{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T23:38:57Z","timestamp":1774049937738,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,9,15]],"date-time":"2016-09-15T00:00:00Z","timestamp":1473897600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,9,15]],"date-time":"2016-09-15T00:00:00Z","timestamp":1473897600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Total extraperitoneal (TEP) hernia repair has been shown to offer less pain, shorter postoperative hospital stay and earlier return to work when compared to open surgery. Our institution routinely performs TEP procedures for patients with primary or recurrent inguinal hernias. The aim of this study was to show that supervised senior residents can safely perform TEP repairs in a teaching setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All consecutive patients treated for inguinal hernias by laparoscopic approach from October 2008 to June 2012 were retrospectively analyzed from a prospective database.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 219 TEP repairs were performed on 171 patients: 123 unilateral and 48 bilateral. The mean patient age was 51.6 years with a standard deviation (SD) of \u00b1 15.9. Supervised senior residents performed 171 (78 %) and staff surgeons 48 (22 %) TEP repairs, respectively. Thirty\u2010day morbidity included cases of inguinal paresthesias (0.4 %, <jats:italic>n<\/jats:italic> = 1), umbilical hematomas (0.9 %, <jats:italic>n<\/jats:italic> = 2), superficial wound infections (0.9 %, <jats:italic>n<\/jats:italic> = 2), scrotal hematomas (2.7 %, <jats:italic>n<\/jats:italic> = 6), postoperative urinary retentions (2.7 %, <jats:italic>n<\/jats:italic> = 6), chronic pain syndromes (5 %, <jats:italic>n<\/jats:italic> = 11) and postoperative seromas (6.7 %, <jats:italic>n<\/jats:italic> = 14). Overall, complication rates were 18.7 % for staff surgeons and 19.3 % for residents (<jats:italic>p<\/jats:italic> = 0.83). For staff surgeons and residents, mean operative times for unilateral hernia repairs were 65\u00a0min (SD \u00b1 18.9) and 77.6\u00a0min (SD \u00b1 29.8) (<jats:italic>p<\/jats:italic> = 0.043), respectively, while mean operative times for bilateral repairs were 115\u00a0min (SD \u00b1 40.1) and 103.6 (SD \u00b1 25.9) (<jats:italic>p<\/jats:italic> = 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TEP repair is a safe procedure when performed by supervised senior surgical trainees. Teaching of TEP should be routinely included in general surgery residency programs.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-016-3710-z","type":"journal-article","created":{"date-parts":[[2016,9,15]],"date-time":"2016-09-15T19:15:34Z","timestamp":1473966934000},"page":"100-105","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Total Extraperitoneal Hernia Repair: Residency Teaching Program and Outcome Evaluation"],"prefix":"10.1002","volume":"41","author":[{"given":"Fabio","family":"Garofalo","sequence":"first","affiliation":[{"name":"D\u00e9partement de Chirurgie H\u00f4pital Intercantonale de la Broye Avenue de la Colline 3 1530 Payerne Switzerland"},{"name":"D\u00e9partement de Chirurgie, Division de Chirurgie Bariatrique H\u00f4pital du Sacr\u00e9\u2010Coeur de Montr\u00e9al, Universit\u00e9 de Montr\u00e9al 5400 boul. 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