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• W2890910093 abstract "The objective of this study was to investigate the rate of intraoperative and postoperative complications associated with resident involvement in open and laparoscopic myomectomies. We performed a retrospective cohort study using the National Surgical Quality Improvement Program database. Patients who had open or laparoscopic myomectomies between January 1, 2006 and December 21, 2014 were included in analysis. Variables studied included resident participation, preoperative factors, surgical operative times, intraoperative complications, and postoperative complications. Cases were omitted if resident involvement was not specified in the database. Data analysis was performed using Chi square, T-test, and Fisher’s exact test with significance set at p<0.05. All analyses were completed in SAS 9.4. A total of 1,152 cases were included in analysis. Patients were stratified by resident + attending vs attending only surgeries. Of the cases included, 618 indicated resident involvement and 534 indicated attending-only cases. The two populations were similar in age, BMI, tobacco and alcohol use and preoperative hematocrit. There was a difference in the incidence of diabetes between the groups, with an incidence of 4% in patients who had resident involvement in their case compared to 1.7% of patients who did not have a resident involved in their case, p=0.02. Procedures which included residents were noted to have longer operative times (129.2 mins) when compared to attending only (111.8 mins), p=0.0002. Bleeding events requiring transfusion occurred in 41 (6.6%) cases that included residents compared to 18 (3.4%) of cases that only included an attending, p=0.03. There was no significant difference in other peri-operative or post-operative complications, including superficial surgical site infections, deep surgical site infections, organ space surgical site infections, nerve injury, and wound dehiscence. Resident involvement in laparoscopic and open myomectomy was associated with an average 28 minute increase in operative time as well as a slight increase incidence of bleeding events requiring transfusion. Other peri-operative and post-operative complications, however, showed no significant difference with resident involvement. Given these overall similar operative outcomes regardless of resident involvement, the benefits of incorporating residents into myomectomy procedures, including resident education, may outweigh the potential risks. To our knowledge, this is the first study investigating resident involvement in myomectomies." @default.
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• W2890910093 date "2018-09-01" @default.
• W2890910093 modified "2023-10-15" @default.
• W2890910093 title "The effects of resident involvement in open and laparoscopic myomectomies" @default.
• W2890910093 doi "https://doi.org/10.1016/j.fertnstert.2018.07.125" @default.
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