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Title: Totally extraperitoneal hernia repair : learning curve

Abstract:

Introduction: The TEP hernia repair is being used for many years, but its learning curve is still unknown.Aim: The aim of the study was to evaluate TEP learning curve and to assess cut-off point, where learning curve stabilizes.Material and methods: Retrospective analysis of prospectively collected data of patients who were submitted to TEP in the Zeromski Hospital. We included patients that underwent TEP in years 2008-2018. Patients meeting the study inclusion et exclusion criteria were used for statistical analysis. The primary endpoint was determining the stabilization point of the TEP learning curve using operative time and perioperative outcomes.Results: In the study group 73 of 104 patients met the inclusive criteria. The control group was 31 of 101 patients. Multiple comparisons of median ranges revealed, that after 16th TEP the operative time did not differ consecutive groups of procedures. Learning curve stabilization point in terms of operative time is 16th procedure. Intraoperative complications occurred only in groups BII and K, that is why we cannot use it to determine learning curve stabilization point. LOS differed significantly groups (p<0.001). In terms of cut-off point, after group BIII has been operated on, the LOS did not differ groups. Conclusions: Cut-off point of TEP using operative time is 16th procedure. In our unit, the LOS stabilized after group G3 has been operated on.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

chirurgia

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Nauk o Zdrowiu.

Promoter:

Mirosław Szura ; Tomasz Gach

Date issued:

2019

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:4308

Call number:

ZB-131181

Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Object collections:

Last modified:

Feb 5, 2021

In our library since:

Apr 7, 2020

Number of object content hits:

1

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4309

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ZB-131181 Feb 5, 2021
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