A comparative study on trocar configurations and the use of steerable instruments in totally extraperitoneal inguinal hernia surgery training
Although the midline configuration is preferred in terms of comfort and posture, the findings indicate that, for inexperienced practitioners, performing TEP surgery in midline configuration is both subjectively and objectively more challenging, highlighting the need for extensive training to overcome its difficulties and possibly shorten its learning curve. Although instruments with additional steering functions were preferred over conventional instruments in the more challenging midline configuration, additional steering complexity did not result in better parameter outcomes, showing the need for more extensive training.
Authors
- Maciej Pas (ORCID: https://orcid.org/0000-0002-5466-6524)
- Tim Horeman (ORCID: https://orcid.org/0000-0002-8527-4486)
- Cornelis Verhoef
- Jan-Willem Klok (ORCID: https://orcid.org/0000-0003-3868-2046)
- R. R. Postema (ORCID: https://orcid.org/0000-0003-1502-0904)
- Hilco P. Theeuwes (ORCID: https://orcid.org/0000-0003-4900-3539)
- Mojtaba Rahimi (ORCID: https://orcid.org/0000-0001-7725-9393)
Institutions
- Erasmus MC (NL)
- Netherlands Leprosy Relief (NL)
- Elisabeth-TweeSteden Ziekenhuis (NL)
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Erasmus University Rotterdam (NL)
- Delft University of Technology (NL)
Publication Details
- Journal
- Surgical Endoscopy
- Published
- 2025-02-03
- DOI
- https://doi.org/10.1007/s00464-025-11541-7
- Citations
- 2
- Primary Topic
- Hernia repair and management
- Type
- article
- Field-Weighted Citation Impact
- 4.01
Funders
- ZonMw
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek