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[Day Surgery. An opportunity for postgraduate surgeons' training]
F Trombetta1, R Moscato, B Mussa
1UOADU Oncologia Chirurgica, ASO S. Giovanni Battista, Ospedale Molinette, Torino, Università degli Studi di Torino, Torino, Italy.
Minerva Chirurgica
|May 10, 2003
Summary
Postgraduate surgeons can safely train in day surgery procedures like hernioplasty. This training model ensures effective patient care without increasing complication rates, meeting new surgical education requirements.
Area of Science:
- Surgical Education
- Ambulatory Surgery
- Hernioplasty Training
Background:
- Day surgery requires expert personnel, with new regulations mandating postgraduate surgeon involvement in operations.
- Day surgery's structure is suitable for training surgeons while adhering to directives.
- Research indicates that effective training can yield positive surgical outcomes.
Purpose of the Study:
- To evaluate the feasibility and safety of training postgraduate surgeons in ambulatory hernioplasty procedures.
- To assess if training surgeons impact treatment efficacy and complication rates in day surgery.
Main Methods:
- Postgraduate surgeons trained in Trabucco's hernioplasty method under tutelage.
- Training involved phases as second surgeon (20 patients) and first surgeon (10 patients).
- Study included 60 hernioplasties performed by trainees (average 12 each) under local anesthesia with informed consent.
Main Results:
- No conversions to general anesthesia were required.
- Complication rates were comparable to those of experienced surgeons.
- No patient recurrences were reported during a mean 10-month follow-up.
Conclusions:
- Ambulatory surgery can be effectively utilized for training postgraduate surgeons.
- Training in day surgery procedures does not compromise treatment efficacy.
- The training model does not lead to an increased percentage of complications.