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Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents

BACKGROUND: To analyse in a prospective trial the long-term results of Lichtenstein hernioplasty performed by surgical trainees. METHODS: Training of tension-free Lichtenstein hernia operation was started in our ambulatory unit as an outpatient procedure under local anaesthesia in 1996. After perfor...

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Autores principales: Paajanen, Hannu, Varjo, Riitta
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921348/
https://www.ncbi.nlm.nih.gov/pubmed/20684783
http://dx.doi.org/10.1186/1471-2482-10-24
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author Paajanen, Hannu
Varjo, Riitta
author_facet Paajanen, Hannu
Varjo, Riitta
author_sort Paajanen, Hannu
collection PubMed
description BACKGROUND: To analyse in a prospective trial the long-term results of Lichtenstein hernioplasty performed by surgical trainees. METHODS: Training of tension-free Lichtenstein hernia operation was started in our ambulatory unit as an outpatient procedure under local anaesthesia in 1996. After performing 36 teaching operations together with residents and their supervising specialist, 281 patients were operated during 1996-2000 either by one senior consultant (n = 141) or by 12 surgical trainees (n = 140). After 10 years, 247 (88%) patients were available for the long-term assessment. RESULTS: After one month postoperatively, the rate of wound infections (consultant 1.1%, residents 0.7%) and hematomas (consultant 1.1%, residents 3.0%) were low and not related to surgeon's training level (ns). Only 6 (2.1%) clinically evident recurrences were found after 10 years: two after specialist repair and four after trainee repair (ns). Although one third of the patients reported some discomfort after 3 and 10 years, 93-95% of the patients were very satisfied with the operation, with no statistical difference between the surgeons. CONCLUSION: Ambulatory open mesh repair under local anaesthesia was a safe operation and the long-term results were acceptable among the patients operated by surgical trainees.
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spelling pubmed-29213482010-08-14 Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents Paajanen, Hannu Varjo, Riitta BMC Surg Research Article BACKGROUND: To analyse in a prospective trial the long-term results of Lichtenstein hernioplasty performed by surgical trainees. METHODS: Training of tension-free Lichtenstein hernia operation was started in our ambulatory unit as an outpatient procedure under local anaesthesia in 1996. After performing 36 teaching operations together with residents and their supervising specialist, 281 patients were operated during 1996-2000 either by one senior consultant (n = 141) or by 12 surgical trainees (n = 140). After 10 years, 247 (88%) patients were available for the long-term assessment. RESULTS: After one month postoperatively, the rate of wound infections (consultant 1.1%, residents 0.7%) and hematomas (consultant 1.1%, residents 3.0%) were low and not related to surgeon's training level (ns). Only 6 (2.1%) clinically evident recurrences were found after 10 years: two after specialist repair and four after trainee repair (ns). Although one third of the patients reported some discomfort after 3 and 10 years, 93-95% of the patients were very satisfied with the operation, with no statistical difference between the surgeons. CONCLUSION: Ambulatory open mesh repair under local anaesthesia was a safe operation and the long-term results were acceptable among the patients operated by surgical trainees. BioMed Central 2010-08-04 /pmc/articles/PMC2921348/ /pubmed/20684783 http://dx.doi.org/10.1186/1471-2482-10-24 Text en Copyright ©2010 Paajanen and Varjo; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Paajanen, Hannu
Varjo, Riitta
Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents
title Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents
title_full Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents
title_fullStr Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents
title_full_unstemmed Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents
title_short Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents
title_sort ten-year audit of lichtenstein hernioplasty under local anaesthesia performed by surgical residents
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921348/
https://www.ncbi.nlm.nih.gov/pubmed/20684783
http://dx.doi.org/10.1186/1471-2482-10-24
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