A Pilot Study of Surgical Trainee Participation in Humanitarian Surgeries
| Autor: | Michael E. Shapiro, Frank T. Padberg, Vennila Padmanaban, Julia Riccardi, Ziad C. Sifri |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Operative Time Pilot Projects 03 medical and health sciences 0302 clinical medicine Postoperative Complications Chart review medicine Humans Complication rate Humanitarian surgery Retrospective Studies business.industry General surgery Surgical care Internship and Residency Middle Aged medicine.disease Altruism Inguinal hernia 030220 oncology & carcinogenesis General Surgery Cohort 030211 gastroenterology & hepatology Surgery Female business Complication |
| Zdroj: | The Journal of surgical research. 262 |
| ISSN: | 1095-8673 |
| Popis: | Background The impact of general surgery resident participation on operative case time and postoperative complications has been broadly studied in the United States. Although surgical trainee involvement in international humanitarian surgical care is escalating, there is limited information as to how this participation affects care rendered. This study examines the impact of trainee involvement on case length and immediate postoperative complications with regard to operations in low- and middle-income settings. Methods A retrospective chart review was conducted of humanitarian surgeries completed during annual short-term surgical missions performed by the International Surgical Health Initiative to Ghana and Peru. Between 2017 and 2019, procedures included inguinal hernia repairs and total abdominal hysterectomies (TAHs). Operative records were reviewed for case type, duration, and immediate postoperative complications. Cases were categorized as involving two attending co-surgeons (AA) or one attending and resident assistant (RA). Results There were 135 operative cases between 2017 and 2019; the majority (82%) involved a resident assistant. There were no statistically significant differences in case times between the attending assistant (AA) and resident assistant (RA) cohorts in both case types. All 23 postoperative complications were classified as Clavien-Dindo Grade I. In addition, resident assistance did not lead to a statistically significant increase in complication rate; 26% in the AA cohort versus 74% in the RA cohort (P = 0.3). Conclusions This pilot study examining 135 operative cases over 2 y of humanitarian surgeries demonstrates that there were no differences in operative duration or complication rates between the AA and RA cohorts. We propose that surgical trainee involvement in low- and middle-income settings do not adversely impact operative case times or postoperative complications. |
| Databáze: | OpenAIRE |
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