Outcomes of minimally invasive abdominal sacrocolpopexy with resident operative involvement

Slopnick, Emily; Hijaz, Adonis; Henderson, Joseph W.; Mahajan, Sahil; Nguyen, Carvell T.; Kim, Simon P.

doi:10.1007/s00192-018-3578-6

Cited by 11 publications

(3 citation statements)

References 26 publications

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“…The impact of resident involvement in surgical procedures has been explored in various surgical and orthopaedic procedures. 15 16 17 18 19 20 21 22 Haughom et al 21 performed a retrospective analysis on the impact of residents involved in total hip arthroplasty 20 and total knee arthroplasty cases. These two studies did not identify resident involvement as a risk factor for 30-day morbidity or mortality in these selected cases.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Resident Involvement on Postoperative Complications After Shoulder Arthroscopy: A Propensity-Matched Analysis

et al. 2020

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Purpose: Shoulder arthroscopy is the second most frequently performed procedure by orthopaedic surgeons taking the American Board of Orthopaedic Surgery part II examination. However, the impact of resident involvement on outcomes after shoulder arthroscopy is poorly understood. The aim of this study was to investigate whether resident involvement in shoulder arthroscopic procedures affects postoperative complication rates and surgical time using propensity score-matched cohorts. Methods: The American College of Surgeons National Surgical Quality Improvement Program registry was queried to identify patients who underwent common shoulder arthroscopic procedures between 2006 and 2012. Cases without information on resident involvement, treatment of septic arthritis or osteomyelitis of the shoulder, or concomitant open or miniopen procedures were excluded from the study. A 1:1 propensity score match was used based on demographic and comorbidity factors to match cases with resident involvement to nonresident cases. Patient demographics, comorbidities, surgical time, length of hospital stay, and 30-day postoperative complications were compared between the two groups. Results: Overall, 15,857 patients who underwent shoulder arthroscopy were identified. After propensity score matching, 3474 cases (50% with resident involvement) were included. Appropriate matching was verified with no difference in demographic or health characteristics. No significant differences in the overall rate of 30-day complications was noted in resident-involved versus nonresident group ( P = 0.576). No significant difference was observed in postoperative surgical or medical complications. Resident involvement was significantly longer surgical time (75.9 ± 35.9 versus 75.1 ± 40.5 minutes, P = 0.03) when compared with cases performed without a resident. Conclusions: Resident involvement in shoulder arthroscopy is not associated with increased risk for medical or surgical 30-day postoperative complications. Resident participation in shoulder arthroscopy cases did increase surgical time; however, this finding is likely clinically insignificant.

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Section: Discussionmentioning

confidence: 99%

The Impact of Resident Involvement on Postoperative Complications After Shoulder Arthroscopy: A Propensity-Matched Analysis

et al. 2020

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“…Abdominal procedures can be performed using conventional or robotic‐assisted laparoscopy, or by open surgery. Laparoscopy is a method of minimally invasive surgery (MIS), which has become widely used for surgical intervention . Robotic techniques may avoid the limitations of laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Comparison of laparoscopic techniques for apical organ prolapse repair – a systematic review of the literature

Szymczak

Grzybowska

Wydra

2019

Neurourology and Urodynamics

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Aims Apical defect is a pelvic organ prolapse disorder, with 5%‐15% prevalence. The aim of the study was to investigate methods of laparoscopic repair of apical defect and compare them with other techniques (open, vaginal, and robotic). Methods A systematic search of the literature was conducted in MEDLINE/PubMed and ClinicalTrials.gov databases using the following key words: apical prolapse and treatment procedures. The search was limited by using the humans filters. Only articles published in English between 2010 and 2018 were considered. Two independent authors reviewed the publications for inclusion on the basis of the following criteria: (a) use of laparoscopic techniques, and (b) apical support loss as indication for surgery. Results A total of 1002 papers were initially identified; 24 studies fulfilled the inclusion criteria. Four main laparoscopic procedures were found. The reported anatomical success rate (POP‐Q < II stage) was 77%‐100%, with patient satisfaction for pectopexy, laparoscopic sacropexy (LS), lateral ligament suspension and laparoscopic uterosacral ligament suspension (LUSLS) of 96.4%‐97.6%, 71.0%‐100%, 66.7%‐87.8%, and 95%‐95.5%, respectively. Major complications included hemorrhage, bladder, ureter, and/or bowel injuries were rare. Prolapse recurrences after LUSLS and LS were reported in 13.2% and 10.4% of patients, respectively; with reoperation rate for LS 2.2%‐12.8%. Conclusions Most studies reported anatomical and subjective outcomes, with follow‐up ranging from 1 month to >7 years. Success rates for laparoscopic and abdominal corrections of apical defect were similar; laparoscopy was superior in terms of perioperative blood loss, length of hospital stay, and recovery.

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“…Although open abdominal surgery, laparoscopic surgery, and robotic surgery techniques are available as surgical treatment approaches, laparoscopic surgical methods are widely used. 3 Nowadays, sacropexy, pectopexy, laparoscopic ligament suspension, laparoscopic uterosacral ligament suspension, and vaginally assisted laparoscopic uterine sacrocolpopexy methods are used for the surgical treatment of apical prolapse. 4,5 Sacrocolpopexy has been described as the suspension of the prolapsed organ to the sacrum with mesh.…”

Section: Introductionmentioning

confidence: 99%

Uterine preserving technique in the treatment of pelvic organ prolapse: Laparoscopic pectopexy

Salman

Kumbasar

Yeniocak³

2022

J of Obstet and Gynaecol

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Objective Apical prolapse constitutes an important part of pelvic organ prolapse. In this study, our aim was to investigate the effectiveness of laparoscopic pectopexy that we made by preserving the uterus in the surgical treatment of apical prolapse. Methods A total of 36 patients with apical prolapse who wanted to preserve their uterus underwent laparoscopic rectopexy. Apical prolapse and sexual function of the patients were evaluated preoperatively and 12 months after surgery using the Pelvic Organ Prolapse Quantification (POP‐Q) scale and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ‐12) sexual questionnaire form. Preoperative medical records and postoperative clinical results were recorded. Results There were no intraoperative or postoperative complications in the patients who underwent laparoscopic pectopexy. The average duration of surgery was 48.7 ± 9.8 min. Two patients had a recurrence of apical prolapse. In the Aa, Ba, C, and D points in the POP‐Q staging, significant changes were observed. Postoperative PISQ‐12 scores improved significantly (p < 0.05). Conclusion Uterine‐preserving laparoscopic pectopexy is a safe, feasible, and effective method for treating pelvic organ prolapse. It also improved the PISQ‐12 and POP‐Q scores in POP patients. Laparoscopic pectopexy may increase a surgeon's technical perspective for pelvic organ prolapse surgery.

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Outcomes of minimally invasive abdominal sacrocolpopexy with resident operative involvement

Abstract: Senior level resident involvement in minimally invasive ASC is associated with longer operative times, with no association with LOS or adverse perioperative outcomes. The educational benefit of surgical training does not adversely affect patient outcomes for ASC.

Cited by 11 publications

References 26 publications

The Impact of Resident Involvement on Postoperative Complications After Shoulder Arthroscopy: A Propensity-Matched Analysis

The Impact of Resident Involvement on Postoperative Complications After Shoulder Arthroscopy: A Propensity-Matched Analysis

Comparison of laparoscopic techniques for apical organ prolapse repair – a systematic review of the literature

Uterine preserving technique in the treatment of pelvic organ prolapse: Laparoscopic pectopexy

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