Establishing the Learning Curve of Robotic Sacral Colpopexy in a Start-up Robotics Program

Journal of Minimally Invasive Gynecology
Shefali SharmaPeter S Finamore

Abstract

To determine the learning curve of the following segments of a robotic sacral colpopexy: preoperative setup, operative time, postoperative transition, and room turnover. A retrospective cohort study to determine the number of cases needed to reach points of efficiency in the various segments of a robotic sacral colpopexy (Canadian Task Force II-2). A university-affiliated community hospital. Women who underwent robotic sacral colpopexy at our institution from 2009 to 2013 comprise the study population. Patient characteristics and operative reports were extracted from a patient database that has been maintained since the inception of the robotics program at Winthrop University Hospital and electronic medical records. Based on additional procedures performed, 4 groups of patients were created (A-D). Learning curves for each of the segment times of interest were created using penalized basis spline (B-spline) regression. Operative time was further analyzed using an inverse curve and sequential grouping. A total of 176 patients were eligible. Nonparametric tests detected no difference in procedure times between the 4 groups (A-D) of patients. The preoperative and postoperative points of efficiency were 108 and 118 cases, respective...Continue Reading

References

Aug 30, 2008·Journal of Minimally Invasive Gynecology·John P LenihanUsha Seshadri-Kreaden
Jan 28, 2009·Surgical Endoscopy·Mohamed N AklPaul M Magtibay
Oct 14, 2011·Surgical Endoscopy·Giuseppe TurchettiAlfred Cuschieri
Nov 13, 2012·Journal of Minimally Invasive Gynecology·Elizabeth J GellerCatherine A Matthews
Mar 29, 2013·American Journal of Obstetrics and Gynecology·Elizabeth J Geller, Catherine A Matthews

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Citations

Sep 10, 2020·International Urogynecology Journal·Oz HarmanliKeisha Jones

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