dc.identifier.scopusauthoridYuen, WK=7102761292en_HK
dc.identifier.scopusauthoridLee, F=7403111996en_HK

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