Dataset Information

Impact of surgeon experience on routine prolapse operations.

ABSTRACT:

Introduction and hypothesis

Surgical work encompasses important aspects of personal and manual skills. In major surgery, there is a positive correlation between surgical experience and results. For pelvic organ prolapse (POP), this relationship has to our knowledge never been examined. In any clinical practice, there is always a certain proportion of inexperienced surgeons. In Sweden, most prolapse surgeons have little experience in performing prolapse operations, 74% conducting the procedure once a month or less. Simultaneously, surgery for POP globally has failure rates of 25-30%. In other words, for most surgeons, the operation is a low-frequency procedure, and outcomes are unsatisfactory. The aim of this study was to clarify the acceptability of having a high proportion of low-volume surgeons in the management of POP.

Methods

A group of 14,676 exclusively primary anterior or posterior repair patients was assessed. Data were analyzed by logistic regression and as a group analysis.

Results

Experienced surgeons had shorter operation times and hospital stays. Surgical experience did not affect surgical or patient-reported complication rates, organ damage, reoperation, rehospitalization, or patient satisfaction, nor did it improve patient-reported failure rates 1 year after surgery. Assistant experience, similarly, had no effect on the outcome of the operation.

Conclusions

A management model for isolated anterior or posterior POP surgery that includes a high proportion of low-volume surgeons does not have a negative impact on the quality or outcome of anterior or posterior colporrhaphy. Consequently, the high recurrence rate was not due to insufficient experience of the surgeons performing the operation.

SUBMITTER: Nussler E

PROVIDER: S-EPMC5780527 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature

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Publications

Impact of surgeon experience on routine prolapse operations.

Nüssler Emil E Eskildsen Jacob Kjær JK Nüssler Emil Karl EK Bixo Marie M Löfgren Mats M

International urogynecology journal 20170602 2

<h4>Introduction and hypothesis</h4>Surgical work encompasses important aspects of personal and manual skills. In major surgery, there is a positive correlation between surgical experience and results. For pelvic organ prolapse (POP), this relationship has to our knowledge never been examined. In any clinical practice, there is always a certain proportion of inexperienced surgeons. In Sweden, most prolapse surgeons have little experience in performing prolapse operations, 74% conducting the proc ...[more]

PMID: 28577172

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Dataset Information

Impact of surgeon experience on routine prolapse operations.

Introduction and hypothesis

Methods

Results

Conclusions

Publications

Impact of surgeon experience on routine prolapse operations.

Similar Datasets

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