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Am J Surg. 2016 Sep;212(3):468-74. doi: 10.1016/j.amjsurg.2015.09.014. Epub 2015 Dec 13.

Development and validation of a checklist for assessing recorded performance of laparoscopic inguinal hernia repair.

Author information

1
Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Kita 14 Nishi 5, Kita Ku, Sapporo, Japan.
2
Department of Gastroenterological Surgery II, Hokkaido University Graduate School of Medicine, Kita 14 Nishi 5, Kita Ku, Sapporo, Japan. Electronic address: yo.kurashima@huhp.hokudai.ac.jp.
3
Department of Surgery, KKR Tonan Hospital, Sapporo, Japan.
4
Department of Surgery, Asahikawa City Hospital, Asahikawa, Japan.
5
Department of Surgery, Hakodate City Medical Association Hospital, Hakodate, Japan.
6
Department of Surgery, Teine Keijinkai Hospital, Sapporo, Japan.
7
Miyazaki Surgery & Hernia Clinic, Sapporo, Japan.

Abstract

BACKGROUND:

Despite a need for video assessment for the performance transabdominal preperitoneal procedure (TAPP), the present assessment tools have not been validated for the use of evaluation of the recorded performance. We aimed to develop a checklist for the evaluation of the recorded performance of TAPP.

METHODS:

The TAPP checklist was developed by hernia experts from multiple institutes. Thirty unedited TAPP videos were rated by 3-blinded hernia experts. Inter-rater reliability and construct and concurrent validities were evaluated.

RESULTS:

The inter-rater reliability for 3 raters was .75 (95% confidence interval .60 to .86). The median total score of each group demonstrated a significant difference among experienced (>50 TAPP), intermediate (≥10 TAPP, <50), and novice (<10 TAPP) surgeons (P < .001). The checklist score showed a high correlation with TAPP experience and previously validated global scale for laparoscopic inguinal hernia repair.

CONCLUSIONS:

The TAPP checklist is a valid metrics for the assessment of the recorded TAPP performance.

KEYWORDS:

Assessment tool; Checklist; Evaluation; Laparoscopic inguinal hernia repair; Surgical education; Transabdominal preperitoneal repair

PMID:
26750607
DOI:
10.1016/j.amjsurg.2015.09.014
[Indexed for MEDLINE]

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