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 D. Trunkey

Research output: Contribution to journalArticlepeer-review

141 Scopus citations


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
Issue number3
StatePublished - Sep 2005

All Science Journal Classification (ASJC) codes

  • Surgery


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