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

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-...

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Bibliographic Details
Published in:	Hernia : the journal of hernias and abdominal wall surgery Vol. 24; no. 3; pp. 645 - 650
Main Authors:	Blázquez Hernando, L. A., López Monclús, J., Robín del Valle Lersundi, A., Melero Montes, D., San Miguel Méndez, C., García Ureña, M. A.
Format:	Journal Article
Language:	English
Published:	Paris Springer Paris 01-06-2020 Springer Nature B.V
Subjects:	Abdomen Abdominal Muscles - surgery Abdominal Surgery Abdominal wall Abdominal Wall - anatomy & histology Abdominal Wall - surgery Abdominoplasty - education Abdominoplasty - methods Cadaver Dissection - education Dissection - methods Education Europe Health Care Surveys Humans Internet Medicine Medicine & Public Health Original Article Program Evaluation Reconstructive Surgical Procedures - education Reconstructive Surgical Procedures - methods Surgeons Surgery Europe Transversus abdominis release Medical education Clinical inmersion workshop Surgical training Cadaver lab
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Summary:	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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1265-4906 1248-9204
DOI:	10.1007/s10029-019-02041-4