ArticleHernia : the journal of hernias and abdominal wall surgery2015
A survey of general surgeons regarding laparoscopic inguinal hernia repair: practice patterns, barriers, and educational needs.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.
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- One-year experience of robotic transabdominal preperitoneal approach in a single institute: 2 different surgeons with different levels of experience.Annals of surgical treatment and research · 2023Article
- Article
- Evaluating outcomes for robotic-assisted inguinal hernia repair in males with prior urologic surgery: a propensity-matched analysis from a national database.Surgical endoscopy · 2021Article
- Safety and efficacy of robotic-assisted groin hernia repair.Journal of robotic surgery · 2021Article
- Preoperative skill evaluation in transabdominal preperitoneal (TAPP) inguinal hernia repair using a three-dimensional printed TAPP repair simulator.Surgical endoscopy · 2021Article
- Robotic TAPP inguinal hernia repair: lessons learned from 97 cases.Revista do Colegio Brasileiro de Cirurgioes · 2021Review
- Simulated training model in a low cost for laparoscopic inguinal hernioplasty.Acta cirurgica brasileira · 2021Article
- Treating incarcerated inguinal hernias with TEP is a viable option for experienced surgeons.Scientific reports · 2020Article
- Development and evaluation of a novel simulation model for transabdominal preperitoneal (TAPP) inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Article
- Could long-term follow-up modify the outcomes after laparoscopic TAPP? A 5-year retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePractice patterns for inguinal hernia repair vary significantly among surgeons. The purpose of this study was to identify perceived indications for laparoscopic inguinal hernia repair (LIHR), and to identify barriers to its adoption and educational needs for surgeons.
methodsA web-based survey was sent to general surgery members of several North American surgical societies, and to surgical residents through program directors. The 33-item survey was divided in 4 sections: demographics, utilization of techniques, management based on 11 clinical scenarios, reasons for not performing LIHR and educational needs for those who want to learn.
resultsSix hundred and ninety-seven general surgeons and 206 general surgery residents responded to the survey. Surgeons with MIS fellowships, and surgeons at the beginning of their careers are more likely to perform LIHR. Out of the 11 clinical scenarios, surgeons preferred a laparoscopic approach (totally extraperitoneal or transabdominal preperitoneal) for bilateral (48 %) and recurrent (44 %) hernias. However, 46 % of respondents never perform LIHR. Of these, 70 % consider the benefits of laparoscopy to be minimal, 59 % said they lack the requisite training, and 26 % are interested in learning. Surgeons (70 %) and residents (73 %) agreed that the best educational method would be a course followed by expert proctoring.
conclusionSurgeons remain divided on the utility of laparoscopic surgery for inguinal hernia repair. Nearly half of responding surgeons never perform LIHR, and the other half offer it selectively. One quarter of surgeons who do not perform LIHR are interested in learning. This reveals a knowledge gap that could be addressed with educational programs.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.