Learning curves for laparoscopic hysterectomy after implementation of minimally invasive surgery

Mavrova, Russalina; Radosa, Julia Caroline; Wagenpfeil, Gudrun; Hamza, A; Solomayer, Erich‐Franz; Juhasz-Böss, Ingolf

doi:10.1016/j.ijgo.2016.01.017

Cited by 27 publications

(22 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It has been proven that proficiency for single port access TLH was achieved after 40 cases which is definitely indicating towards a learning curve for the procedure after performing a certain number of cases. 15,20 The incidence of ureteral and bladder injuries is 0% to 2% and corresponds well to that in the current study. 23,24 There were no incidence of bowel and ureteric injury in the present study.…”

Section: Discussionsupporting

confidence: 91%

Learning curve of laparoscopic hysterectomy in a zonal hospital setting: a retrospective analysis of 102 cases operated by a single surgeon

Kumar

Kapur

Bhat

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: The aim of this study was to analyse the learning curve and clinical efficacy of the art of laparoscopic hysterectomy in a zonal hospital setting.Methods: We conducted a retrospective analysis of 102 women who underwent laparoscopic hysterectomy (LAVH/ TLH) by a single surgeon after post-graduation for benign uterine pathology in a zonal hospital setting. They were divided into two groups of first 50 cases (Group I) and next 52 cases (Group II). The primary outcome was the learning curve of the operating gynaecologist in terms of reduction in duration of surgery, reduced perioperative complications, increasing percentage of TLHs with time.Results: 102 women underwent laparoscopic hysterectomy for the benign uterine pathology successfully. Surgical outcomes of laparoscopic hysterectomy in terms of mean operative time was 135 mins (Group I) vs 93 mins (Group II), estimated blood loss 255 ml (Group I) vs 140 ml (Group II), hospital stay 05 days (Group I) vs 03 days (Group II), duration of postoperative analgesia 07 days (Group I) vs 05 days (Group II). As the surgical experience increased, patients with bigger uterine size (>10-week size) were taken up for hysterectomy, percentage of TLH increased in Group II as compared to Group I (42.31% vs 18%), with decreasing complications and shorter recovery time.Conclusions: Laparoscopic hysterectomy (LAVH/ TLH) has a short learning curve and it's a feasible and beneficial surgical modality for treating benign uterine pathology even in a zonal hospital setting (low resource setting).

show abstract

Section: Discussionsupporting

confidence: 91%

Learning curve of laparoscopic hysterectomy in a zonal hospital setting: a retrospective analysis of 102 cases operated by a single surgeon

Kumar

Kapur

Bhat

et al. 2017

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…However, there is no standard case number agreed upon to reach a plateau in the learning curve for laparoscopic hysterectomy (Table III) under mentorship with a decrease of the mean duration of surgery from 136 min to 118 min. But additional procedures were included in TLH in some of their cases (14). However, Terzi et al reported a longer learning curve in their retrospective series with two inexperienced gynecologists, up to 75 cases with shortening of operating time from 76 minutes to 68 min (10).…”

Section: Discussionmentioning

confidence: 99%

“…(8,10,(12)(13)(14)(15).Rosen et al suggested as low as 16 cases in terms of duration of surgery for a trainee surgeon under supervision in a teaching hospital facility in which the operating time reduced from 180 minutes to 105 minutes (12). Twijnstra et al concluded that 25 cases suffice under a mentorship program to reach a plateau of the learning curve in a teaching hospital (15).…”

mentioning

confidence: 99%

The Learning Curve of Total Laparoscopic Hysterectomy in a Rural Hospital

Bıyık

Albayrak²,

Keskin³

et al. 2020

Gynecol Obstet Reprod Med

View full text Add to dashboard Cite

OBJECTIVES: Online education and certification programs which help most gynecologic surgeons to advance, improve and prove their skills. However, the benefits of such distant programs in terms of complication rate and operation time has not been evaluated so far. The aim of this study was to report the improvement of a single surgeon's learning curve in total laparoscopic hysterectomy who had no previous mentorship/fellowship education, working in a rural district hospital before and after the completion of a distant on-line education and certification program -Gynaecological Endoscopic Surgical Education and Assessment. STUDY DESIGN:Medical records of patients who underwent total laparoscopic hysterectomy between May 2015 and December 2018 were retrospectively reviewed and grouped based on the certification date of the surgeon, Group 1 before and Group 2 after certification. Groups were compared for variables that impact the learning curve (operation time, complications and conversion to laparotomy) RESULTS:Of the 57 women eligible for evaluation 30 had total laparoscopic hysterectomy in Group 1 and 27 had total laparoscopic hysterectomy in Group 2. BMI, number of vaginal/cesarean births, previous abdominal/pelvic surgeries, operation indications, uterine weight, adnexectomy, and adhesiolysis rates, transfusion requirements, and the decrease in hemoglobin before and after operation were similar between the groups (p>0.05). Operation time was significantly shorter in Group 2 (83 min vs.116 min, p<0.0001). CONCLUSION:Thirty total laparoscopic hysterectomy operations seem enough to reach a plateau in the learning curve for gynecologists working in rural areas with limited facilities who cannot afford lengthily and expensive fellowship/mentorship programs, after completing distant online certification programs.

show abstract

“…A technikai kompetenciához szükséges beavatkozások száma 20-30 közöttire tehető. Ez az a műtéti szám, amelynek során a műtéti idő és a komplikációk számának progresszív csökkenése figyelhető meg [22]. Egy másik megfogalmazás szerint a tanulófázisnak addig kell tartania, amíg a műtétet végző orvos a műtéti technikát standardizált módszerrel el tudja végezni [21].…”

Section: Megbeszélésunclassified

Totális laparoszkópos hysterectomia az arteria uterinák eredésüknél történő ellátásával

Lampé

Móré

Fazekas³

et al. 2017

Orvosi Hetilap

View full text Add to dashboard Cite

show abstract

Learning curves for laparoscopic hysterectomy after implementation of minimally invasive surgery

Abstract: Both TLH and LSH were readily adopted among a group of surgeons inexperienced in laparoscopy, although LSH might be easier to learn. Experienced surgeons have a steeper learning curve than do their inexperienced counterparts.

Cited by 27 publications

References 21 publications

Learning curve of laparoscopic hysterectomy in a zonal hospital setting: a retrospective analysis of 102 cases operated by a single surgeon

Learning curve of laparoscopic hysterectomy in a zonal hospital setting: a retrospective analysis of 102 cases operated by a single surgeon

The Learning Curve of Total Laparoscopic Hysterectomy in a Rural Hospital

Totális laparoszkópos hysterectomia az arteria uterinák eredésüknél történő ellátásával

Contact Info

Product

Resources

About