Application of structured teaching in residents
training in laparoscopic inguinal hernia repair

doi:10.3969/j.issn.2096-045X.2026.02.007

Abstract

Abstract: Objective　To evaluate the efficacy of a structured teaching approach in residents training in laparoscopic inguinal hernia repair (LIHR), compared to traditional teaching methods.Methods　This randomized controlled trial enrolled 50 standardized training residents without experience as primary surgeons in LIHR at Xuanwu Hospital, Capital Medical University, from January 2022 to January 2025. Participants were randomly assigned to a traditional teaching group (n=25) or a structured teaching group (n=25). The traditional group received instruction via textbooks, anatomical atlases, video lectures, and laparoscopic simulator exercises. The structured teaching group underwent a multimodal curriculum including 3D anatomical reconstruction software, anatomical drawing and labeling, memorization of a six-step mnemonic for the surgical procedure, and targeted simulation training. Operative time, number of errors in key intraoperative steps, theoretical knowledge scores, procedural compliance scores, and teaching satisfaction were compared between the two groups.Results　The experimental group had significantly shorter operative time [(39.8 ± 5.6 min vs (51.3 ± 7.2) min, P<0.001] and fewer intraoperative errors [(1.3 ± 0.8) vs (2.6 ± 1.1), P=0.008] than the control group. The experimental group also achieved significantly higher theoretical examination scores [(86.5 ± 4.8) vs (77.2 ± 6.1), P<0.001], standardized surgical procedure scores [(8.4 ± 1.0 ) vs (6.3 ± 1.2), P<0.001)], and teaching satisfaction [ (8.9 ± 0.9 ) vs (7.4 ± 1.3), P=0.003) ] than the control group.Conclusion　The structured teaching model, which integrates 3D visualization, mnemonic-based procedural steps, and simulation training, significantly enhances residents' operative skills, theoretical understanding, and overall satisfaction. It represents a highly effective and promising method for training in laparoscopic inguinal hernia repair.

Key words:

, structured teaching｜ laparoscopic inguinal hernia repair (LIHR)｜ surgical training｜ 3D anatomy｜simulation training

CLC Number:

R4
G642

Gao Chongchong, Wu Zijian, Jiang Rui, Wang Zheng, Bai Jian, Li Fei.

Application of structured teaching in residents training in laparoscopic inguinal hernia repair [J]. Medical Education Management, 2026, 12(2): 181-186.

0
/ / Recommend

Add to citation manager EndNote|Reference Manager|ProCite|BibTeX|RefWorks

URL: https://journal06.magtechjournal.com/Jwk3_yyyzlt/EN/10.3969/j.issn.2096-045X.2026.02.007

https://journal06.magtechjournal.com/Jwk3_yyyzlt/EN/Y2026/V12/I2/181

References

［1］ Noussios G，Galanis N，Chatzis I，et al. The anatomical characteristics of corona mortis：a systematic review of the literature and its clinical importance in hernia repair［J］. J Clin Med Res，2020，12（2）：108-114.

［2］ Sadava E E，Novitsky Y W. Simulation in hernia surgery：where do we stand？［J］. J Laparoendosc Adv Surg Tech A，2021，31（5）：551-555.

［3］靳翠红，申英末，储诚兵. 腹腔镜手术模拟器在腹腔镜下经腹腹膜前疝修补术教学培训中的应用［J/OL］. 中华疝和腹壁外科杂志（电子版），2025，19（5）：595-598.

［4］黄晶晶，金也，刘嘉铭，等. 虚拟现实腹腔镜模拟器训练在腹腔镜经腹腹膜前疝修补术中应用价值的前瞻性研究［J］. 中华消化外科杂志，2024，23（9）：1209-1213.

［5］ Wada Y ， Nishi M ， Yoshikawa K ，et al.Usefulness of virtual three-dimensional image analysis in inguinal hernia as an educational tool［J］. Surg Endosc， 2020，34：1923–1928.

［6］ Messias B A，Nicastro R G，Mocchetti E R，et al. Lichtenstein technique for inguinal hernia repair：ten recommendations to optimize surgical outcomes［J］. Hernia，2024，28（4）：1467-1476.

［7］ Pelly T，Vance-Daniel J，Linder C. Characteristics of laparoscopic and open hernia repair simulation models：a systematic review［J］. Hernia，2022，26（1）：39-46.

［8］ Kong C Y，Iddles E，Glen P. A paper-based simulation model for teaching inguinal hernia anatomy［J］. World J Surg，2023，47（8）：1.

［9］ Nazari T，Bogomolova K，Ridderbos M，et al. Global versus task-specific postoperative feedback in surgical procedure learning［J］. Surgery，2021，170（1）：81-87.

［10］ Duboureau H，Renaud-Petel M，Klein C，et al. Development and evaluation of a low-cost part-task trainer for laparoscopic repair of inguinal hernia in boys and the acquisition of basic laparoscopy skills［J］. J Pediatr Surg，2021，56（4）：674-677.

［11］ Sehat A J，Oliver J B，Yu Y，et al. Increasing volume but declining resident autonomy in laparoscopic inguinal hernia repair：an inverse relationship［J］. Surg Endosc，2023，37（4）：3119-3126.

［12］ Mnouskin Y，Assaf D，Barkon-Steinberg G，et al. Proctored preceptorship model for learning eTEP repair for inguinal hernia for general surgery residents［J］. Hernia，2022，26（4）：1053-1062.

［13］ Lorenz R，Hubert L，Paasch C，et al. Structured hernia surgery training program for general practitioners in Rwanda-feasibility and evaluation［J］. Hernia，2025，29（1）：73.

［14］ Vierstraete M，Muysoms F. Standardized porcine integrated robotic inguinal hernia training：the SPIRIT model［J］. Surg Endosc，2024，38（8）：4229-4235.

［15］ Kiriyama K，Kurashima Y，Poudel S，et al. Enhancing surgical skills through telesimulation：a multicenter randomized controlled trial on laparoscopic inguinal hernia repair［J］. Surgery，2025，180：109136.

［16］ Heo K，Greaney E，Haehl J，et al. Iterative design and manufacturing of a 3D-printed pediatric open and laparoscopic integrated simulator for hernia repair （POLISHeR）［J］. J Pediatr Surg，2025，60（5）：162232.

［17］ Olsen J H H，Laursen J，Rosenberg J. Limited use of local anesthesia for open inguinal hernia repair：a qualitative study［J］. Hernia，2022，26（4）：1077-1082.

［18］ L’Huillier J C，Jones C B，Fu Y，et al. On the journey to measure cognitive expertise：what can functional imaging tell us？［J］. Surgery，2025，181：109145.

［19］ Brucchi F，Vierstraete M，Vanderstraeten E，et al. Proposal for the Hernia ASCEND Hugo™ RAS training pathway：acquisition of skills by comprehensive exercise-based nimbleness and dexterity training［J］. J Rob Surg，2025，19（1）：516.

[1]	Yang Bijun, Jiang Jinyue, Zou Zhen, Li Yishi. Construction and practice of an intelligent teaching system for respiratory diseases courses based on knowledge graphs and artificial intelligence [J]. Medical Education Management, 2026, 12(2): 172-180.
[2]	Wang Ying, Ma Zhuang, Wang Huan, Jiang Shan. Path of curriculum integration for the sports rehabilitation major under the background of Sino-foreign cooperative education—taking Jinzhou Medical University as an example #br# [J]. Medical Education Management, 2026, 12(2): 157-164.
[3]	Wang Nan, Chen Liying, Wang Pengfei, Zhang Ying, Lv Yun, Wang Huanying. Construction and application of a comprehensive evaluation index system for internal medicine residency training faculty teaching based on the Delphi method [J]. Medical Education Management, 2026, 12(2): 258-265.
[4]	Tian Tian, Zhao Hui, Wu Jianyong, Wang Qian, Su Deqi, Ma Yan, Dai Jianghong. Practice and effect evaluation of assessment reform in epidemiology course based on the "Three-Self" assessment model [J]. Medical Education Management, 2026, 12(2): 165-171.
[5]	Yang Shuang, Fu Zhaoyan, Liu Ling, Si Rite, Zhang Haoran, Yang Rui. Impact of Ideological and Political Education in Clinical Psychiatry Courses on the Post Competency of Psychiatry Undergraduates [J]. Medical Education Management, 2026, 12(2): 227-232.
[6]	Li Rui, Yan Ruilong, Wang Yulong, Chen Yujun, Cui Ying, Yu Tengfei. Teaching design and construction of multidisciplinary-driven autonomous learning based on the O-AMAS teaching model in ultrasound molecular imaging [J]. Medical Education Management, 2026, 12(2): 142-149.
[7]	Yang Xue, Huang Xiaowu, Song Dongmei, Zhang Xin, Huo Jing. Exploration of literature reading method in training clinical scientific research thinking of medical students in obstetrics and gynecology [J]. Medical Education Management, 2026, 12(1): 66-70.
[8]	Zhu Lin, Zhang Yue, Liu Wei, . Impact of perceived social support on residents' professional identity: the mediating role of positive psychological capital—a case study from Nanjing Women and Children's Healthcare Hospital [J]. Medical Education Management, 2026, 12(1): 84-91.
[9]	Fu Xiaoxue, Zhang Xia, Wang Yihong. Exploration of medical computer technology education under the new medical education reform—a case study of Shanghai University of Medicine and Health Sciences [J]. Medical Education Management, 2026, 12(1): 34-40.
[10]	Meng Qian. A POA-guided teaching design and practice of whole-person education in medicalEnglish reading [J]. Medical Education Management, 2025, 11(6): 629-636.

Application of structured teaching in residents training in laparoscopic inguinal hernia repair

PDF

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 10

Recommended Articles

Metrics

Comments