Abstract
PurposeThe Internet is widely used by patients and physicians for obtaining medical information. WebSurg is a valuable information resource that can improve the learning experience of medical professionals if used appropriately. This study aimed to evaluate the quality and accuracy of videos on the total extraperitoneal procedure (TEP) for inguinal hernia repair.MethodsWe included 32 videos returned by the WebSurg search engine in response to the keyword “TEP.” Video popularity was evaluated using the video power index (VPI). The videos’ educational quality was measured using the DISCERN score, Journal of American Medical Association (JAMA) benchmark criteria, and Global Quality Score (GQS). Technical quality was measured using the TEP Scoring System (TepSS) by three surgeons who performed TEP routinely.ResultsAll videos were obtained from medical doctors; 12.5% of the videos were uploaded from Belgium; 3.1%, China; 6.3%, Colombia; 6.3%, England; 59.4%, France; 9.4%, Germany; and 3.1%, Korea. No significant differences were noted in terms of the VPI, DISCERN scores, JAMA benchmark criteria, GQSs, and TepSS scores (p > 0.05). The mean VPI, DISCERN score, JAMA benchmark criteria, GQS, and TepSS score were 9454.53 ± 15085.57, 32.75 ± 6.99, 2.31 ± 0.47, 1±0, and 9.25 ± 2.36, respectively. No significant associations were noted between the VPI and DISCERN score, JAMA benchmark criteria, and GQS (p > 0.05). Similarly, there was no significant association between the VPI and TepSS scores (r = 0.100; p = 0.587).ConclusionsThe online information on TEP is of suboptimal quality. Although limited information is available on preoperative and postoperative processes, the educational potential of WebSurg cannot be ignored.
Highlights
Toward the end of the 19th century, McVay and Bassini described the detailed pathological anatomy of the inguinal canal and developed surgical techniques for appropriate inguinal hernia repair
All videos were obtained from medical doctors; 12.5% of the videos were uploaded from Belgium; 3.1%, China; 6.3%, Colombia; 6.3%, England; 59.4%, France; 9.4%, Germany; and 3.1%, Korea
No significant differences were noted in terms of the video power index (VPI), DISCERN scores, Journal of American Medical Association (JAMA) benchmark criteria, Global Quality Score (GQS), and TEP Scoring System (TepSS) scores (p > 0.05)
Summary
Toward the end of the 19th century, McVay and Bassini described the detailed pathological anatomy of the inguinal canal and developed surgical techniques for appropriate inguinal hernia repair. Several repair methods have been applied to treat inguinal hernia, concerns regarding the complications associated with inguinal hernia recurrence cannot be ignored, thereby requiring leading surgeons to explore different methods. The most interesting of these methods, which have recently become popular, are minimally invasive ones [1,2]. Invasive surgical methods are becoming increasingly popular owing to the associated low postoperative pain and the possibility for rapid return to daily activities. Laparoscopic inguinal and femoral hernia repair can be safely performed. Laparoscopic approaches were first used in 1992 to treat inguinal hernias [3]. Transabdominal preperitoneal and total extraperitoneal methods have been established as the current laparoscopic approaches for hernia repair
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