Proficiency of surgeons in inguinal hernia repair: Effect of experience and age

Leigh A. Neumayer, Atul A. Gawande, Jia Wang, Anita Giobbie-Hurder, Kamal M F Itani, Robert J. Fitzgibbons, Domenic Reda, Olga Jonasson, Lawrence W. Way, Lazar J. Greenfield, Anthony A. Meyer, Murray F. Brennan, David I. Soybel, Quan Yang Duh, Eric W. Fonkalsrud, Donald Trunkey

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110 Scopus citations

Abstract

Objectives: We examined the influence of surgeon age and other factors on proficiency in laparoscopic or open hernia repair. Summary Background Data: In a multicenter, randomized trial comparing open and laparoscopic herniorrhaphies, conducted in Veterans Administration hospitals (CSP 456), we reported significant differences in recurrence rates (RR) for the laparoscopic procedure as a result of surgeons' experience. We have also reported significant differences in RR for the open procedure related to resident postgraduate year (PGY) level. Methods: We analyzed data from unilateral laparoscopic and open herniorrhaphies from CSP 456 (n = 1629). Surgeon's experience (experienced ≥250 procedures; inexperienced

Original languageEnglish (US)
Pages (from-to)344-352
Number of pages9
JournalAnnals of Surgery
Volume242
Issue number3
DOIs
Publication statusPublished - Sep 2005
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery

Cite this

Neumayer, L. A., Gawande, A. A., Wang, J., Giobbie-Hurder, A., Itani, K. M. F., Fitzgibbons, R. J., ... Trunkey, D. (2005). Proficiency of surgeons in inguinal hernia repair: Effect of experience and age. Annals of Surgery, 242(3), 344-352. https://doi.org/10.1097/01.sla.0000179644.02187.ea