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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Related Experiment Video

Updated: Dec 23, 2025

Emergency Undocking in Robotic Surgery: A Simulation Curriculum
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Trainee-led emergency laparotomy operating.

H Boyd-Carson1,2,3, B Doleman1,3, S Lockwood2

  • 1Division of General Surgery, Royal Derby Hospital, Derby Hospitals NHS Trust, Derby, UK.

The British Journal of Surgery
|April 27, 2020
PubMed
Summary
This summary is machine-generated.

Trainee-led emergency laparotomy surgery shows no increased risk of death or return to theatre. However, trainee operating patterns vary significantly by location and time, with trainees operating more in high-volume centers and at night.

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Area of Science:

  • Surgical Education
  • Patient Outcomes
  • Emergency Medicine

Background:

  • General surgery trainees must master emergency laparotomy procedures.
  • This study examines trainee-led emergency laparotomy patterns and their impact on patient outcomes.

Purpose of the Study:

  • To describe trainee operating patterns in emergency laparotomy.
  • To associate these patterns with postoperative outcomes such as mortality and reoperation.

Main Methods:

  • Analysis of 87,367 emergency laparotomies from the National Emergency Laparotomy Audit (December 2013-November 2017).
  • Comparison of outcomes between consultant-led and trainee-led procedures.
  • Regression analysis for 90-day mortality and return to theatre, stratified by procedure type.

Main Results:

  • No increased 90-day mortality or return to theatre observed when trainees were the senior surgeon.
  • Trainees were more likely to operate in high-volume centers and during nighttime hours.
  • Significant variation in trainee operating by deanery, hospital size, and time of day was noted.

Conclusions:

  • Trainee involvement in emergency laparotomy does not negatively impact patient mortality or reoperation rates.
  • Significant geographical and temporal variations exist in trainee-led emergency laparotomies.
  • These variations do not appear to influence key postoperative outcomes.