TY - JOUR
T1 - Long-term outcomes of laparoscopic totally extraperitoneal inguinal hernia repairs performed by supervised surgical trainees
AU - Zendejas, Benjamin
AU - Onkendi, Edwin O.
AU - Brahmbhatt, Rushin D.
AU - Lohse, Christine M.
AU - Greenlee, Susan M.
AU - Farley, David R.
N1 - Funding Information:
Supported by grant number 1 UL1 RR024150 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and the NIH Roadmap for Medical Research . Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NCRR or NIH.
PY - 2011/3
Y1 - 2011/3
N2 - Background Long-term outcomes of laparoscopic totally extraperitoneal (TEP) inguinal hernia repairs performed by supervised surgical trainees are absent. Methods Retrospective review of TEP inguinal hernioplasties performed by trainees at our institution. Results From 1995 to 2009, a total of 1,479 inguinal hernia repairs on 976 patients were performed by supervised surgical trainees. The mean patient age was 54 years (range 586). Men (97%), direct defects (51%), and bilateral repairs (52%) predominated. Recurrent hernias compromised 17%. Four (.4%) patients were converted to open surgery because of scarring. Postoperative complications consisted of urinary retention (8%), seroma (3%), and hematoma (2%). Trainee participation included interns (46%), PGY-2s (10%), PGY-3s (2%), PGY-4s (3%), and PGY-5s (39%). With a mean follow-up of 6.1 years, recurrence and bothersome groin pain rates were 2.6% and 1.5%, respectively. Conclusions With adequate supervision, surgical trainees can safely perform the TEP repair with good long-term outcomes.
AB - Background Long-term outcomes of laparoscopic totally extraperitoneal (TEP) inguinal hernia repairs performed by supervised surgical trainees are absent. Methods Retrospective review of TEP inguinal hernioplasties performed by trainees at our institution. Results From 1995 to 2009, a total of 1,479 inguinal hernia repairs on 976 patients were performed by supervised surgical trainees. The mean patient age was 54 years (range 586). Men (97%), direct defects (51%), and bilateral repairs (52%) predominated. Recurrent hernias compromised 17%. Four (.4%) patients were converted to open surgery because of scarring. Postoperative complications consisted of urinary retention (8%), seroma (3%), and hematoma (2%). Trainee participation included interns (46%), PGY-2s (10%), PGY-3s (2%), PGY-4s (3%), and PGY-5s (39%). With a mean follow-up of 6.1 years, recurrence and bothersome groin pain rates were 2.6% and 1.5%, respectively. Conclusions With adequate supervision, surgical trainees can safely perform the TEP repair with good long-term outcomes.
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U2 - 10.1016/j.amjsurg.2010.08.019
DO - 10.1016/j.amjsurg.2010.08.019
M3 - Article
C2 - 21367383
AN - SCOPUS:79952138359
SN - 0002-9610
VL - 201
SP - 379
EP - 384
JO - American Journal of Surgery
JF - American Journal of Surgery
IS - 3
ER -