AUTHOR=Balachandran Premkumar , Waykole Kanchan Pankaj , Manikesi Muralidharan , Palaniappan Raj , Gubendran Vishanth , Manimaran Adhiyaman , Muthiah Thilaka , Somasundaram Anushka , DurgaDevi E. 
  
TITLE=Role of Simulation Training in Hernia Surgery and Abdominal Wall Reconstruction
  
JOURNAL=Journal of Abdominal Wall Surgery
  
VOLUME=Volume 4 - 2025
  
YEAR=2026
  
URL=https://www.frontierspartnerships.org/journals/journal-of-abdominal-wall-surgery/articles/10.3389/jaws.2025.15274
  
DOI=10.3389/jaws.2025.15274
  
ISSN=2813-2092
  
ABSTRACT=BackgroundHernia surgery requires precise technical skills to ensure successful patient outcomes. Traditional surgical training methods face challenges related to patient safety and limited operative exposure. Simulation training offers a risk-free platform to develop and refine surgical skills. This study evaluates the usefulness of simulation training for surgeons in hernia surgery.AimTo assess the effectiveness of simulation training in enhancing the surgical skills and confidence of surgeons performing hernia repair.MethodsA prospective observational study was conducted with 44 surgical trainees undergoing simulation-based hernia surgery training. Technical skills and confidence levels were assessed before and after the training using standardized scoring systems. Participant feedback on the realism and applicability of simulation was also collected. Statistical analysis was performed using paired t-tests and chi-square tests.ResultsTechnical skill scores improved from a mean of 58.3(SD 8.4) pretraining, with a mean difference of 21.4, (95% Cl: 18.9 to 24.5, p < 0.001, effect size [Cohen’s d]∼2.1). Confidence scores increased from a mean of 4.2 (SD 1.5) to 7.8 (SD 1.2), with a mean difference of 3.6 (95% Cl: 3.1 to 4.3, p < 0.001, effect size [Cohen’s d}∼2.3). Over 85% of participants agreed that the simulation was realistic and beneficial for skill enhancement. Ninety-five percent recommended simulation training as a regular part of surgical education.ConclusionIn the study Simulation training significantly improves the technical proficiency and confidence of surgeons in hernia surgery. Its incorporation into surgical training programs is recommended to enhance operative readiness but further multicentric studies are needed to validate their results.