Daycase hernia surgery: a missed training opportunity.
A M El-Sharkawy1, D L J Morris, B S Grewal
1Daycase Surgical Unit Department of Surgery, Royal Derby Hospitals Foundation Trust, Uttoxeter Road, Derby, United Kingdom. elsharkawy@doctors.org.uk
International Journal of Surgery (London, England)
|March 19, 2013
Summary
Daycase surgical units (DCU) offer valuable training opportunities for surgical trainees in hernia repair. Trainees leading cases in DCUs demonstrate comparable procedure times and complication rates to consultants, highlighting their potential for skill development.
Area of Science:
- Surgical Education
- Hernia Surgery
- Daycase Surgery
Background:
- Traditionally, elective hernia operations provided essential training for surgical residents.
- Daycase surgical units (DCUs) are increasingly performing procedures previously done in general elective settings.
- This study investigates the potential of DCUs to enhance surgical training in hernia repair.
Purpose of the Study:
- To assess the effectiveness of Daycase Surgical Units (DCUs) in improving surgical training for hernia operations.
- To compare the performance of surgical trainees leading hernia operations in DCUs versus consultants.
Main Methods:
- Retrospective analysis of Operative Room Information System (ORMIS) data from January 2007 to 2012.
- Data included surgeon, procedure type, procedure time (PT), length of stay (LOS), and 30-day readmissions and deaths.
- Hernia operations performed in DCU versus traditional settings were compared.
Main Results:
- Out of 4668 hernia operations, 3063 were performed in DCUs.
- Trainees assisted in 24.6% and led 7.8% of cases.
- No significant difference in PT, LOS, readmissions, or 30-day mortality was found between trainees and consultants for many hernia repair types in DCUs.
Conclusions:
- DCUs represent an underutilized resource for surgical trainees to gain experience in hernia operations.
- Trainees leading hernia operations in DCUs achieve comparable procedure times and complication rates to consultants.
- Encouraging trainee participation in DCU hernia cases under supervision is crucial for competency development.
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