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Related Experiment Videos

Optimal teaching environment for laparoscopic ventral herniorrhaphy.

B T Heniford1, B D Matthews, E A Box

  • 1Department of General Surgery, Carolinas Medical Center, Charlotte, NC 28203, USA. todd.heniford@carolinashealthcare.org

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|July 2, 2002
PubMed
Summary
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A 1-day laparoscopic ventral hernia repair (LVHR) course improved surgeon confidence. Surgeons receiving in-person proctoring after the course were significantly more likely to perform LVHR.

Area of Science:

  • Surgical Education
  • Minimally Invasive Surgery
  • Hernia Repair

Background:

  • Laparoscopic surgery adoption requires continuous training beyond residency.
  • Laparoscopic ventral hernia repair (LVHR) necessitates specialized workshops.
  • The effectiveness of animate surgical courses and proctoring needs evaluation.

Purpose of the Study:

  • To assess the impact of a 1-day animate course on LVHR performance.
  • To determine the role of proctoring in enhancing LVHR adoption.
  • To identify factors influencing surgeons' likelihood to perform LVHR post-training.

Main Methods:

  • A 1-day LVHR workshop was conducted for 59 surgeons.
  • Post-course surveys assessed prior laparoscopic experience and LVHR practice.

Related Experiment Videos

  • Surgeons were categorized based on proctoring (n=15) versus no proctoring (n=33).

    • Main Results:

    • 67% of respondents performed LVHR post-course (mean 5.6 cases).
    • Proctored surgeons (87%) were significantly more likely to perform LVHR than non-proctored (58%).
    • Prior advanced laparoscopic experience correlated positively with LVHR performance (P=0.0001).

    Conclusions:

    • An animate laboratory course can facilitate advanced laparoscopic surgery adoption.
    • In-hospital proctoring significantly increases the likelihood of performing LVHR.
    • Combining workshops with proctoring enhances surgical skill transfer and practice.