A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand
Purpose: The feasibility of starting laparoscopic surgery among newly graduated surgeons lacking extensive experience in open approaches remains a topic of interest. We aimed to evaluate the safety and efficacy of laparoscopic inguinal hernia repair (LHR) compared to open inguinal hernia repair (OHR...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Endo-Laparoscopic & Robotic Surgery
2024-06-01
|
| Series: | Journal of Minimally Invasive Surgery |
| Subjects: | |
| Online Access: | http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.2.85 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850024719866134528 |
|---|---|
| author | Thanat Tantinam Tawadchai Treeratanawikran Pattiya Kamoncharoen Ekawit Srimaneerak Metpiya Siripoonsap Thawatchai Phoonkaew |
| author_facet | Thanat Tantinam Tawadchai Treeratanawikran Pattiya Kamoncharoen Ekawit Srimaneerak Metpiya Siripoonsap Thawatchai Phoonkaew |
| author_sort | Thanat Tantinam |
| collection | DOAJ |
| description | Purpose: The feasibility of starting laparoscopic surgery among newly graduated surgeons lacking extensive experience in open approaches remains a topic of interest. We aimed to evaluate the safety and efficacy of laparoscopic inguinal hernia repair (LHR) compared to open inguinal hernia repair (OHR) in this population. Methods : This retrospective cohort study was conducted on inguinal hernia surgeries performed by a single recently graduated surgeon during the learning phase. Patient data were collected from July 2021 to November 2022 with a focus on demographics, intraoperative details, and 1-year postoperative outcomes. Noninferiority testing was employed with a predetermined margin of 15% to compare the complication rates, recurrence rates, and other secondary outcomes between LHR and OHR. Results : The study cohort comprised 66 patients (OHR group, n = 45 and LHR group, n = 21). Patient characteristics were similar between groups. No significant differences were observed in the complication rates (OHR, 26.7% and LHR, 19.0%; p = 0.50) or recurrence rates (OHR, 2.2% and LHR, 4.8%; p = 0.54). The LHR group demonstrated noninferior outcomes compared with the OHR group in terms of complication, recurrence, readmission, and reoperation rates. Except for the operative time, secondary outcomes did not differ significantly between the groups. Conclusion : LHR is a feasible initiation for recently graduated surgeons, demonstrating noninferior outcomes compared with open repair. Therefore, the belief that one must master open surgery before beginning laparoscopy may be untrue. |
| format | Article |
| id | doaj-art-c11a552cc73e4ba3ac801f525960f14d |
| institution | DOAJ |
| issn | 2234-778X |
| language | English |
| publishDate | 2024-06-01 |
| publisher | The Korean Society of Endo-Laparoscopic & Robotic Surgery |
| record_format | Article |
| series | Journal of Minimally Invasive Surgery |
| spelling | doaj-art-c11a552cc73e4ba3ac801f525960f14d2025-08-20T03:01:02ZengThe Korean Society of Endo-Laparoscopic & Robotic SurgeryJournal of Minimally Invasive Surgery2234-778X2024-06-01272859410.7602/jmis.2024.27.2.85jmis.2024.27.2.85A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in ThailandThanat Tantinam0Tawadchai Treeratanawikran1Pattiya Kamoncharoen2Ekawit Srimaneerak3Metpiya Siripoonsap4Thawatchai Phoonkaew5General Surgery Unit, Phatthalung Hospital, Phatthalung, ThailandGeneral Surgery Unit, Phatthalung Hospital, Phatthalung, ThailandGeneral Surgery Unit, Phatthalung Hospital, Phatthalung, ThailandGeneral Surgery Unit, Phatthalung Hospital, Phatthalung, ThailandGeneral Surgery Unit, Phatthalung Hospital, Phatthalung, ThailandGeneral Surgery Unit, Phatthalung Hospital, Phatthalung, ThailandPurpose: The feasibility of starting laparoscopic surgery among newly graduated surgeons lacking extensive experience in open approaches remains a topic of interest. We aimed to evaluate the safety and efficacy of laparoscopic inguinal hernia repair (LHR) compared to open inguinal hernia repair (OHR) in this population. Methods : This retrospective cohort study was conducted on inguinal hernia surgeries performed by a single recently graduated surgeon during the learning phase. Patient data were collected from July 2021 to November 2022 with a focus on demographics, intraoperative details, and 1-year postoperative outcomes. Noninferiority testing was employed with a predetermined margin of 15% to compare the complication rates, recurrence rates, and other secondary outcomes between LHR and OHR. Results : The study cohort comprised 66 patients (OHR group, n = 45 and LHR group, n = 21). Patient characteristics were similar between groups. No significant differences were observed in the complication rates (OHR, 26.7% and LHR, 19.0%; p = 0.50) or recurrence rates (OHR, 2.2% and LHR, 4.8%; p = 0.54). The LHR group demonstrated noninferior outcomes compared with the OHR group in terms of complication, recurrence, readmission, and reoperation rates. Except for the operative time, secondary outcomes did not differ significantly between the groups. Conclusion : LHR is a feasible initiation for recently graduated surgeons, demonstrating noninferior outcomes compared with open repair. Therefore, the belief that one must master open surgery before beginning laparoscopy may be untrue.http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.2.85laparoscopyinguinal herniaherniorrhaphylearning curvesurgeons |
| spellingShingle | Thanat Tantinam Tawadchai Treeratanawikran Pattiya Kamoncharoen Ekawit Srimaneerak Metpiya Siripoonsap Thawatchai Phoonkaew A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand Journal of Minimally Invasive Surgery laparoscopy inguinal hernia herniorrhaphy learning curve surgeons |
| title | A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand |
| title_full | A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand |
| title_fullStr | A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand |
| title_full_unstemmed | A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand |
| title_short | A retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in Thailand |
| title_sort | retrospective noninferiority study of laparoscopic inguinal hernia repair feasibility for recently graduated surgeons in thailand |
| topic | laparoscopy inguinal hernia herniorrhaphy learning curve surgeons |
| url | http://www.e-jmis.org/journal/view.html?doi=10.7602/jmis.2024.27.2.85 |
| work_keys_str_mv | AT thanattantinam aretrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT tawadchaitreeratanawikran aretrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT pattiyakamoncharoen aretrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT ekawitsrimaneerak aretrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT metpiyasiripoonsap aretrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT thawatchaiphoonkaew aretrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT thanattantinam retrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT tawadchaitreeratanawikran retrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT pattiyakamoncharoen retrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT ekawitsrimaneerak retrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT metpiyasiripoonsap retrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand AT thawatchaiphoonkaew retrospectivenoninferioritystudyoflaparoscopicinguinalherniarepairfeasibilityforrecentlygraduatedsurgeonsinthailand |