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[The effect of fasting on the surgical skills of surgeons]
Ismail Gögenur1, Henrik Loft Jacobsen, Michael Achiam
1Kirurgisk Gastroenterologisk Afdeling D, Herlev Hospital, DK-2730 Herlev. ig@dadlnet.dk
Abstract:
There have been worries of a potential negative effect of the fasting practice on surgeon's skills. We set out to examine the effect of fasting for a single surgeon during the fast and after the fast was broken. We examined the skills of the surgeon in a previously developed model for training in laparoscopic surgery. Foetor ex ore was also examined during and after the fast. Fasting did not affect the surgical skills, but resulted in increased foetor ex ore. Abstaining from eating and drinking during the daytime does probably not negatively affect surgical skills, but increases foetor ex ore.
Insights
Fasting did not impair surgical skills in a laparoscopic surgery training model. However, the practice was associated with an increase in foetor ex ore (bad breath).
Area of Science:
- Surgical Education
- Physiology
- Medical Ethics
Context:
- Concerns exist regarding the impact of religious or intermittent fasting on surgeon performance.
- Laparoscopic surgery requires fine motor skills and cognitive function that could be affected by fasting.
Purpose:
- To investigate the effect of daytime fasting on the surgical skills of a single surgeon.
- To assess changes in foetor ex ore (oral malodor) during and after a fasting period.
Summary:
- Surgical skills were evaluated using a validated laparoscopic surgery training model before, during, and after a fasting period.
- No significant decline in surgical performance was observed.
- A notable increase in foetor ex ore was recorded during the fasting period.
Impact:
- Fasting for a single day does not appear to negatively impact laparoscopic surgical skills.
- Fasting may lead to increased oral malodor, a factor to consider for patient interaction.
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