Show simple item record

dc.contributor.authorGöksoy, Beslen
dc.contributor.authorAzamat, İbrahim Fethi
dc.contributor.authorYılmaz, Gökhan
dc.contributor.authorSert, Özlem
dc.contributor.authorOnur, Ender
dc.identifier.citationGöksoy, B., Azamat, İ. F., Yılmaz, G., Sert, Ö. ve Onur, E. (2021). The learning curve of laparoscopic inguinal hernia repair: A comparison of three inexperienced surgeons. Videosurgery and Other Miniinvasive Techniques, 16(2), 336-346.
dc.description.abstractIntroduction: Studies with inexperienced surgeons in terms of the learning curve for laparoscopic totally extraperitoneal (TEP) inguinal hernia repair are limited. Aim: To compare three inexperienced surgeons in terms of the learning curve without supervision. Material and methods: Patients' data, which were from consecutive laparoscopic TEP hernioplasties between December 2017 and February 2020, were analysed retrospectively. The primary outcome was to compare the learning curve of three surgeons (Surgeon A, B, and C) in terms of complications, conversion, and duration of surgery. Secondary outcomes were recurrence rates. Results: A total of 299 patients were included in the study. Conversion and intraoperative complication rates decreased after the first 60 cases (from 10% to 2.5%, p = 0.013 and from 9% to 2.5%, p = 0.027, respectively). The mean operative time reached a plateau of less than 40 min after 51-81 cases (Surgeon A 51, B 71, and C 81 cases). Ageing was a risk factor for intraoperative complications and recurrence (p < 0.001, p = 0.008, respectively), and higher body mass index (BMI) was a risk factor for conversion (p = 0.004). Age = 60 years compared to age < 60 years increased intraoperative complications five-fold and recurrence six-fold (p = 0.001). On the other hand, BMI = 30 kg/m(2) increased the possibility of conversion to open surgery nine-fold (p < 0.001). In addition, a positive correlation was found between the operative time and the BMI and VAS score (p = 0.004, p = 0.015, respectively). Conclusions: In order to reach the plateau in the operative time during the TEP learning curve period, more than 50 cases should be experienced, whereas more than 60 cases are needed for conversion, intraoperative complications, and recurrence.en_US
dc.publisherTermedia Publishing House Ltden_US
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
dc.subjectTotally Extraperitonealen_US
dc.subjectInguinal Herniaen_US
dc.subjectLearning Curveen_US
dc.subjectTransabdominal Preperitonealen_US
dc.titleThe learning curve of laparoscopic inguinal hernia repair: A comparison of three inexperienced surgeonsen_US
dc.relation.journalVideosurgery and Other Miniinvasive Techniquesen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

Files in this item


This item appears in the following Collection(s)

Show simple item record

Except where otherwise noted, this item's license is described as info:eu-repo/semantics/openAccess