ArticleAnnals of surgical treatment and research2014
Factors influencing on difficulty with laparoscopic total extraperitoneal repair according to learning period.
Article in Annals of surgical treatment and research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Learning curve of laparoscopic inguinal hernia repair: systematic review, meta-analysis, and meta-regression.Surgical endoscopy · 2023Pooled it
- Laparoscopic ventral TAPP versus IPOM for primary umbilical hernia repair: why use a sledgehammer to crack a nut?Journal of abdominal wall surgery : JAWS · 2026Article
- Surgeon experience and patient selection influence the learning curve in robotic inguinal hernia repair.Journal of robotic surgery · 2025Article
- Learning curve analysis using the cumulative summation method for totally extraperitoneal repair of the inguinal hernia.Langenbeck's archives of surgery · 2022Article
- Early operative outcomes of endoscopic (eTEP access) robotic-assisted retromuscular abdominal wall hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2018Article
- What Is the Influence of Simulation-Based Training Courses, the Learning Curve, Supervision, and Surgeon Volume on the Outcome in Hernia Repair?-A Systematic Review.Frontiers in surgery · 2018Article
- Learning curve takes 65 repetitions of totally extraperitoneal laparoscopy on inguinal hernias for reduction of operating time and complications.Surgical endoscopy · 2017Article
- Use of fibrin glue in preventing pseudorecurrence after laparoscopic total extraperitoneal repair of large indirect inguinal hernia.Annals of surgical treatment and research · 2016Article
- IMPACT OF OBESITY AND SURGICAL SKILLS IN LAPAROSCOPIC TOTALLY EXTRAPERITONEAL HERNIOPLASTY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgeryArticle
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Authors and funding
4 authors.
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Abstract
purposeLaparoscopic total extraperitoneal (TEP) repair of inguinal hernia is technically challenging enough to build high barrier to entry. The purpose of this study was to identify clinical factors influencing technical difficulty with laparoscopic TEP according to learning period.
methodsWe conducted a retrospective study of 112 adult patients who underwent laparoscopic TEP for unilateral inguinal hernia from January 2009 to September 2013. A technically difficult case was defined as the 70th percentiles or more in the distribution curve of operative time, major complication, or open conversion.
resultsThe rate of body mass index (BMI) above 25 kg/m(2) was significantly higher in the difficult group than the nondifficult group in the learning period of laparoscopic TEP (57.9% vs. 26.8%, respectively, P = 0.020). However, in the experience period, it revealed no statistical difference with technical difficulty (31.3% vs. 33.3%, respectively, P = 0.882). In multivariate analysis, BMI (≥25 kg/m(2)) was identified as a significant independent factor for technical difficulty with laparoscopic TEP in the learning period (odds ratio, 4.572; P = 0.015).
conclusionPatient's BMI (≥25 kg/m(2)) can create technical difficulty with laparoscopic TEP only in the learning period, but not in the experience period. Therefore BMI could be applied as one of the guidelines for patient selection, especially for surgeons in the learning curve of laparoscopic TEP.
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