Abstract
Surgical residents routinely participate in open and laparoscopic groin hernia repairs. The increasing popularity of robot-assisted groin hernia repair could lead to an educational loss for residents. We aimed to explore the involvement of surgical specialists and surgical residents, i.e., non-specialists, in robot-assisted groin hernia repair. The scoping review was reported according to PRISMA-ScR guideline. A protocol was uploaded at Open Science Framework, and a systematic search was conducted in four databases: PubMed, EMBASE, Cochrane CENTRAL, and Web of Science. Included studies had to report on robot-assisted groin hernia repairs. Data charting was conducted in duplicate. Of the 67 included studies, 85% of the studies described that the robot-assisted groin hernia repair was performed by a surgical specialist. The rest of the studies had no description of the primary operating surgeon. Only 13% of the included studies reported that a resident attended the robot-assisted groin hernia repair. Thus, robot-assisted groin hernia repair was mainly performed by surgical specialists, and robot-assisted groin hernia repair therefore seems to be underutilized to educate surgical residents.
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All the authors contributed to the study conception and design. Screening of records and data charting was performed by DLH and AGH. Data extraction and analysis was performed by DLH and supervised by AGH, SF, and JR. The first draft of the manuscript was written by DLH and reviewed critically by AGH, SF, and JR. All the authors read and approved the final manuscript.
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Mr. Hansen has no conflicts of interest to disclose. Dr. Gram-Hanssen has no conflicts to disclose. Dr. Fonnes has no conflicts of interest to disclose. Prof. Rosenberg has no conflicts of interest to disclose.
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Hansen, D.L., Gram-Hanssen, A., Fonnes, S. et al. Robot-assisted groin hernia repair is primarily performed by specialized surgeons: a scoping review. J Robotic Surg 17, 291–301 (2023). https://doi.org/10.1007/s11701-022-01440-7
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DOI: https://doi.org/10.1007/s11701-022-01440-7