Critical view of the myopectineal orifice: a scoring system to objectively evaluate transabdominal preperitoneal inguinal hernia repair

Autor: Antonio Marmolejo, Carlos Armando Navarro, Alain Sánchez, Sergio Ayala, Jorge Daes, Jorge Farell, Ana Paula Ruiz Funes, Nubia Andrea Ramírez, Luis Julián Alpírez García
Rok vydání: 2021
Předmět:
Zdroj: Surgical Endoscopy. 36:5094-5103
ISSN: 1432-2218
0930-2794
DOI: 10.1007/s00464-021-08874-4
Popis: BACKGROUND More than 20 million inguinal hernia repair (IHR) procedures are performed worldwide every year. The critical view of the myopectineal orifice (CV of the MPO) is a stepwise guide to the achievement and standardization of minimally invasive IHR (MI IHR). We propose a scoring system as an objective method for fulfillment of the CV of the MPO. METHODS The scoring system was employed for evaluation of the transabdominal preperitoneal (TAPP) technique in 15 video-recorded procedures. Two variants of the score were used: the simple CV of the MPO score (s-CVMPO score) and the extended CV of the MPO score (e-CVMPO score). The inter-rater agreement and internal consistency for both scores and the correlation between the two scores were assessed. RESULTS Inter-rater agreement with respect to satisfactory/unsatisfactory achievement of the CV of the MPO was high for both the s-CVMPO and e-CVMPO scores (κ = 1, p
Databáze: OpenAIRE