Volume : I, Issue : XII, September - 2012

Laparoscopic Groin Hernia Repair: Is The Learning Curve Really Long?

Dr. P A Yavalkar, Dr. S E Jadhav

Abstract :

Laparoscopic groin hernia repair has emerged as an effective alternative method for repair of inguinal hernia. It has become a genuine option in the last 15 years to offer low recurrence rate with a minimal discomfort. However it has not been widely taken up by general surgeons. There is a common misconception that it is much more difficult, takes longer to perform and has more complications. This study has been conducted to evaluate how long it took to overcome the learning curve. Good results with this technique can be achieved. Trans abdominal preperitoneal approach (TAPP) or Totally extraperitoneal (TEP)are safe and good, with TAPP a better view of the anatomy is achieved, which shortens the learning curve. As the number of cases increase the operative time and complication rate decrease. Learning curve consists of three phases, the first phase is the starting curve and seen in the first 25 cases.The second is the phase of stabilization, which is between 25 to 40 cases. The third and last phase is after 45 cases where good results are seen. Time taken for repair reduced from 80 min(average) in the initial cases to 40 min(average) with a mean time of 45 min.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. P A Yavalkar, Dr. S E Jadhav Laparoscopic Groin Hernia Repair: Is The Learning Curve Really Long? Indian Journal of Applied Research, Vol.I, Issue.XII September 2012


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