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Bansal VK, Krishna A, Misra MC, et al. Learning Curve in Laparoscopic Inguinal Hernia Repair: Experience at a Tertiary Care Centre. Indian J Surg. 2015;78(3):197-202doi: 10.1007/s12262-015-1341-5.
Bansal, V. K., Krishna, A., Misra, M. C., & Kumar, S. (2016). Learning Curve in Laparoscopic Inguinal Hernia Repair: Experience at a Tertiary Care Centre. The Indian journal of surgery, 78(3), 197-202. https://doi.org/10.1007/s12262-015-1341-5
Bansal, Virinder Kumar, et al. "Learning Curve in Laparoscopic Inguinal Hernia Repair: Experience at a Tertiary Care Centre." The Indian journal of surgery vol. 78,3 (2016): 197-202. doi: https://doi.org/10.1007/s12262-015-1341-5
Bansal VK, Krishna A, Misra MC, Kumar S. Learning Curve in Laparoscopic Inguinal Hernia Repair: Experience at a Tertiary Care Centre. Indian J Surg. 2016 Jun;78(3):197-202. doi: 10.1007/s12262-015-1341-5. Epub 2015 Sep 12. PMID: 27358514; PMCID: PMC4907907.
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Indian J Surg. 2016 Jun;78(3):197-202. doi: 10.1007/s12262-015-1341-5. Epub 2015 Sep 12.

Learning Curve in Laparoscopic Inguinal Hernia Repair: Experience at a Tertiary Care Centre.

The Indian journal of surgery

Virinder Kumar Bansal, Asuri Krishna, Mahesh C Misra, Subodh Kumar

Affiliations

  1. Department of Surgical Disciplines, All India Institute of Medical Sciences, Room No. 5021, 5th Floor Teaching Block, New Delhi, India.

PMID: 27358514 PMCID: PMC4907907 DOI: 10.1007/s12262-015-1341-5

Abstract

One of the major reasons for laparoscopy not having gained popularity for repair of groin hernia is the perceived steep learning curve. This study was conducted to assess the learning curve and to predict the number of cases required for a surgeon to become proficient in laparoscopic groin hernia repair, by comparing two laparoscopic surgeons. The learning curve evaluation parameters included operative time, conversions, intraoperative complications and postoperative complications, and these were compared between the senior and the junior surgeon. One hundred thirty-eight cases were performed by the senior surgeon, and 63 cases by the junior surgeon. Both were comparable in terms of intraoperative and postoperative complications. Using the moving average method, minimum of 13 laparoscopic hernia repairs are required to reach at par the operating time of an experienced surgeon. For total extraperitoneal (TEP) repair, the number of cases was 14; and for transabdominal preperitoneal (TAPP) repair, this number was 13.

Keywords: Laparoscopy; Learning curve; Moving averages; TEP/TAPP repair

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