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Related Experiment Videos

Proctologic surgery done by residents - Complications preprogrammed?

T Schreckenbach1, H El Youzouri1, W O Bechstein1

  • 1Department of General and Visceral Surgery, University Hospital of Frankfurt, 7, Theodor-Stern-Kai, 60590 Frankfurt, Germany.

Journal of Visceral Surgery
|January 30, 2016
PubMed
Summary
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Resident participation in proctologic surgery, including hemorrhoidectomy and pilonidal sinus resection, does not increase postoperative complications. While operative time may be longer, patient outcomes remain comparable.

Area of Science:

  • Surgical Education
  • Proctology
  • Patient Outcomes

Background:

  • Current literature suggests resident involvement in surgery may increase postoperative complications.
  • This study evaluates the impact of resident participation on outcomes in minor proctologic procedures.

Purpose of the Study:

  • To determine if resident participation in elective hemorrhoidectomy and pilonidal sinus resection is associated with higher postoperative complication rates.
  • To compare complication rates, readmissions, and outpatient visits between procedures performed with and without resident involvement.

Main Methods:

  • Retrospective analysis of patients undergoing Milligan-Morgan hemorrhoidectomy or pilonidal sinus resection (2007-2013).
  • Primary outcome: postoperative complication rate.
Keywords:
ColoproctologyHemorrhoidectomy, Pilonidal sinusResident involvementResident participation

Related Experiment Videos

  • Comparison between procedures performed by residents and consultants.

    • Main Results:

    • No significant differences in postoperative complications, readmissions, or outpatient visits between resident and consultant groups for either procedure.
    • Pilonidal sinus resection took significantly longer when performed by residents (54 min vs. 34.5 min).
    • Hemorrhoidectomy operative times were similar (24 min vs. 23.5 min).

    Conclusions:

    • Resident participation in proctologic surgery does not lead to increased postoperative complications.
    • Proctologic procedures should be a regular part of resident training, despite potentially longer operative times.