Poor dissection Satisfactory Precise and technique with dissection and efficient inadequate exposure mobilization with dissection of of fascial edge and occasional adhesions to sac. Complete reliance inefficient expose entire on faculty for dissection. fascial edge, sac identification of sac Incomplete and contents. and reduction of sac exposure of fascial Efficient reduction and contents edge. Satisfactory of sac reduction of sac Substantial Some Minimal Direction Direction Direction 1 2 3 4 5 NA Preparation of Mesh Poor Fair Good Very Good Excellent 1 2 3 4 5 NA Inadequate or Satisfactory Excellent inappropriate (required some (independent) sizing of mesh with direction) sizing sizing of mesh, complete reliance of mesh, and and positioning on faculty positioning of of sutures instruction sutures Substantial Some Minimal Direction Direction Direction 1 2 3 4 5 NA Placement of Mesh Poor Fair Good Very Excellent 1 2 3 Good 4 5 NA Inadequate Satisfactory Excellent orientation of mesh, (required some positioning and and suturing with direction), placement of complete reliance placement sutures without on faculty without tension tension or instruction or redundancy redundancy Substantial Some Minimal Direction 2 Direction 4 Direction NA
Poor dissection technique with inadequate exposure of fascial edge and sac. Complete reliance on faculty for identification of sac and reduction of sac and contents Satisfactory dissection and mobilization with occasional inefficient dissection. Incomplete exposure of fascial edge. Satisfactory reduction of sac Precise and efficient dissection of adhesions to expose entire fascial edge, sac and contents. Efficient reduction of sac Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Preparation of Mesh Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Inadequate or inappropriate sizing of mesh with complete reliance on faculty instruction Satisfactory (required some direction) sizing of mesh, and positioning of sutures Excellent (independent) sizing of mesh, and positioning of sutures Substantial Direction 1 2 Some Direction 3 4 Minimal Direction 5 NA Placement of Mesh Poor 1 Fair 2 Good 3 Very Good 4 Excellent 5 NA Inadequate orientation of mesh, and suturing with complete reliance on faculty instruction Satisfactory (required some direction), placement without tension or redundancy Excellent positioning and placement of sutures without tension or redundancy Substantial Direction 2 Some Direction 4 Minimal Direction NA