Outpatient surgical procedures: which is the ideal teaching procedure for a resident surgeon?

Milone, Marco and Musella, Mario and Maietta, Paola and Bianco, P. and Taffuri, C. and Salvatore, Giuseppe and Milone, Francesco (2013) Outpatient surgical procedures: which is the ideal teaching procedure for a resident surgeon? Il giornale di chirurgia, 34 (11/12). pp. 311-314. ISSN 1971-145X

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Abstract

Aim. The aim of our study is to evaluate which surgical procedures can be considered the ideal teaching procedure for a resident surgeon. Materials and methods. This is a retrospective study. A chart review was performed on all patients who underwent inguinal hernia repair, saphenectomy, excision of pilonidal sinus and hemorrhoidectomy at our institution, between September 2000 and July 2011, and have at least 1 year of follow-up. We evaluated operative time and complications comparing the results obtained by resident or attending surgeon. Results. We obtained a higher operative time among the procedures performed by resident surgeons for all evaluated interventions. Whereas the occurrence of complications after hernia repair and excision and primary closure of pilonidal sinus were similar in case and control subjects (p = 0,1 and p = 0,1), the occurrence of complications after hemorrhoidectomy and saphenectomy was significantly higher in the case group (p = 0,08 and p = 0,1). Conclusion. Hernia repair and excision and primary closure of pilonidal sinus have to be considered the ideal teaching procedure in a residency program, giving to the young surgeon the opportunity of reach several skills that he needs to master most difficult surgical procedures. Saphenectomy and hemorrhoidectomy should be considered safe only if performed by a senior resident surgeon.

Item Type:	Article
Uncontrolled Keywords:	Teaching, Inguinal hernia repair, Saphenectomy, Excision of pilonidal sinus, Hemorrhoidectomy
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	13 Sep 2019 13:27
Last Modified:	13 Sep 2019 13:27
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8666

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