A Run on the Path of Learning Curve of Laparoscopic Hernia Repair (TEP)
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 5
Abstract
Hernia repair is one of the most common surgeries performed all over the world.The Totally Extra Peritoneal (TEP) repair, although technically difficult, is a type of laparoscopic hernia repair which is gaining popularity and acceptance globally.A number of studies claim its superiority over open repair of hernia in terms of post-operative pain, earlier return to normal activity, work and recurrence of hernia but a steep learning curve making its uptake low despite known benefits over open hernia repair. This is attributed to the technical difficulties of the laparoscopic hernia repair, a general reluctance to learn a technically demanding method with a learning curve.The proposed study was conducted in the Department of Surgery VMMC & Safdarjung hospital, New Delhi includes total 45patients over one and half year of Duration, using a standard TEP technique with regular follow up of the patient for 3 year and done at the time period of 1week, 1 month, and 3 months, 6 months and 1 year till 3 years. Our study concludes that better understanding of the laparoscopic anatomy is extremely important before one can attempt this technique. Results with this technique are comparable with other techniques of hernia repair with decrease in the complications and recurrence rate with more understanding of laparoscopic anatomy and gaining confident. Keywords: Laparoscopic Hernia repair, TEP, Learning curve
Authors and Affiliations
Dr. Ashwani Gupta, Dr. Ashish, Dr. Vimal Bhandari, Dr. Lokender Kumar, Dr. Praveen Garg, Dr. Gaind. S. Kumar
Keywords
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