التفاصيل البيبلوغرافية
العنوان: |
Laparoscopic ventral hernia repair: defining the learning curve. |
المؤلفون: |
Al-Harazi A; Department of Surgery, Minimally Invasive Surgical Centre, National University Hospital, Singapore, Singapore., Goel R, Tan CT, Cheah WK, Lomanto D |
المصدر: |
Surgical laparoscopy, endoscopy & percutaneous techniques [Surg Laparosc Endosc Percutan Tech] 2014 Dec; Vol. 24 (6), pp. 475-7. |
نوع المنشور: |
Journal Article; Review |
اللغة: |
English |
بيانات الدورية: |
Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 100888751 Publication Model: Print Cited Medium: Internet ISSN: 1534-4908 (Electronic) Linking ISSN: 15304515 NLM ISO Abbreviation: Surg Laparosc Endosc Percutan Tech Subsets: MEDLINE |
أسماء مطبوعة: |
Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c1999- |
مواضيع طبية MeSH: |
Hernia, Ventral/*surgery , Herniorrhaphy/*methods , Laparoscopy/*methods, Adult ; Aged ; Aged, 80 and over ; Female ; Herniorrhaphy/education ; Humans ; Laparoscopy/education ; Learning Curve ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Retrospective Studies |
مستخلص: |
Between 2004 and June 2011, 181 patients underwent laparoscopic ventral hernia repair. Three main surgeons, all experienced in laparoscopic procedures, performed all the cases. After analyzing the operative time (OT) for 3 main surgeons, within the first 20 cases the overall performance plateaued. Data from 60 patients (50F, 10M), with a mean age of 42.3 years (range, 26 to 88 y) and a mean hernia defect size of 6.5 cm (range, 4 to 18 y), were evaluated. No significant differences were recorded among the 3 surgeons in OT and intraoperative or postoperative complications. But 3 (5%, P<0.03) patients had complications, and the recurrence rate was 6.6% with a mean follow-up of 54 months (range, 42 to 70 mo). One had prolonged postoperative ileus, the second had bowel serosal tear, and the last had port-site incarcerated hernia. Our results showed that the OT of 98.9 minutes (range, 48 to 205 min) stabilized in 12 cases. |
تواريخ الأحداث: |
Date Created: 20140419 Date Completed: 20150811 Latest Revision: 20141203 |
رمز التحديث: |
20240628 |
DOI: |
10.1097/SLE.0000000000000020 |
PMID: |
24743667 |
قاعدة البيانات: |
MEDLINE |