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

Abstract

Purpose

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

Methods

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.

Results

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.

Conclusions

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.

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Correspondence to L. A. Blázquez Hernando.

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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.

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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.

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

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Blázquez Hernando, L.A., López Monclús, J., Robín del Valle Lersundi, A. et al. Evaluation of a workshop to teach a new surgical technique in abdominal wall reconstruction. Hernia 24, 645–650 (2020). https://doi.org/10.1007/s10029-019-02041-4

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Keywords

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