Can Intraoperative Video Recordings Contribute to Improving Laparoscopic Percutaneous Extraperitoneal Closure in Children with Inguinal Hernia and Prevent Recurrence? A Pilot Study

Go Miyano*, Shunsuke Yamada, Katherine Barsness, Katsuhiro Tabata, Toshiaki Takahashi, Nana Nakazawa-Tanaka, Junichi Kusafuka, Koji Fukumoto, Eiji Miyazaki, Geoffrey J. Lane, Tadaharu Okazaki, Masahiko Urao, Naoto Urushihara, Atsuyuki Yamataka

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Aim: We reviewed intraoperative video recordings (IVRs) of laparoscopic percutaneous extraperitoneal closure (LPEC) for inguinal hernia in children blindly to assess performance. Methods: IVRs of 183 LPEC performed between April 2013 and March 2016, graded by the operating surgeon as difficult (D; n = 8), straightforward (S; n = 96), or easy (E; n = 79), were scored by a panel of reviewers with advanced (group A; >400 LPEC cases; n = 5), intermediate (group I; 50-150 cases; n = 5), and basic (group B; <10 cases; n = 5) experience, according to suturing, dissection plane, vas/vessel dissection, bleeding, and peritoneal injury. They also allocated a recurrence risk rank (RRR; highest = 6; lowest = 1) for each IVR. Mean score variance for each IVR was also compared between reviewers. Results: There was one recurrence (R; 4-year-old male; level E). RRR were: 1, 2, and 2 for reviewers A, I, and B, respectively. Reviewer A scores for "suturing"and "bleeding,"and reviewer I scores for "dissection plane"and "peritoneal injury"correlated significantly with RRR. No reviewer B scores correlated with RRR. Score variance between A and I and A and B for cases D1 and D2 were statistically significant. Conclusion: Advanced reviewers showed greatest variance, questioning the validity of whether experience alone improves surgical technique.

Original languageEnglish (US)
Pages (from-to)1122-1126
Number of pages5
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques
Volume30
Issue number10
DOIs
StatePublished - Oct 2020

Keywords

  • inguinal hernia
  • intraoperative video recording
  • laparoscopic percutaneous extraperitoneal closure

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Can Intraoperative Video Recordings Contribute to Improving Laparoscopic Percutaneous Extraperitoneal Closure in Children with Inguinal Hernia and Prevent Recurrence? A Pilot Study'. Together they form a unique fingerprint.

Cite this