pp 1–6 | Cite as

Evaluation of a workshop to teach a new surgical technique in abdominal wall reconstruction

  • L. A. Blázquez HernandoEmail author
  • J. López Monclús
  • A. Robín del Valle Lersundi
  • D. Melero Montes
  • C. San Miguel Méndez
  • M. A. García Ureña
Original Article



Assess the utility of a hands-on workshop on abdominal wall reconstruction for teaching the posterior components separation (PCS) with transversus abdominis release.


Our department has been organizing a training course on abdominal wall reconstruction for the last 6 years. It is a 2-day-long course and 10–12 surgeons with experience in abdominal wall surgery attend to every course. The first day is dedicated to theoretical lectures and two simultaneous live surgeries, and the second day there is a cadaver dissection. Feedback from the trainees was collected at the end of the workshop. A survey was sent to all the surgeons who had completed the course at least a year ago, to inquire how the course had improved their surgical practice.


From 2013 to April 2017, we have made 15 editions of the course. A total of 192 surgeons from Europe, South Africa and Middle East attended. All the surgeons answered the survey that was carried out at the end of the course. It showed a very high level of satisfaction in more than 98% of the cases. The second survey was answered by 79 surgeons (41.15%). 96% of the surgeons had modified, after attending the course, their way of dealing with complex abdominal wall problems. Only 29% of the surgeons had made a TAR before attending the course, while 86% are performing it after attending the course and 60% do it on a regular basis. In fact, 43% of surgeons have performed more than five posterior component separations in the last year.


A workshop of abdominal wall surgery that combines live surgery, theoretical content and a cadaver lab can be a very useful tool to expand the use of new surgical techniques.


Surgical training Cadaver lab Clinical inmersion workshop Transversus abdominis release Medical education 


Compliance with ethical standards

Conflict of interest

Dr. Blázquez Hernando received research Grants from W. L. Gore and Associates S. L. Dr. López Monclús received research Grants from W. L. Gore and Associates S. L. Dr. García Ureña received research Grants from W. L. Gore and Associates S. L. Drs. Robin de Valle Lersundi, Melero Montes and San Miguel Méndez declare that they have no conflict of interest.

Ethical approval

Approval from the institutional review board was not required for this study.

Human and animals rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from all the patients who were operated during the workshop.


  1. 1.
    Novitsky YW, Porter JR, Rucho ZC et al (2006) Open preperitoneal retrofascial mesh repair for multiply recurrent ventral incisional hernias. J Am Coll Surg 203(3):283–289. CrossRefGoogle Scholar
  2. 2.
    Carbonell AM, Cobb WS, Chen SM (2008) Posterior components separation during retromuscular hernia repair. Hernia 12(4):359–362. CrossRefGoogle Scholar
  3. 3.
    Novitsky YW, Elliott HL, Orenstein SB, Rosen MJ (2012) Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg 204(5):709–716. CrossRefGoogle Scholar
  4. 4.
    Scheuerlein H, Thiessen A, Schug-Pass C, Köckerling F (2018) What do we know about component separation techniques for abdominal wall hernia repair? Front Surg. Google Scholar
  5. 5.
    Halka JT, Vasyluk A, DeMare AM, Janczyk RJ, Iacco AA (2018) Robotic and hybrid robotic transversus abdominis release may be performed with low length of stay and wound morbidity. Am J Surg 215(3):462–465. CrossRefGoogle Scholar
  6. 6.
    Robin-Lersundi A, Blazquez Hernando L, López-Monclús J et al (2018) How we do it: down to up posterior components separation. Langenbeck’s Arch Surg. Google Scholar
  7. 7.
    Poulose BK (2016) Transversus abdominis muscle release. Ann Surg 264(2):233–234. CrossRefGoogle Scholar
  8. 8.
    Blatnik JA, Krpata DM, Novitsky YW (2016) Transversus abdominis release as an alternative component separation technique for ventral hernia repair. JAMA Surg 151(4):383–384. CrossRefGoogle Scholar
  9. 9.
    Sharma M, Horgan A (2012) Comparison of fresh-frozen cadaver and high-fidelity virtual reality simulator as methods of laparoscopic training. World J Surg 36(8):1732–1737. CrossRefGoogle Scholar
  10. 10.
    Jain M, Tantia O, Khanna S, Sen B, Sasmal PK (2009) Hernia endotrainer: results of training on self-designed hernia trainer box. J Laparoendosc Adv Surg Tech A 19(4):535–540. CrossRefGoogle Scholar
  11. 11.
    Pugh CM, Arafat FO, Kwan C et al (2015) Development and evaluation of a simulation-based continuing medical education course: beyond lectures and credit hours. Am J Surg 210(4):603–609. CrossRefGoogle Scholar

Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Servicio de Cirugía General y del Aparato DigestivoHospital Universitario Ramón y CajalMadridSpain
  2. 2.Hospital Universitario Puerta de Hierro-MajadahondaMajadahondaSpain
  3. 3.Hospital Universitario del HenaresCosladaSpain
  4. 4.Universidad Francisco de VitoriaPozuelo de AlarcónSpain

Personalised recommendations