Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children

Detalhes bibliográficos
Autor(a) principal: Barroso, Catarina
Data de Publicação: 2017
Outros Autores: Etlinger, Péter, Alves, Ana Luísa, Osório, Angélica, Carvalho, José Luís, Lamas-Pinheiro, Ruben, Correia-Pinto, Jorge
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/1822/48400
Resumo: The Supplementary Material for this article can be found online at: http://journal.frontiersin.org/article/10.3389/fped.2017.00207/ full#supplementary-material.
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spelling Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in childreninguinal herniacommunicating hydrocelechildrenlaparoscopypercutaneous internal ring suturinglearning curveCiências Médicas::Ciências da SaúdeScience & TechnologyThe Supplementary Material for this article can be found online at: http://journal.frontiersin.org/article/10.3389/fped.2017.00207/ full#supplementary-material.Introduction: We analyzed the department and surgeon learning curves during implementation of the percutaneous internal ring suturing (PIRS) technique in our department. Methods: Children proposed for inguinal hernia or communicating hydrocele repair were included (n = 607). After mentorship, all surgeons were free to propose open or PIRS repair. From gathered data, we assessed department and surgeon learning curves through cumulative experience focusing in perioperative complications, conversion, ipsilateral recurrence, postoperative complications, and metachronous hernia, with benchmarks defined by open repair. Results: Department-centered analysis revealed that perioperative complications, conversion, and ipsilateral recurrence rates were higher in the beginning, reaching the benchmarks when each surgeon performed, at least, 35 laparoscopic repairs. Postoperative complications and metachronous hernia rates were independent from learning curves, with the metachronous hernia rate being significantly lower in PIRS patients. During the program, the percentage of males in those operated by PIRS progressively increased reaching the percentage of males, in our sample, when department operated over 230 cases. Conclusion: Thirty-five laparoscopic cases per surgeon are required for perioperative complications, conversion, and ipsilateral recurrence reach the benchmark. The gap between the percentage of males, in those operated by PIRS and in those proposed for surgery, monitors the confidence of the team in the program.This work was supported by the Fundação para a Ciência e Tecnologia (FCT), co-funded by Programa Operacional Regional do Norte (ON.2—O Novo 267 Norte); from the Quadro de Referência Estratégico Nacional (QREN) through the Fundo Europeu de Desenvolvimento Regional (FEDER) and from the Projeto Estratégico—LA 26—2013–2014 (PEst-C/SAU/ LA0026/2013).info:eu-repo/semantics/publishedVersionFrontiers MediaUniversidade do MinhoBarroso, CatarinaEtlinger, PéterAlves, Ana LuísaOsório, AngélicaCarvalho, José LuísLamas-Pinheiro, RubenCorreia-Pinto, Jorge2017-092017-09-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/48400engBarroso C, Etlinger P, Alves AL, Osório A, Carvalho JL, LamasPinheiro R and Correia-Pinto J (2017) Learning Curves for Laparoscopic Repair of Inguinal Hernia and Communicating Hydrocele in Children. Front. Pediatr. 5:207.2296-236010.3389/fped.2017.00207https://www.frontiersin.org/articles/10.3389/fped.2017.00207/fullinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-05-11T05:35:58Zoai:repositorium.sdum.uminho.pt:1822/48400Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-05-11T05:35:58Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children
title Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children
spellingShingle Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children
Barroso, Catarina
inguinal hernia
communicating hydrocele
children
laparoscopy
percutaneous internal ring suturing
learning curve
Ciências Médicas::Ciências da Saúde
Science & Technology
title_short Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children
title_full Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children
title_fullStr Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children
title_full_unstemmed Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children
title_sort Learning curves for laparoscopic repair of inguinal hernia and communicating hydrocele in children
author Barroso, Catarina
author_facet Barroso, Catarina
Etlinger, Péter
Alves, Ana Luísa
Osório, Angélica
Carvalho, José Luís
Lamas-Pinheiro, Ruben
Correia-Pinto, Jorge
author_role author
author2 Etlinger, Péter
Alves, Ana Luísa
Osório, Angélica
Carvalho, José Luís
Lamas-Pinheiro, Ruben
Correia-Pinto, Jorge
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade do Minho
dc.contributor.author.fl_str_mv Barroso, Catarina
Etlinger, Péter
Alves, Ana Luísa
Osório, Angélica
Carvalho, José Luís
Lamas-Pinheiro, Ruben
Correia-Pinto, Jorge
dc.subject.por.fl_str_mv inguinal hernia
communicating hydrocele
children
laparoscopy
percutaneous internal ring suturing
learning curve
Ciências Médicas::Ciências da Saúde
Science & Technology
topic inguinal hernia
communicating hydrocele
children
laparoscopy
percutaneous internal ring suturing
learning curve
Ciências Médicas::Ciências da Saúde
Science & Technology
description The Supplementary Material for this article can be found online at: http://journal.frontiersin.org/article/10.3389/fped.2017.00207/ full#supplementary-material.
publishDate 2017
dc.date.none.fl_str_mv 2017-09
2017-09-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/1822/48400
url http://hdl.handle.net/1822/48400
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Barroso C, Etlinger P, Alves AL, Osório A, Carvalho JL, LamasPinheiro R and Correia-Pinto J (2017) Learning Curves for Laparoscopic Repair of Inguinal Hernia and Communicating Hydrocele in Children. Front. Pediatr. 5:207.
2296-2360
10.3389/fped.2017.00207
https://www.frontiersin.org/articles/10.3389/fped.2017.00207/full
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
_version_ 1817544673769553920

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