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Resident training experience with robotic assisted transabdominal preperitoneal inguinal hernia repair

General surgery is the fastest growing field in the adoption of robotic assisted laparoscopic surgery. Here, we present the results of one institution’s experience in training surgical residents in robotic assisted transabdominal preperitoneal inguinal hernia repairs. Data were prospectively collect... Full description

Journal Title: The American journal of surgery 2020-02, Vol.219 (2), p.278-282
Main Author: Ebeling, Peter A
Other Authors: Beale, Katherine G , Van Sickle, Kent R , Al-Fayyadh, Mohammed J , Willis, Ross E , Marcano, Juan , Erwin, Dylan , Kempenich, Jason W
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9610
Link: https://www.ncbi.nlm.nih.gov/pubmed/31780043
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recordid: cdi_proquest_miscellaneous_2320382871
title: Resident training experience with robotic assisted transabdominal preperitoneal inguinal hernia repair
format: Article
creator:
  • Ebeling, Peter A
  • Beale, Katherine G
  • Van Sickle, Kent R
  • Al-Fayyadh, Mohammed J
  • Willis, Ross E
  • Marcano, Juan
  • Erwin, Dylan
  • Kempenich, Jason W
subjects:
  • Abridged Index Medicus
  • Adult
  • Analysis of Variance
  • Autonomy
  • Clinical Competence
  • Complications
  • Data points
  • Databases, Factual
  • Education, Medical, Graduate - methods
  • FDA approval
  • Female
  • Gears
  • Hernia
  • Hernia, Inguinal - surgery
  • Hernias
  • Herniorrhaphy - education
  • Herniorrhaphy - methods
  • Humans
  • Inguinal hernia
  • Inguinal hernia repair
  • Internship and Residency - methods
  • Laparoscopic surgery
  • Laparoscopy
  • Male
  • Middle Aged
  • Operative Time
  • Patients
  • Postoperative Complications - epidemiology
  • Postoperative Complications - physiopathology
  • Professional Autonomy
  • Retrospective Studies
  • Robotic surgery
  • Robotic Surgical Procedures - education
  • Robotic Surgical Procedures - methods
  • Robotics
  • Statistics, Nonparametric
  • Surgeons
  • Surgery
  • Surgical Mesh
  • Training
  • Transabdominal preperitoneal repair
  • Treatment Outcome
  • Variance analysis
ispartof: The American journal of surgery, 2020-02, Vol.219 (2), p.278-282
description: General surgery is the fastest growing field in the adoption of robotic assisted laparoscopic surgery. Here, we present the results of one institution’s experience in training surgical residents in robotic assisted transabdominal preperitoneal inguinal hernia repairs. Data were prospectively collected on patients undergoing robotic assisted laparoscopic inguinal hernia repair with residents. Data points included patient age, gender, complications, hernia difficulty, resident technical competency as measured by GEARS, Zwisch scores, operative time, and the number of robotic console cases reported by residents as primary surgeon. Residents who performed >30 robotic cases had significantly higher mean modified GEARS scores (p ≤ .002). Residents who completed 10 or fewer robotic cases achieved significantly lower mean modified GEARS and Zwisch scores than those who completed 11 or more (p 30 robotic cases perform the best on most competency metrics.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9610
fulltext: fulltext
issn:
  • 0002-9610
  • 1879-1883
url: Link


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titleResident training experience with robotic assisted transabdominal preperitoneal inguinal hernia repair
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creatorEbeling, Peter A ; Beale, Katherine G ; Van Sickle, Kent R ; Al-Fayyadh, Mohammed J ; Willis, Ross E ; Marcano, Juan ; Erwin, Dylan ; Kempenich, Jason W
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descriptionGeneral surgery is the fastest growing field in the adoption of robotic assisted laparoscopic surgery. Here, we present the results of one institution’s experience in training surgical residents in robotic assisted transabdominal preperitoneal inguinal hernia repairs. Data were prospectively collected on patients undergoing robotic assisted laparoscopic inguinal hernia repair with residents. Data points included patient age, gender, complications, hernia difficulty, resident technical competency as measured by GEARS, Zwisch scores, operative time, and the number of robotic console cases reported by residents as primary surgeon. Residents who performed >30 robotic cases had significantly higher mean modified GEARS scores (p ≤ .002). Residents who completed 10 or fewer robotic cases achieved significantly lower mean modified GEARS and Zwisch scores than those who completed 11 or more (p < .001). Resident competency and autonomy improve with increasing total robotic case load. Attending surgeons grant more autonomy to residents with higher competency scores. •Robotic inguinal hernia repairs are complex operations.•Difficult to assess competency benchmarks in surgical residents.•Residents with >30 robotic cases perform the best on most competency metrics.
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languageeng
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subjectAbridged Index Medicus ; Adult ; Analysis of Variance ; Autonomy ; Clinical Competence ; Complications ; Data points ; Databases, Factual ; Education, Medical, Graduate - methods ; FDA approval ; Female ; Gears ; Hernia ; Hernia, Inguinal - surgery ; Hernias ; Herniorrhaphy - education ; Herniorrhaphy - methods ; Humans ; Inguinal hernia ; Inguinal hernia repair ; Internship and Residency - methods ; Laparoscopic surgery ; Laparoscopy ; Male ; Middle Aged ; Operative Time ; Patients ; Postoperative Complications - epidemiology ; Postoperative Complications - physiopathology ; Professional Autonomy ; Retrospective Studies ; Robotic surgery ; Robotic Surgical Procedures - education ; Robotic Surgical Procedures - methods ; Robotics ; Statistics, Nonparametric ; Surgeons ; Surgery ; Surgical Mesh ; Training ; Transabdominal preperitoneal repair ; Treatment Outcome ; Variance analysis
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descriptionGeneral surgery is the fastest growing field in the adoption of robotic assisted laparoscopic surgery. Here, we present the results of one institution’s experience in training surgical residents in robotic assisted transabdominal preperitoneal inguinal hernia repairs. Data were prospectively collected on patients undergoing robotic assisted laparoscopic inguinal hernia repair with residents. Data points included patient age, gender, complications, hernia difficulty, resident technical competency as measured by GEARS, Zwisch scores, operative time, and the number of robotic console cases reported by residents as primary surgeon. Residents who performed >30 robotic cases had significantly higher mean modified GEARS scores (p ≤ .002). Residents who completed 10 or fewer robotic cases achieved significantly lower mean modified GEARS and Zwisch scores than those who completed 11 or more (p < .001). Resident competency and autonomy improve with increasing total robotic case load. Attending surgeons grant more autonomy to residents with higher competency scores. •Robotic inguinal hernia repairs are complex operations.•Difficult to assess competency benchmarks in surgical residents.•Residents with >30 robotic cases perform the best on most competency metrics.
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abstractGeneral surgery is the fastest growing field in the adoption of robotic assisted laparoscopic surgery. Here, we present the results of one institution’s experience in training surgical residents in robotic assisted transabdominal preperitoneal inguinal hernia repairs. Data were prospectively collected on patients undergoing robotic assisted laparoscopic inguinal hernia repair with residents. Data points included patient age, gender, complications, hernia difficulty, resident technical competency as measured by GEARS, Zwisch scores, operative time, and the number of robotic console cases reported by residents as primary surgeon. Residents who performed >30 robotic cases had significantly higher mean modified GEARS scores (p ≤ .002). Residents who completed 10 or fewer robotic cases achieved significantly lower mean modified GEARS and Zwisch scores than those who completed 11 or more (p < .001). Resident competency and autonomy improve with increasing total robotic case load. Attending surgeons grant more autonomy to residents with higher competency scores. •Robotic inguinal hernia repairs are complex operations.•Difficult to assess competency benchmarks in surgical residents.•Residents with >30 robotic cases perform the best on most competency metrics.
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