The Experts below are selected from a list of 222 Experts worldwide ranked by ideXlab platform
J. Blatnik - One of the best experts on this subject based on the ideXlab platform.
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Surgical “Error traps” of open posterior component separation—transversus abdominis release
Hernia, 2020Co-Authors: B. Kushner, S. Holden, J. BlatnikAbstract:Purpose Past techniques for the repair of complex incisional hernias have been met with unacceptably high recurrence rates and postoperative complications. The transversus abdominis release (TAR) is a versatile and durable solution gaining popularity amongst both abdominal wall specialists and general surgeons. However, several preoperative factors and specific intraoperative pitfalls can have a major impact on patient outcomes. Methods The authors review the current literature and draw upon their own practice experience to highlight key preoperative and perioperative steps for avoiding common pitfalls or “Error traps” often performed by a surgeon new to this Surgical technique. Results We discuss preoperative factors that influence the outcomes of patients undergoing incisional hernia repair. We show how a TAR that preserves the neurovascular bundles supplying the rectus complex and dissection in the correct plane prevents the formation of new, challenging unintended hernia defects and provides for wide prosthetic overlap offering the patient a sustainable repair. Lastly, we highlight key postoperative factors that affect a patient’s recovery. Conclusions Avoidance of Surgical Error traps combined with technique mastery can lead to the successful repair of challenging abdominal wall defects using the TAR approach.
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Surgical “Error traps” of open posterior component separation—transversus abdominis release
Hernia : the journal of hernias and abdominal wall surgery, 2020Co-Authors: Bradley S. Kushner, S. Holden, J. BlatnikAbstract:Past techniques for the repair of complex incisional hernias have been met with unacceptably high recurrence rates and postoperative complications. The transversus abdominis release (TAR) is a versatile and durable solution gaining popularity amongst both abdominal wall specialists and general surgeons. However, several preoperative factors and specific intraoperative pitfalls can have a major impact on patient outcomes. The authors review the current literature and draw upon their own practice experience to highlight key preoperative and perioperative steps for avoiding common pitfalls or “Error traps” often performed by a surgeon new to this Surgical technique. We discuss preoperative factors that influence the outcomes of patients undergoing incisional hernia repair. We show how a TAR that preserves the neurovascular bundles supplying the rectus complex and dissection in the correct plane prevents the formation of new, challenging unintended hernia defects and provides for wide prosthetic overlap offering the patient a sustainable repair. Lastly, we highlight key postoperative factors that affect a patient’s recovery. Avoidance of Surgical Error traps combined with technique mastery can lead to the successful repair of challenging abdominal wall defects using the TAR approach.
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Surgical Error traps of open posterior component separation transversus abdominis release
Hernia, 2020Co-Authors: Bradley S. Kushner, S. Holden, J. BlatnikAbstract:Past techniques for the repair of complex incisional hernias have been met with unacceptably high recurrence rates and postoperative complications. The transversus abdominis release (TAR) is a versatile and durable solution gaining popularity amongst both abdominal wall specialists and general surgeons. However, several preoperative factors and specific intraoperative pitfalls can have a major impact on patient outcomes. The authors review the current literature and draw upon their own practice experience to highlight key preoperative and perioperative steps for avoiding common pitfalls or “Error traps” often performed by a surgeon new to this Surgical technique. We discuss preoperative factors that influence the outcomes of patients undergoing incisional hernia repair. We show how a TAR that preserves the neurovascular bundles supplying the rectus complex and dissection in the correct plane prevents the formation of new, challenging unintended hernia defects and provides for wide prosthetic overlap offering the patient a sustainable repair. Lastly, we highlight key postoperative factors that affect a patient’s recovery. Avoidance of Surgical Error traps combined with technique mastery can lead to the successful repair of challenging abdominal wall defects using the TAR approach.
S. Holden - One of the best experts on this subject based on the ideXlab platform.
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Surgical “Error traps” of open posterior component separation—transversus abdominis release
Hernia, 2020Co-Authors: B. Kushner, S. Holden, J. BlatnikAbstract:Purpose Past techniques for the repair of complex incisional hernias have been met with unacceptably high recurrence rates and postoperative complications. The transversus abdominis release (TAR) is a versatile and durable solution gaining popularity amongst both abdominal wall specialists and general surgeons. However, several preoperative factors and specific intraoperative pitfalls can have a major impact on patient outcomes. Methods The authors review the current literature and draw upon their own practice experience to highlight key preoperative and perioperative steps for avoiding common pitfalls or “Error traps” often performed by a surgeon new to this Surgical technique. Results We discuss preoperative factors that influence the outcomes of patients undergoing incisional hernia repair. We show how a TAR that preserves the neurovascular bundles supplying the rectus complex and dissection in the correct plane prevents the formation of new, challenging unintended hernia defects and provides for wide prosthetic overlap offering the patient a sustainable repair. Lastly, we highlight key postoperative factors that affect a patient’s recovery. Conclusions Avoidance of Surgical Error traps combined with technique mastery can lead to the successful repair of challenging abdominal wall defects using the TAR approach.
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Surgical “Error traps” of open posterior component separation—transversus abdominis release
Hernia : the journal of hernias and abdominal wall surgery, 2020Co-Authors: Bradley S. Kushner, S. Holden, J. BlatnikAbstract:Past techniques for the repair of complex incisional hernias have been met with unacceptably high recurrence rates and postoperative complications. The transversus abdominis release (TAR) is a versatile and durable solution gaining popularity amongst both abdominal wall specialists and general surgeons. However, several preoperative factors and specific intraoperative pitfalls can have a major impact on patient outcomes. The authors review the current literature and draw upon their own practice experience to highlight key preoperative and perioperative steps for avoiding common pitfalls or “Error traps” often performed by a surgeon new to this Surgical technique. We discuss preoperative factors that influence the outcomes of patients undergoing incisional hernia repair. We show how a TAR that preserves the neurovascular bundles supplying the rectus complex and dissection in the correct plane prevents the formation of new, challenging unintended hernia defects and provides for wide prosthetic overlap offering the patient a sustainable repair. Lastly, we highlight key postoperative factors that affect a patient’s recovery. Avoidance of Surgical Error traps combined with technique mastery can lead to the successful repair of challenging abdominal wall defects using the TAR approach.
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Surgical Error traps of open posterior component separation transversus abdominis release
Hernia, 2020Co-Authors: Bradley S. Kushner, S. Holden, J. BlatnikAbstract:Past techniques for the repair of complex incisional hernias have been met with unacceptably high recurrence rates and postoperative complications. The transversus abdominis release (TAR) is a versatile and durable solution gaining popularity amongst both abdominal wall specialists and general surgeons. However, several preoperative factors and specific intraoperative pitfalls can have a major impact on patient outcomes. The authors review the current literature and draw upon their own practice experience to highlight key preoperative and perioperative steps for avoiding common pitfalls or “Error traps” often performed by a surgeon new to this Surgical technique. We discuss preoperative factors that influence the outcomes of patients undergoing incisional hernia repair. We show how a TAR that preserves the neurovascular bundles supplying the rectus complex and dissection in the correct plane prevents the formation of new, challenging unintended hernia defects and provides for wide prosthetic overlap offering the patient a sustainable repair. Lastly, we highlight key postoperative factors that affect a patient’s recovery. Avoidance of Surgical Error traps combined with technique mastery can lead to the successful repair of challenging abdominal wall defects using the TAR approach.
Bradley S. Kushner - One of the best experts on this subject based on the ideXlab platform.
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Surgical “Error traps” of open posterior component separation—transversus abdominis release
Hernia : the journal of hernias and abdominal wall surgery, 2020Co-Authors: Bradley S. Kushner, S. Holden, J. BlatnikAbstract:Past techniques for the repair of complex incisional hernias have been met with unacceptably high recurrence rates and postoperative complications. The transversus abdominis release (TAR) is a versatile and durable solution gaining popularity amongst both abdominal wall specialists and general surgeons. However, several preoperative factors and specific intraoperative pitfalls can have a major impact on patient outcomes. The authors review the current literature and draw upon their own practice experience to highlight key preoperative and perioperative steps for avoiding common pitfalls or “Error traps” often performed by a surgeon new to this Surgical technique. We discuss preoperative factors that influence the outcomes of patients undergoing incisional hernia repair. We show how a TAR that preserves the neurovascular bundles supplying the rectus complex and dissection in the correct plane prevents the formation of new, challenging unintended hernia defects and provides for wide prosthetic overlap offering the patient a sustainable repair. Lastly, we highlight key postoperative factors that affect a patient’s recovery. Avoidance of Surgical Error traps combined with technique mastery can lead to the successful repair of challenging abdominal wall defects using the TAR approach.
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Surgical Error traps of open posterior component separation transversus abdominis release
Hernia, 2020Co-Authors: Bradley S. Kushner, S. Holden, J. BlatnikAbstract:Past techniques for the repair of complex incisional hernias have been met with unacceptably high recurrence rates and postoperative complications. The transversus abdominis release (TAR) is a versatile and durable solution gaining popularity amongst both abdominal wall specialists and general surgeons. However, several preoperative factors and specific intraoperative pitfalls can have a major impact on patient outcomes. The authors review the current literature and draw upon their own practice experience to highlight key preoperative and perioperative steps for avoiding common pitfalls or “Error traps” often performed by a surgeon new to this Surgical technique. We discuss preoperative factors that influence the outcomes of patients undergoing incisional hernia repair. We show how a TAR that preserves the neurovascular bundles supplying the rectus complex and dissection in the correct plane prevents the formation of new, challenging unintended hernia defects and provides for wide prosthetic overlap offering the patient a sustainable repair. Lastly, we highlight key postoperative factors that affect a patient’s recovery. Avoidance of Surgical Error traps combined with technique mastery can lead to the successful repair of challenging abdominal wall defects using the TAR approach.
Ara Darzi - One of the best experts on this subject based on the ideXlab platform.
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force sensing enhanced simulation environment forsense for laparoscopic surgery training and assessment
Surgery, 2015Co-Authors: Thomas P Cundy, Evelyn Thangaraj, Hedyeh Rafiitari, Christopher J Payne, Georges Azzie, Mikael H Sodergren, Guangzhong Yang, Ara DarziAbstract:Background Excessive or inappropriate tissue interaction force during laparoscopic surgery is a recognized contributor to Surgical Error, especially for robotic surgery. Measurement of force at the tool–tissue interface is, therefore, a clinically relevant skill assessment variable that may improve effectiveness of Surgical simulation. Popular box trainer simulators lack the necessary technology to measure force. The aim of this study was to develop a force sensing unit that may be integrated easily with existing box trainer simulators and to (1) validate multiple force variables as objective measurements of laparoscopic skill, and (2) determine concurrent validity of a revised scoring metric. Methods A base plate unit sensitized to a force transducer was retrofitted to a box trainer. Participants of 3 different levels of operative experience performed 5 repetitions of a peg transfer and suture task. Multiple outcome variables of force were assessed as well as a revised scoring metric that incorporated a penalty for force Error. Results Mean, maximum, and overall magnitudes of force were significantly different among the 3 levels of experience, as well as force Error. Experts were found to exert the least force and fastest task completion times, and vice versa for novices. Overall magnitude of force was the variable most correlated with experience level and task completion time. The revised scoring metric had similar predictive strength for experience level compared with the standard scoring metric. Conclusion Current box trainer simulators can be adapted for enhanced objective measurements of skill involving force sensing. These outcomes are significantly influenced by level of expertise and are relevant to operative safety in laparoscopic surgery. Conventional proficiency standards that focus predominantly on task completion time may be integrated with force-based outcomes to be more accurately reflective of skill quality.
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The Surgical Error examination is a novel method for objective technical knowledge assessment
American journal of surgery, 2003Co-Authors: S. Bann, Vivek Datta, Mansoor Khan, Ara DarziAbstract:Abstract Background Objective analysis of Surgical skill is necessary. A novel method of assessment using simple Error analysis in synthetic models is examined for construct validity. Methods Two examination protocols were devised using synthetic models. These contained either a purpose made Error or were representative of good Surgical practice. Protocol one contained models of skin closure and minor operations. Protocol two in addition more complex procedures. Face validity was established by the approval of senior surgeons. Junior surgeons were recruited to undertake the assessment. A p value of less than 0.05 was deemed to be significant. Results Eighty-nine surgeons were recruited. Both protocol one and two were able to discriminate between groups at statistically significant levels. Conclusions Construct validity has been established by showing that Error analysis is able to distinguish surgeons with varying levels of experience.
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association for Surgical education core competencies the Surgical Error examination is a novel method for objective technical knowledge assessment
2003Co-Authors: S. Bann, Vivek Datta, Mansoor S Khan, Ara DarziAbstract:Background: Objective analysis of Surgical skill is necessary. A novel method of assessment using simple Error analysis in synthetic models is examined for construct validity. Methods: Two examination protocols were devised using synthetic models. These contained either a purpose made Error or were representative of good Surgical practice. Protocol one contained models of skin closure and minor operations. Protocol two in addition more complex procedures. Face validity was established by the approval of senior surgeons. Junior surgeons were recruited to undertake the assessment. A p value of less than 0.05 was deemed to be significant. Results: Eighty-nine surgeons were recruited. Both protocol one and two were able to discriminate between groups at statistically significant levels. Conclusions: Construct validity has been established by showing that Error analysis is able to distinguish surgeons with varying levels of experience. © 2003 Excerpta Medica, Inc. All rights reserved.
B. Kushner - One of the best experts on this subject based on the ideXlab platform.
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Surgical “Error traps” of open posterior component separation—transversus abdominis release
Hernia, 2020Co-Authors: B. Kushner, S. Holden, J. BlatnikAbstract:Purpose Past techniques for the repair of complex incisional hernias have been met with unacceptably high recurrence rates and postoperative complications. The transversus abdominis release (TAR) is a versatile and durable solution gaining popularity amongst both abdominal wall specialists and general surgeons. However, several preoperative factors and specific intraoperative pitfalls can have a major impact on patient outcomes. Methods The authors review the current literature and draw upon their own practice experience to highlight key preoperative and perioperative steps for avoiding common pitfalls or “Error traps” often performed by a surgeon new to this Surgical technique. Results We discuss preoperative factors that influence the outcomes of patients undergoing incisional hernia repair. We show how a TAR that preserves the neurovascular bundles supplying the rectus complex and dissection in the correct plane prevents the formation of new, challenging unintended hernia defects and provides for wide prosthetic overlap offering the patient a sustainable repair. Lastly, we highlight key postoperative factors that affect a patient’s recovery. Conclusions Avoidance of Surgical Error traps combined with technique mastery can lead to the successful repair of challenging abdominal wall defects using the TAR approach.