OV01 A LOW-COST HERNIA MODEL FOR THE TRAINING OF THE SHOULDICE AND THE LICHTENSTEIN INGUINAL HERNIA REPAIR

Abstract Aim Based on an international European survey, residents prefer to study inguinal hernia repair through lectures or video-demonstrations or want to practice either on simulation or cadaveric models. Simulation models in inguinal hernia are scarce or expensive. Material and Methods A low-cost model was developed that can be produced everywhere with the aid of the instruction video: “How to build an inguinal hernia model”. Initially, the model was designed to practice the Lichtenstein technique but after some minor modifications (adding the conjoint tendon, enough slack in the transversalis fascia) it was also possible to practice the Shouldice technique on the same model. It only needs the removal of the stitches of the third and fourth layer before the Lichtenstein can be performed. Results The model was used for several studies with students and residents and proved to be realistic and was approved by an international survey among experienced hernia surgeons. It has been used once in a national training session of residents. Conclusions The video shows the execution of both procedures on the same model.

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Validity of a low-cost Lichtenstein open inguinal hernia repair simulation model for surgical training

Hernia ◽

10.1007/s10029-019-02093-6 ◽

2019 ◽

Vol 24 (4) ◽

pp. 895-901 ◽

Cited By ~ 4

Author(s):

T. Nazari ◽

M. P. Simons ◽

M. H. Zeb ◽

J. J. G. van Merriënboer ◽

J. F. Lange ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Simulation Model ◽

Inguinal Hernia Repair ◽

Cost Model ◽

Low Cost ◽

Perceived Usefulness ◽

Rank Test ◽

Surgical Residents ◽

Open Inguinal Hernia Repair

Abstract Purpose Simulation training allows trainees to gain experience in a safe environment. Computer simulation and animal models to practice a Lichtenstein open inguinal hernia repair (LOIHR) are available; however, a low-cost model is not. We constructed an inexpensive model using fabric, felt, and yarn that simulates the anatomy and hazards of the LOIHR. This study examined the fidelity, and perceived usefulness of our developed simulation model by surgical residents and expert surgeons. Methods A total of 66 Dutch surgical residents and ten international expert surgeons were included. All participants viewed a video-demonstration of LOIHR on the simulation model and subsequently performed the surgery themselves on the model. Afterward, they assessed the model by rating 13 statements concerning its fidelity (six model, three equipment, and four psychological) and six usefulness statements on a five-point Likert scale. One-sample Wilcoxon signed-rank test was used to compare to the neutral value of 3. Results The fidelity was assessed as being high by residents [model 4.00 (3.00–4.00), equipment 4.00 (3.00–4.00), psychological 4.00 (3.00–4.00); all p’s < 0.001] and by expert surgeons [model 4.00 (3.00–4.00), p = 0.025; equipment 4.00 (3.00–5.00), p < 0.001; psychological 4.00 (3.00–4.00), p = 0.053]. The usefulness was rated high by residents and experts, especially the usefulness for training of residents [residents 4.00 (4.00–5.00), p < 0.001; experts 4.50 (3.75–5.00), p = 0.015]. Conclusion Our developed Lichtenstein open inguinal hernia repair simulation model was assessed by surgical residents and expert surgeons as a model with high fidelity and high potential usefulness, especially for the training of surgical residents.

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Randomized, controlled, blinded trial of Tissucol/Tisseel for mesh fixation in patients undergoing Lichtenstein technique for primary inguinal hernia repair: rationale and study design of the TIMELI trial

Hernia ◽

10.1007/s10029-007-0315-3 ◽

2007 ◽

Vol 12 (2) ◽

pp. 159-165 ◽

Cited By ~ 26

Author(s):

G. Campanelli ◽

G. Champault ◽

M. Hidalgo Pascual ◽

A. Hoeferlin ◽

A. Kingsnorth ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Study Design ◽

Mesh Fixation ◽

Lichtenstein Technique ◽

Randomized Controlled ◽

Primary Inguinal Hernia ◽

Blinded Trial

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A Novel Low-Cost Simulator for Laparoscopic Inguinal Hernia Repair

Surgical Innovation ◽

10.1177/1553350610395949 ◽

2011 ◽

Vol 18 (2) ◽

pp. 171-175 ◽

Cited By ~ 13

Author(s):

Yo Kurashima ◽

Liane Feldman ◽

Salman Al-Sabah ◽

Pepa Kaneva ◽

Gerald Fried ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Low Cost ◽

Laparoscopic Inguinal Hernia Repair ◽

Laparoscopic Inguinal Hernia

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Randomized clinical trial comparing inguinal hernia repair with Lichtenstein technique using non-absorbable or partially absorbable mesh. Preliminary report

Videosurgery and Other Miniinvasive Techniques ◽

10.5114/wiitm.2011.26253 ◽

2011 ◽

Vol 4 ◽

pp. 190-206 ◽

Cited By ~ 1

Author(s):

Konrad Pielaciński ◽

Andrzej B. Szczepanik ◽

Andrzej Misiak ◽

Tadeusz Wróblewski

Keyword(s):

Clinical Trial ◽

Inguinal Hernia ◽

Hernia Repair ◽

Randomized Clinical Trial ◽

Inguinal Hernia Repair ◽

Preliminary Report ◽

Lichtenstein Technique ◽

Absorbable Mesh

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Comparison of Open Preperitoneal vs. Lichtenstein Technique of postoperative Complications and Recurrence in Inguinal Hernia Repair

Alborz University Medical Journal ◽

10.18869/acadpub.aums.3.4.261 ◽

2014 ◽

Vol 3 (4) ◽

pp. 261-265

Author(s):

G. Ghoseiri ◽

P. Falah ◽

F. Naderi ◽

◽

...

Keyword(s):

Inguinal Hernia ◽

Postoperative Complications ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Lichtenstein Technique

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Outcome of Desarda repair in incarcerated inguinal hernia repair: experience in university hospital

International Surgery Journal ◽

10.18203/2349-2902.isj20192371 ◽

2019 ◽

Vol 6 (6) ◽

pp. 2084 ◽

Cited By ~ 1

Author(s):

Avtar Pachauri ◽

Awanish Kumar

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Low Cost ◽

Total Duration ◽

Recurrent Hernia ◽

University Hospital ◽

Complication Rates ◽

Incarcerated Inguinal Hernia ◽

Wall Stiffness

Background: Synthetic mesh based hernia repair is usually avoided in contaminated and dirty inguinal hernia repair to minimize the risk of infection. Desarda’s technique is a tissue based inguinal hernia repair method which avoids the use of prosthetic mesh. So this study was conducted with the aim to observe the outcome of Desarda’s technique in incarcerated inguinal hernia repair as an alternative procedure to mesh repair.Methods: This study was conducted in Emergency surgery department KGMU Lucknow. Total 30 patients with incarcerated inguinal hernia were included. Patients with recurrent hernia were excluded. Desarda repair was done in all patients. Patients were followed for 1 year to assess the outcome.Results: The mean age was 52±3 years. Mean operative time was 55±5 mins. Total duration of hospital stay was 4-16 days. Mild to moderate pain observed more frequently on 3rd and 7th post-operative day. Complication rates were found to be SSI (6%), seroma (3%), and recurrence (3%). Time taken to return to daily basic and work activities was 3 (3-5) and 15 days respectively. Patients’ subjective assessment of foreign body sensation done at 6th and 12th month follow up was found in 16% and 13% cases and that of abdominal wall stiffness in 23% followed by a reduction of upto 16% cases by 12th month.Conclusions: Desarda’s method is a safe, effective technique and may potentiate the use of tissue based repair for treating incarcerated, contaminated inguinal hernia repair. It has very low rate of recurrence and low cost of treatment.

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