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 Joseph 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 D. Trunkey

doi:10.1097/01.sla.0000179644.02187.ea

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

Department of Surgery

Research output: Contribution to journal › Article

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 language	English
Pages (from-to)	344-352
Number of pages	9
Journal	Annals of Surgery
Volume	242
Issue number	3
DOIs	https://doi.org/10.1097/01.sla.0000179644.02187.ea
Publication status	Published - Sep 2005

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All Science Journal Classification (ASJC) codes

Surgery

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Neumayer, L. A., Gawande, A. A., Wang, J., Giobbie-Hurder, A., Itani, K. M. F., Fitzgibbons, R. J., ... Trunkey, D. 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

Proficiency of surgeons in inguinal hernia repair : Effect of experience and age. / Neumayer, Leigh A.; Gawande, Atul A.; Wang, Jia; Giobbie-Hurder, Anita; Itani, Kamal M F; Fitzgibbons, Robert Joseph; Reda, Domenic; Jonasson, Olga; Way, Lawrence W.; Greenfield, Lazar J.; Meyer, Anthony A.; Brennan, Murray F.; Soybel, David I.; Duh, Quan Yang; Fonkalsrud, Eric W.; Trunkey, Donald D.

In: Annals of Surgery, Vol. 242, No. 3, 09.2005, p. 344-352.

Research output: Contribution to journal › Article

Neumayer, LA, Gawande, AA, Wang, J, Giobbie-Hurder, A, Itani, KMF, Fitzgibbons, RJ, Reda, D, Jonasson, O, Way, LW, Greenfield, LJ, Meyer, AA, Brennan, MF, Soybel, DI, Duh, QY, Fonkalsrud, EW & Trunkey, DD 2005, 'Proficiency of surgeons in inguinal hernia repair: Effect of experience and age', Annals of Surgery, vol. 242, no. 3, pp. 344-352. https://doi.org/10.1097/01.sla.0000179644.02187.ea

Neumayer, Leigh A. ; Gawande, Atul A. ; Wang, Jia ; Giobbie-Hurder, Anita ; Itani, Kamal M F ; Fitzgibbons, Robert Joseph ; Reda, Domenic ; Jonasson, Olga ; Way, Lawrence W. ; Greenfield, Lazar J. ; Meyer, Anthony A. ; Brennan, Murray F. ; Soybel, David I. ; Duh, Quan Yang ; Fonkalsrud, Eric W. ; Trunkey, Donald D. / Proficiency of surgeons in inguinal hernia repair : Effect of experience and age. In: Annals of Surgery. 2005 ; Vol. 242, No. 3. pp. 344-352.