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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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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2010
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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. |
format | Text |
id | pubmed-2921348 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
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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