Long-term outcomes of laparoscopic totally extraperitoneal XXXX performed by supervised surgical trainees.

@entity1 @entity2318 @entity2080 @entity260 @entity3970 @entity1410 @entity9746 @entity158 @entity547 @entity169
BACKGROUND: Long-term outcomes of laparoscopic totally extraperitoneal (TEP) @entity169 performed by supervised surgical trainees are absent. METHODS: Retrospective review of TEP inguinal hernioplasties performed by trainees at our institution. RESULTS: From 1995 to 2009, a total of 1,479 @entity169 on 976 @entity1 were performed by supervised surgical trainees. The mean @entity1 age was 54 years (range 5-86). @entity1 (97%), direct defects (51%), and bilateral repairs (52%) predominated. Recurrent @entity547 compromised 17%. Four (.4%) @entity1 were converted to open surgery because of @entity2318 . @entity260 consisted of urinary retention (8%), @entity2080 (3%), and @entity1410 (2%). Trainee participation included interns (46%), PGY-2s (10%), @entity3970 s (2%), @entity9746 s (3%), and PGY-5s (39%). With a mean follow-up of 6.1 years, recurrence and bothersome groin @entity158 rates were 2.6% and 1.5%, respectively. CONCLUSIONS: With adequate supervision, surgical trainees can safely perform the TEP repair with good long-term outcomes.
