Laparoscopic Spigelian Hernia Repair: Intraperitoneal Onlay Mesh-Plus Technique —Video Presentation
Journal of Laparoendoscopic&Advanced Surgical Techniques , Vol. 0, No. 0.
ConclusionsOur results revealed specific details regarding residents’ error management strategies and provides validity evidence for the use of human factors error frameworks in surgical performance assessments. Practice in simulation-based learning environments may improve resident decision-making and error management opportunities by providing a structured experience where errors are explicitly characterized and used for training and feedback. Error management training may play a major role in equipping residents and junior faculty with the skills required for independent, high-quality operative performance.
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
ConclusionsThe 3DHMD and 3DPPD systems showed clear improvement in first hernia repair laparoscopy by novice surgeons in terms of surgical performance, as well as visual perception; however, the 3DHMD system was not superior to the 3DPPD system. The reduction in training time for new surgeons is obviously advantageous. In this respect, the 3D equipment may be a worthwhile investment.
CONCLUSION: The etiology of chronic groin pain post hernia repair is related in part to nerve injury. This is supported by the high frequency of sensory symptoms and numbness in these patients. However other factors including the role of tissue injury and inflammatory postoperative changes need to be considered. KEY WORDS: Chronic postoperative pain, Inguinal hernia repair, Open surgery, Laparoscopic surgery. PMID: 31719216 [PubMed - as supplied by publisher]
CONCLUSION: SIL is a laparoscopic technique that can safely be offered to patients presenting abdominal diseases. The main advantages include enhanced cosmetic results and reduced abdominal trauma. The main disadvantages are patient selection, a longer operative time for some procedures, and a need to expose the operative field for some other procedures. PMID: 31710087 [PubMed - in process]
Publication date: Available online 11 November 2019Source: The American Journal of SurgeryAuthor(s): Jennie Meier, Sergio Huerta
Publication date: Available online 11 November 2019Source: The American Journal of SurgeryAuthor(s): Peter A. Ebeling, Katherine G. Beale, Kent Van Sickle, Mohammed J. Al-Fayyadh, Ross E. Willis, Juan Marcano, Dylan Erwin, Jason W. KempenichAbstractBackgroundGeneral surgery is the fastest growing field in the adoption of robotic assisted laparoscopic surgery. Here, we present the results of one institution's experience in training surgical residents in robotic assisted transabdominal preperitoneal inguinal hernia repairs.MethodsData were prospectively collected on patients undergoing robotic assisted laparoscopic inguinal ...
This study utilized a 36,396-patient dataset from the Healthcare Cost and Utilization Project-State Inpatient Databases and the American Hospital Association Annual Health Survey Databases. Of particular v alue is the large cohort and information regarding the cost of each operation. Despite shorter hospital stays with robotic surgery compared to laparoscopic and open, the cost was significantly higher.
General surgery is the fastest growing field in the adoption of robotic assisted laparoscopic surgery. Here, we present the results of one institution's experience in training surgical residents in robotic assisted transabdominal preperitoneal inguinal hernia repairs.
The objective of this study was to evaluate the impact of resident involvement on surgical outcomes in laparoscopic compared to open procedures.MethodsThe American College of Surgeons National Surgical Quality Improvement Program 2007–2012 was queried for open and laparoscopic ventral hernia repair (VHR), inguinal hernia repair (IHR), splenectomy, colectomy, or cholecystectomy (CCY). Multivariable regression analyses were performed to assess the impact of resident involvement on surgical outcomes.ResultsIn total, 88,337 VHR, 20,586 IHR, 59,254 colectomies, 3,301 splenectomies, and 95,900 CCY were identified. Resident...