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Single-incision totally extraperitoneal inguinal hernia repair as a teaching procedure: one center’s experience of more than 300 procedures

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Abstract

Purpose

To evaluate resident doctors’ proficiency in performing single-incision laparoscopic surgery for totally extraperitoneal inguinal hernia repair (SILS-TEP), and assess patient outcomes by comparing procedures performed by resident surgeons vs. those performed by staff surgeons.

Methods

We analyzed retrospectively 301 patients who underwent SILS-TEP between January 2011 and May 2015 at Osaka Police Hospital.

Results

The mean operative times for unilateral and bilateral hernia repairs in the resident-surgeon and the staff-surgeon groups were 99 vs. 88 min, respectively (p < 0.05), and 130 vs. 137 min, respectively. There was no significant difference in the incidence of conversion to a different procedure between the groups. The mean postoperative hospital stay was 2.0 days for patients from the resident-surgeon group vs. 2.8 days for those from the staff-surgeon group (p < 0.05). Seromas and wound infections developed in 8 % (12/148) of patients from the resident-surgeon group vs. 12 % (19/153) of those from the staff-surgeon group. No other major complications or hernia recurrence were noted in either group.

Conclusions

SILS-TEP was performed safely, with low morbidity and no recurrence, by the resident surgeons under appropriate guidance by staff surgeons.

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Authors and Affiliations

  1. Department of Surgery, Osaka Police Hospital, 10-31 Kitayama-cho, Tennoujiku, Osaka, 543-0035, Japan

    Masaki Wakasugi, Mitsuyoshi Tei, Kana Anno, Tsubasa Mikami, Ryo Tsukada, Masahiro Koh, Kenta Furukawa, Yozo Suzuki, Toru Masuzawa, Kentaro Kishi, Masahiro Tanemura & Hiroki Akamatsu

Authors
  1. Masaki Wakasugi
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  2. Mitsuyoshi Tei
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  3. Kana Anno
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  4. Tsubasa Mikami
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  5. Ryo Tsukada
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  6. Masahiro Koh
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  7. Kenta Furukawa
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  8. Yozo Suzuki
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  9. Toru Masuzawa
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  10. Kentaro Kishi
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  11. Masahiro Tanemura
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  12. Hiroki Akamatsu
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Corresponding author

Correspondence to Masaki Wakasugi.

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Conflict of interest

The authors (MW, MT, KA, TM, RT, MK, KF, YS, TM, KK, MT, HA) declare that they have no potential conflicts of interest.

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Wakasugi, M., Tei, M., Anno, K. et al. Single-incision totally extraperitoneal inguinal hernia repair as a teaching procedure: one center’s experience of more than 300 procedures. Surg Today 46, 1039–1044 (2016). https://doi.org/10.1007/s00595-015-1273-5

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  • DOI: https://doi.org/10.1007/s00595-015-1273-5

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