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Impact of surgeon e...
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Nüssler, EmilUmeå universitet,Obstetrik och gynekologi
(author)
Impact of surgeon experience on routine prolapse operations
- Article/chapterEnglish2018
Publisher, publication year, extent ...
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2017-06-02
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Springer,2018
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electronicrdacarrier
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LIBRIS-ID:oai:DiVA.org:umu-144825
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https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-144825URI
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https://doi.org/10.1007/s00192-017-3353-0DOI
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Errata: Nüssler, E., Eskildsen J. K., Nüssler, E. K., Bixo, M., Löfgren, M. Impact of surgeon experience on routine prolapse operations. International Urogynecology Journal 2018;29:2. DOI: 10.1007/s00192-017-3525-y
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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.
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Eskildsen, Jacob Kjaer
(author)
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Nüssler, Emil KarlUmeå universitet,Obstetrik och gynekologi(Swepub:umu)emnu0002
(author)
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Bixo, MarieUmeå universitet,Obstetrik och gynekologi(Swepub:umu)mabi0001
(author)
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Löfgren, MatsUmeå universitet,Obstetrik och gynekologi(Swepub:umu)malo0003
(author)
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Umeå universitetObstetrik och gynekologi
(creator_code:org_t)
Related titles
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In:International Urogynecology Journal: Springer29:2, s. 297-3060937-34621433-3023
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