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Training model in abdominal wall endoscopic surgery for ventral hernias. Extended totally extra-peritoneal approach (e-tep).
Azevedo, Mauricio Andrade; Santos, Heitor Marcio Gavião; Oliveira, Guilherme Blattner Torres de; Favaro, Murillo de Lima; Cavazolla, Leandro Totti.
Afiliação
  • Azevedo MA; PhD. Department of Gastrosurgery - Universidade Federal de São Paulo (UNIFESP) - Sao Paulo (SP), Brazil.
  • Santos HMG; MD. Hernia Center - Hospital São Lucas - Rio de Janeiro (RJ), Brazil.
  • Oliveira GBT; Msc. Department of Gastrosurgery - Universidade Federal de São Paulo (UNIFESP) - Sao Paulo (SP), Brazil.
  • Favaro ML; PhD. Department of Surgical Technique - Universidade Santo Amaro (UNISA) - Sao Paulo (SP), Brazil.
  • Cavazolla LT; PhD, Assistant Professor. Department of General Surgery - Universidade Federal do Rio Grande do Sul (UFRS) - Porto Alegre (RS), Brazil.
Acta Cir Bras ; 36(8): e360808, 2021.
Article em En | MEDLINE | ID: mdl-34644776
PURPOSE: To develop a reproducible training program model covering the steps of the extended totally extraperitoneal approach (e-tep) technique for correction of ventral or incisional hernia repair. METHODS: Training sessions with surgeons in the laboratory using both porcine specimens and a new ethylene vinyl acetate (EVA) model simulating the operative steps of the e-tep technique. Students were interviewed and asked to answer a questionnaire pre and post the sessions to assess their performance and evaluated the course and model. RESULTS: A total of 25 trained abdominal wall surgeons was evaluated at the end of the course. It was obtained a 100% satisfaction score of the training, as well as increased confidence levels up to 9 and 10 in all technical aspects of the surgery, having 96% of the surgeons performed a surgery under supervision of the proctors after the course. CONCLUSIONS: This training model is simple, effective, low cost, and replicable in guidance on the beginning of e-tep technique adoption, and performance. As a result, surgeons can get more confident and more able to perform surgeries employing this technique.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Laparoscopia / Parede Abdominal / Hérnia Inguinal / Hérnia Ventral Tipo de estudo: Prognostic_studies Limite: Animals / Humans Idioma: En Revista: Acta Cir Bras Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Laparoscopia / Parede Abdominal / Hérnia Inguinal / Hérnia Ventral Tipo de estudo: Prognostic_studies Limite: Animals / Humans Idioma: En Revista: Acta Cir Bras Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil