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Published in: Hernia 3/2021

01-06-2021 | Inguinal Hernia | Original Article

Educational value of surgical videos on transabdominal pre-peritoneal hernia repair (TAPP) on YouTube

Authors: E. Reitano, M. Cavalli, N. de’Angelis, J. Loriau, G. Campanelli

Published in: Hernia | Issue 3/2021

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Abstract

Purpose

Transabdominal pre-peritoneal hernia repair (TAPP) is a worldwide performed surgery. Surgical videos about TAPP uploaded on the web, with YouTube being the most frequently used platform, may have an educational purpose, which, however, remains unexplored. This study aims to evaluate the 20 most viewed YouTube videos on TAPP through the examination of four experienced surgeons and assess their conformity to the guidelines on how to report laparoscopic surgery videos.

Methods

On April 1st 2019, we searched for the 20 most viewed videos on TAPP on YouTube. Selected videos were evaluated on their overall utility and quality according to the Global Operative Assessment of Laparoscopic Skills-Groin Hernia (GOALS-GH) and the Laparoscopic surgery Video Educational Guidelines (LAP-VEGaS).

Results

Image quality was poor for 13 videos (65%), good for 6 (30%) and in high definition for 1 (5%). Audio and written commentary were present in 55% of cases, while no video presented a detailed preoperative case description. Only 35% of the videos had a GOALS-GH score > 15, indicating good laparoscopic skills. Overall video conformity to the LAP-VEGaS guidelines was weak, with a median value of 12.5% (5.4–18.9%). Concordance between the examiners was acceptable for both the overall video quality (Cronbach’s Alpha 0.685) and utility (0.732).

Conclusions

The most viewed TAPP videos available on YouTube in 2019 are not conformed to the LAP-VEGaS guidelines. Their quality and utility as a surgical learning tool are questionable. It is of upmost importance to improve the overall quality of free-access surgical videos due to their potential educational value.
Literature
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Metadata
Title
Educational value of surgical videos on transabdominal pre-peritoneal hernia repair (TAPP) on YouTube
Authors
E. Reitano
M. Cavalli
N. de’Angelis
J. Loriau
G. Campanelli
Publication date
01-06-2021
Publisher
Springer Paris
Keyword
Inguinal Hernia
Published in
Hernia / Issue 3/2021
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-020-02171-0

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