Learning curve for single‐incision laparoscopic totally extraperitoneal inguinal hernia repair

2018 ◽  
Vol 12 (3) ◽  
pp. 301-305 ◽  
Author(s):  
Masaki Wakasugi ◽  
Yujiro Nakahara ◽  
Masaki Hirota ◽  
Takashi Matsumoto ◽  
Takashi Kusu ◽  
...  
2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Mustafa Hasbahceci ◽  
Fatih Basak ◽  
Aylin Acar ◽  
Orhan Alimoglu

Background. The exact nature of learning curve of totally extraperitoneal inguinal hernia and the number required to master this technique remain controversial.Patients and Methods. We present a retrospective review of a single surgeon experience on patients who underwent totally extraperitoneal inguinal hernia repair.Results. There were 42 hernias (22 left- and 20 right-sided) in 39 patients with a mean age of48.8±15.1years. Indirect, direct, and combined hernias were present in 18, 12, and 12 cases, respectively. The mean operative time was55.1±22.8minutes. Peritoneal injury occurred in 9 cases (21.4%). Conversion to open surgery was necessitated in 7 cases (16.7%). After grouping of all patients into two groups as cases between 1–21 and 22–42, it was seen that the majority of peritoneal injuries (7 out of 9, 77.8%,P=0.130) and all conversions (P=0.001) occurred in the first 21 cases.Conclusions. Learning curve of totally extraperitoneal inguinal hernia repair can be divided into two consequent steps: immediate and late. At least 20 operations are required for gaining anatomical knowledge and surgical pitfalls based on the ability to perform this operation without conversion during immediate phase.


2019 ◽  
Vol 29 (3) ◽  
pp. 200-202 ◽  
Author(s):  
Masaki Wakasugi ◽  
Yujiro Nakahara ◽  
Masaki Hirota ◽  
Takashi Matsumoto ◽  
Takashi Kusu ◽  
...  

2012 ◽  
Vol 26 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Jaksa Filipovic Cugura ◽  
Iva Kirac ◽  
Tomislav Kulis ◽  
Maja Sremac ◽  
Mario Ledinsky ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document