Outcomes of minimally invasive abdominal sacrocolpopexy with resident operative involvement

International Urogynecology Journal
Emily A SlopnickSimon P Kim

Abstract

Resident involvement in complex surgeries is under scrutiny with increasing attention paid to health care efficiency and quality. Outcomes of urogynecological surgery with resident involvement are poorly described. We hypothesized that resident surgical involvement does not influence perioperative outcomes in minimally invasive abdominal sacrocolpopexy (ASC). Using the 2006-2012 National Surgical Quality Improvement Program database, we identified 450 cases of laparoscopic or robotic ASC performed with resident involvement. Resident operative participation was stratified by experience (junior [PGY 1-3] vs senior level [PGY ≥4]). The primary outcome was operative time, and multinomial logistic regression was used to determine the effects of resident involvement and experience. Chi-squared analyses were used to assess the relationship between resident participation with length of stay (LOS) and 30-day complications and readmissions. Residents participated in 74% (n = 334) of these surgeries, and these cases were significantly longer (median 220 vs 195 min, p = 0.03). On multivariate analysis, senior level resident involvement was associated with longer operative times across all time intervals compared with <2 h (2 to ≤4 h relati...Continue Reading

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Citations

Feb 27, 2019·Female Pelvic Medicine & Reconstructive Surgery·Cecile A Ferrando, Marie Fidela R Paraiso
Aug 28, 2019·Neurourology and Urodynamics·Paulina SzymczakDariusz Grzegorz Wydra
Sep 16, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Tarik K YuceEzra N Teitelbaum
May 4, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Trevor R GulbrandsenBrian Wolf

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