ArticleHernia : the journal of hernias and abdominal wall surgery2020
Learning curve in open inguinal hernia repair: a quality improvement multicentre study about Lichtenstein technique.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Short-term outcomes of robotic versus laparoscopic TAPP for inguinal hernia repair: a systematic review, meta-analysis, and GRADE assessment.Journal of robotic surgery · 2026Pooled it
- Pooled it
- Regional block anesthesia for adult patients with inguinal hernia repair: A systematic review.Medicine · 2022Pooled it
- Transversus abdominis release (TAR) for ventral hernia repair: open or robotic? Short-term outcomes from a systematic review with meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Status of groin hernia repair in Japan: analysis of the 2024 annual report from the National Clinical Database.Surgery today · 2026Article
- Article
- The learning curve for the Shouldice Repair: a pilot analysis of post-training specialized surgeons at the Shouldice Hospital.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Can Ileostomy Reversal Be Safely Performed by Surgical Residents?Medicina (Kaunas, Lithuania) · 2024Article
- Global access to technologies to support safe and effective inguinal hernia surgery: prospective, international cohort study.The British journal of surgery · 2024Article
- A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand.Journal of minimally invasive surgery · 2024Article
- Trends in minimally invasive and open inguinal hernia repair: an analysis of ACGME general surgery case logs.Surgical endoscopy · 2024Article
- Separating the components of an abdominal wall fellowship.Annals of the Royal College of Surgeons of England · 2024Article
- Assessing knowledge and confidence of surgical residents in inguinal hernia repair using a low-cost synthetic model.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Risk factors for reoperation following inguinal hernia repair: results from a cohort of patients from an integrated healthcare system.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Article
- Definition of learning curve for thyroidectomy: systematic review on the different approaches.Gland surgery · 2023Review
- Robotic repair of non-midline hernias.Journal of robotic surgery · 2023Article
- Risk of Reoperation for Recurrence After Elective Primary Groin and Ventral Hernia Repair by Supervised Residents.JAMA surgery · 2023Article
- Inguinal hernia surgery learning curves by associate clinicians.Surgical endoscopy · 2023Article
- Robotic versus laparoscopic transabdominal preperitoneal (TAPP) approaches to bilateral hernia repair: a multicenter retrospective study using propensity score matching analysis.Surgical endoscopy · 2023Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeInguinal hernia repair is one of the most performed procedure all over the world with more than 20 million procedures performed each year. Due to the lack of data in literature about the learning curve of the Lichtenstein procedure, we decided to reproduce a research on learning curves with the same methodology proposed in our previous study about laparoscopic hernia repair. The aim of this multicentre study was to analyse how many cases are required to achieve the learning curve for a Lichtenstein procedure.
methodsWe performed a retrospective analysis of the first 100 Lichtenstein procedures performed by 4 trainees from three different institutions and compared them with the same number of procedures performed by 3 senior surgeons from the same institutions. The data about the achieving of learning curve were evaluated with CUSUM and KPSS test.
resultsNo differences about biometrical features were found between the seven groups of patients. CUSUM analysis showed that the trainees achieve the learning curve after 37-42 procedures, reaching an operative time similar to that one of the senior surgeons.
conclusionsIn conclusion, we have shown that the number of procedures required to reach the learning curve from the beginning of surgical residency is around 40 hernia repairs. This number, produced in a controlled environment under strict supervision, could be the minimum requirement to start the procedure of accreditation and specialization in hernia surgery and is higher and steeper than previously reported.
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