title: Laparoscopic total extra-peritoneal inguinal hernia repairs by a surgeon experienced at laparoscopic cholecystectomy.
abstract: OBJECTIVE
  To measure standards achieved at total extra peritoneal hernia repair by a surgeon experienced in laparoscopic cholecystectomy, and to compare the results with standards identified by the National Institute for Clinical Excellence.
  
  
  METHODS
  The outcomes of the first 100 consecutive total extra-peritoneal hernia repair cases by the surgeon were retrieved retrospectively. The surgeries were conducted between January 2006 and July 2007. Data was collected 14 to 17 months post-surgery.
  
  
  RESULTS
  All patients were men with a median age of 58 years, ranging from 20 to 91 years. The maximum operating time was 75 minutes, while the minimum was 30 minutes. The conversion rate was 3% (n = 3) and the recurrence rate 4% (n = 4). Complications experienced included a chronic groin pain and one umbilical port-site haematoma.
  
  
  CONCLUSIONS
  Though related to a single-surgeon experience, the study highlighted reduced preceptorship due to previous laparoscopic skills that were transferable. Patients should have a choice to opt for either open or laparoscopic inguinal hernia repair.
authors.affiliation: Kent and Canterbury Hospital, East Kent University Hospital, NHS Foundation Trust. hathifshirazi@hotmail.com
authors.forename: Mirza Hatif
authors.initials: MH
authors.lastname: Shirazi
authors.forename: Petra
authors.initials: P
authors.lastname: Marsh
authors.forename: Margerate Geraldine
authors.initials: MG
authors.lastname: Keane
authors.forename: Amjad
authors.initials: A
authors.lastname: Khushal
authors.forename: Robert
authors.initials: R
authors.lastname: Insall
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic; D002983:Clinical Competence; D004739:England / Q000453:epidemiology; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012008:Recurrence; D012189:Retrospective Studies; D016896:Treatment Outcome