Impact of Resident Participation on Laparoscopic Inguinal Hernia Repairs: Are Residents Slowing Us Down?
Journal of surgical educationPublished 27 October 2012
Roberto Hernández-Irizarry, Benjamin Zendejas, Shahzad Ali, Christine M. Lohse, David R. Farley
Citations93
SJR quartileQ1
SJR score0.83
SNIP1.06
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Laroscopic IHR is performed faster by staff surgeons without residents and there was no difference in the complication rate when residents were involved.
Abstract
Laparoscopic IHR is performed faster by staff surgeons without residents. There was no difference in the complication rate when residents were involved. Teaching and mentoring residents in the OR for laparoscopic IHR is safe and laudable.
Keywords
Medicine
Annals of SurgeryThe Department of Veterans Affairs' NSQIP
1,520 Citations1998Shukri F. Khuri, Jennifer Daley +16 more
Reliable, valid information on patient presurgical risk factors, process of care during surgery, and 30-day morbidity and mortality rates is available for all major surgical procedures in the 123 VAMCs performing surgery in the Veterans Health Administration.
New England Journal of MedicineVariation in Hospital Mortality Associated with Inpatient Surgery
1,442 Citations2009Amir A. Ghaferi, John D. Birkmeyer +1 more
Reducing mortality associated with inpatient surgery will require greater attention to the timely recognition and management of complications once they occur, and differences in rates of death among patients with major complications were also the primary determinant of variation in overall mortality with individual operations.
New England Journal of MedicineOpen Mesh versus Laparoscopic Mesh Repair of Inguinal Hernia
1,083 Citations2004Leigh Neumayer, Anita Giobbie‐Hurder +6 more
The open technique is superior to the laparoscopic technique for mesh repair of primary hernias and rates of recurrence after repair of recurrent hernia were similar in the two groups.
The American Journal of SurgeryThe financial impact of teaching surgical residents in the operating room
801 Citations1999Matthew Bridges, Daniel L. Diamond
The annual cost of training surgical residents in the operating room is $53 million, which suggests the need for digital skills, selection criteria, the development of training curriculum and resource facilities, the pre-operating room need for suturing and stapling techniques, and perhaps the acquisition of virtual surgery training modules.
Surgical Clinics of North AmericaDemographic and socioeconomic aspects of hernia repair in the United States in 2003
704 Citations2003Ira M. Rutkow
Economic evaluation of groin hernia surgery demonstrates that the most important component of cost effectiveness is the aggregate time the patient spends in the operating room, recovery room, and the length of his or her overall stay in the facility.
Simulation in Healthcare The Journal of the Society for Simulation in HealthcareCost Savings From Reduced Catheter-Related Bloodstream Infection After Simulation-Based Education for Residents in a Medical Intensive Care Unit
364 Citations2010Elaine Cohen, Joe Feinglass +5 more
A simulation-based educational intervention in CVC insertion was highly cost-effective and suggest that investment in simulation training can produce significant medical care cost savings.
Annals of SurgerySimulation-Based Mastery Learning Improves Patient Outcomes in Laparoscopic Inguinal Hernia Repair
320 Citations2011Benjamin Zendejas, David A. Cook +5 more
A simulation-based ML curriculum decreased operative time, improved trainee performance, and decreased intra- and postoperative complications and overnight stays after laparoscopic TEP inguinal hernia repair.
CancerVolume and process of care in high‐risk cancer surgery
224 Citations2006John D. Birkmeyer, Yating Sun +3 more
Surgical EndoscopyDoes speed matter? The impact of operative time on outcome in laparoscopic surgery
191 Citations2011Timothy Jackson, Jeffrey J. Wannares +3 more
Increasing operative time was associated with increased odds of complications and, therefore, it appears that speed may matter in laparoscopic surgery.
Annals of SurgeryOperative Mortality and Procedure Volume as Predictors of Subsequent Hospital Performance
183 Citations2006John D. Birkmeyer, Justin B. Dimick +1 more
Historical measures of operative mortality or procedure volume identify hospitals likely to have better outcomes in the future, and the optimal measure for selecting high-quality providers depends on the procedure.
Journal of surgical educationAssessing Trainee Impact on Operative Time for Common General Surgical Procedures in ACS-NSQIP
165 Citations2011Dominic Papandria, Daniel S. Rhee +5 more
Surgical trainees' participation in common surgical procedures is associated with an increase in total operative time, with no difference between trainee seniority levels, which may be significant in assessing the impact of residency training programs on hospital efficiency.
The American Journal of SurgeryDoes resident involvement effect surgical times and complication rates during laparoscopic appendectomy for uncomplicated appendicitis? An analysis of 16,849 cases from the ACS-NSQIP
164 Citations2012Vriti Advani, Sajida Ahad +3 more
Regardless of the postgraduate year level, resident involvement resulted in a clinically appreciable increase in surgical times and a statistically significant increase in certain complications.
Annals of SurgeryDoes Resident Post Graduate Year Influence the Outcomes of Inguinal Hernia Repair?
135 Citations2005Mark Wilkiemeyer, Theodore N. Pappas +4 more
Open hernia repairs performed by junior residents were associated with higher recurrence rates than those repaired by senior residents, and lower resident level was associated with increased operative time for both open and laparoscopic repair.
Surgical EndoscopyLaparoscopic appendectomy by residents: evaluating outcomes and learning curve
88 Citations2009Yap Yan Lin, Asim Shabbir +1 more
Operative duration and complication rate were significantly reduced with increasing experience of residents, and the length of hospital stay and conversion rate to open surgery remained unchanged.
Surgical EndoscopyThe impact of a resident?s seniority on operative time and length of hospital stay for laparoscopic appendectomy: outcomes used to measure the resident?s laparoscopic skills
48 Citations2004Moshe Shabtai, Danny Rosin +8 more
The American Journal of SurgeryLong-term outcomes of laparoscopic totally extraperitoneal inguinal hernia repairs performed by supervised surgical trainees
38 Citations2011Benjamin Zendejas, Edwin Onkendi +4 more
With adequate supervision, surgical trainees can safely perform the TEP repair with good long-term outcomes and recurrence and bothersome groin pain rates were 2.6% and 1.5%, respectively.
