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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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[Evidence-based TEP technique].

F Köckerling1

  • 1Klinik für Chirurgie - Viszeral- und Gefäßchirurgie, Zentrum für Minimal Invasive Chirurgie, Zertifiziertes Zentrum für Hernienchirurgie, Zertifiziertes Zentrum für Adipositaschirurgie, Vivantes Klinikum Spandau, Neue Bergstraße 6, 13585, Berlin, Deutschland. ferdinand.koeckerling@vivantes.de.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|January 17, 2017
PubMed
Summary
This summary is machine-generated.

Adhering to international guidelines for total extraperitoneal patch plasty (TEP) surgery is crucial for mastering its learning curve. Strict guideline compliance in TEP repair leads to fewer complications and better patient outcomes.

Keywords:
ComplicationsEndoscopyGuidelinesInguinal herniaLearning curve

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Area of Science:

  • Surgery
  • Minimally Invasive Procedures

Background:

  • International hernia societies recommend laparoendoscopic techniques (TEP, TAPP) and open Lichtenstein for inguinal hernia repair.
  • Laparoendoscopic techniques, especially TEP, have a steeper learning curve than the open Lichtenstein method due to procedural complexity.

Purpose of the Study:

  • To emphasize the importance of standardized surgical conduct for laparoendoscopic techniques.
  • To highlight the benefits of adhering to evidence-based guidelines for TEP procedures.

Main Methods:

  • Review of international hernia society guidelines for elective inguinal hernia repair.
  • Analysis of the impact of guideline compliance on TEP learning curve and outcomes.

Main Results:

  • Strict adherence to TEP guidelines is associated with low rates of perioperative complications, reoperations, recurrences, and chronic pain.
  • Guideline compliance positively influences the mastery of the TEP learning curve.

Conclusions:

  • Implementing technical guidelines for TEP in routine surgical practice is imperative.
  • Standardized TEP procedures, based on expert experience and study results, are essential for optimal surgical outcomes.