ArticleSurgical endoscopy2022
Critical view of the myopectineal orifice: a scoring system to objectively evaluate transabdominal preperitoneal inguinal hernia repair.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Improving Intraoperative Compliance With Critical View of the Myopectineal Orifice Criteria Using the V-M Pathway During Laparoscopic Inguinal Hernia Repair.Journal of abdominal wall surgery : JAWS · 2026Article
- Article
- Development and preliminary validation of a new task-based objective procedure-specific assessment of inguinal hernia repair procedural safety.Surgical endoscopy · 2024Article
- Towards automatic verification of the critical view of the myopectineal orifice with artificial intelligence.Surgical endoscopy · 2023Article
- Intestinal erosion caused by meshoma displacement: A case report.World journal of gastrointestinal surgery · 2023Article
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Authors and funding
9 authors.
Funding
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Abstract
backgroundMore than 20 million inguinal hernia repair (IHR) procedures are performed worldwide every year. The critical view of the myopectineal orifice (CV of the MPO) is a stepwise guide to the achievement and standardization of minimally invasive IHR (MI IHR). We propose a scoring system as an objective method for fulfillment of the CV of the MPO.
methodsThe scoring system was employed for evaluation of the transabdominal preperitoneal (TAPP) technique in 15 video-recorded procedures. Two variants of the score were used: the simple CV of the MPO score (s-CVMPO score) and the extended CV of the MPO score (e-CVMPO score). The inter-rater agreement and internal consistency for both scores and the correlation between the two scores were assessed.
resultsInter-rater agreement with respect to satisfactory/unsatisfactory achievement of the CV of the MPO was high for both the s-CVMPO and e-CVMPO scores (κ = 1, p < 0.001). The Finn coefficient for inter-rater agreement was 0.97 for the s-CVMPO score and 0.99 for the e-CVMPO score (p < 0.001 for both). Both the s-CVMPO and e-CVMPO scores showed internal consistency with Cronbach's α of 0.89 and 0.87, respectively. The correlation coefficient between the two scores for the average score of each procedure was ρ = 0.96 (p < 0.001).
conclusionThe CVMPO score is a reliable tool for expert evaluation of TAPP repair. Implementing the CVMPO score facilitates objective assessment of the safety and quality of the procedure.
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