Minimally invasive techniques in common surgical procedures: implications for training

Irish Journal of Medical Science
P H McCormickSean Tierney

Abstract

Laparoscopic techniques are increasingly used in common surgical procedures. Many of these procedures are used to teach basic surgical trainees (BST) and therefore introduction of these techniques may have implications for training. To establish whether the introduction of laparoscopic techniques reduced the opportunity of BSTs to perform surgical procedures. Patients undergoing hernia repair or appendicectomy in 1991 (when laparoscopy was first introduced) and 1997 (when laparoscopy was readily available) were identified using the Hospital In-Patient Enquiry (HIPE) database. The principal operator and whether the procedure was open or laparoscopic were identified by chart review. The data showed a 50% reduction in the number of appendicectomies performed by BSTs following the introduction of laparoscopic techniques. The number of hernia repairs performed by BSTs has been preserved but the proportion by BSTs fell from 10 to 6%. The proportion of BST-performed procedures carried out laparoscopically has been reduced compared with the registrar-performed group. The use of minimally invasive techniques has had a negative effect on surgical training. Appropriate measures must be taken to minimise this and such measures should inclu...Continue Reading

References

Nov 20, 1993·BMJ : British Medical Journal·J R Monson
Jun 1, 1996·The Surgical Clinics of North America·L L Swanstrom
Dec 14, 1996·BMJ : British Medical Journal·J D GreigG Sunderland
Aug 1, 1994·The Journal of the American Association of Gynecologic Laparoscopists·C L Tsai, W L Heinrichs
Apr 16, 1998·Surgical Endoscopy·T MoriY Atomi
Jun 30, 1998·American Journal of Surgery·A M DerossisJ L Meakins
Aug 26, 1998·Surgical Endoscopy·A M DerossisG M Fried
Aug 18, 1999·Surgical Endoscopy·D S O'RiordainW A Tanner
Sep 7, 1999·Hospital Medicine·D VargheseA Varghese

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Citations

Aug 7, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Margaret PlymaleJoseph A Iocono
Aug 9, 2005·Postgraduate Medical Journal·P R ShahP N Haray
Feb 16, 2006·World Journal of Surgery·Karl J SweeneyKevin C Conlon
Aug 25, 2007·The Journal of Arthroplasty·Aaron G Rosenberg
Sep 30, 2010·Irish Journal of Medical Science·E BoyleO Traynor
Mar 14, 2008·Operative Dentistry·Amer Abu-Hanna, Ivar A Mjör
Apr 15, 2009·Operative Dentistry·Paula C P KomoriMarcela R Carrilho
Feb 27, 2016·Operative Dentistry·Bac Loomans, M Özcan
Dec 4, 2009·Operative Dentistry·Valeria V GordanUNKNOWN DPBRN Collaborative Group
Dec 6, 2003·Journal of Endourology
Aug 18, 2020·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·Supattriya ChutinanHiroe Ohyama

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