Effective operative training in hernia repair for junior surgery residents
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : C. Justinger, J. Mikneviciute, J. Schuld, M. K. Schilling
- چاپ و سال / کشور: 2010
Description
Background: Operative skills are essential components of surgical education and can be acquired only through personal experience and training. Increasing financial constraints and working-time limitations bring the needed extra-time for surgical training into sharp focus. New strategies to reduce operative time without deteriorating the surgical education are needed. The aim of this study was to analyze if the use of a selfgripping mesh in open hernia repair performed by junior surgery residents can reduce operative time compared to the use of classically fixed meshes. Methods: Sixty-five patients with open hernia repair performed by junior surgical residents (experience <10 open hernia repairs) guided by a senior surgeon were enrolled to this study. Comparing the use of a classically fixed mesh (UltrapoTM, Ethicon, Norderstedt, Germany) with a new self-gripping mesh (Parietex ProGripTM Mesh, Covidien, Co. Dublin, Ireland) we analyzed the needed operative time. Result: Using the new self-gripping mesh in surgical training, the operative time and costs needed for open inguinal hernia repair decreased significantly without influencing the results. Conclusion: Changing one step of a specific operation using a new device in open hernia repair can reduce the operation time and costs significantly.
Eur Surg (2011) 43/1: 45–48 DOI 10.1007/s10353-010-0585-3 Received September 18, 2010; accepted after revision December 15, 2010
