open hernia repair G3 or control G4 (surgical text on open hernia repair).The outcome measures were cognitive knowledge and overall global rating assessed by a checklist interview.Results: No differences in the baseline characteristics in trainees randomised to G1, G3 or G4 with mean similar ages, naivety for procedure and pre-intervention multiple-choice questionnaire.G1 trainees achieved significantly higher cognitive analysis performance scores for step-by-step knowledge of an open inguinal hernia mesh repair compared with trainees in G3 (p < 0.05) and G4 (p < 0.05).A similar significant finding was found for the general performance scores compared with trainees in G3 (p < 0.05) and G4 (p < 0.05).Conclusion: The interactive simulator of the open hernia facilitates clear thought processes and improves surgical trainees' knowledge of the hernia procedure step-by-step compared to other more traditional ways methods.
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Brown et al. (2015) studied this question.
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