Improving the Evaluation and Management of Cystotomy in Gynecologic Surgery with a Cadaver Surgical Curriculum  

作　　者：Cassandra Presti Conway Xu Chang Liu Larry Walker Lauren Scott S. Abbas Shobeiri Francine McLeod Cassandra Presti;Conway Xu;Chang Liu;Larry Walker;Lauren Scott;S. Abbas Shobeiri;Francine McLeod(Department of Obstetrics and Gynecology, Inova Fairfax Hospital, Falls Church, USA;Department of Surgery, Inova Fairfax Hospital, Falls Church, USA;Advanced Surgical Technology and Education Center, Inova Fairfax Hospital, Falls Church, USA;Division of Female Pelvic Medicine and Reconstructive Surgery, Inova Fairfax Hospital, Falls Church, USA)

机构地区：[1]Department of Obstetrics and Gynecology, Inova Fairfax Hospital, Falls Church, USA [2]Department of Surgery, Inova Fairfax Hospital, Falls Church, USA [3]Advanced Surgical Technology and Education Center, Inova Fairfax Hospital, Falls Church, USA [4]Division of Female Pelvic Medicine and Reconstructive Surgery, Inova Fairfax Hospital, Falls Church, USA

出　　处：《Open Journal of Obstetrics and Gynecology》2021年第9期1202-1216,共15页妇产科期刊（英文）

摘　　要：<strong>Objectives:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Urinary tract injuries are a known complication of gynecologic surgery, occurring in 0.18</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">% </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">0.80% of procedures and most commonly involving the bladder. Appropriate identification, evaluation, treatment, and follow-up by gynecologic surgeons are important to reduce the associated long-term morbidities.</span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">The purpose of this study was to implement a comprehensive cadaver curriculum in cystotomy repair for OBGYN residents. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">This was a prospective observational cohort study including 10 OBGYN residents (PGY1-3) at a single institution in 2020 (56% of the 18 eligible residents). The curriculum consisted of a one-hour didactic lecture and one-hour hands-on surgical skills training with fresh frozen cadavers. Residents were evaluated in three domains: 1) knowledge, 2) surgical skills, and 3) confidence. Knowledge, confidence, and resident satisfaction were evaluated with pre- and post-surveys. The bladder model, derived from the ACOG Simulation Working Group, was used to evaluate surgical skills at baseline and at completion of the curriculum. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Across all three PGY levels, statistically significant improvement<strong>Objectives:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Urinary tract injuries are a known complication of gynecologic surgery, occurring in 0.18</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">% </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""> </span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">0.80% of procedures and most commonly involving the bladder. Appropriate identification, evaluation, treatment, and follow-up by gynecologic surgeons are important to reduce the associated long-term morbidities.</span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">The purpose of this study was to implement a comprehensive cadaver curriculum in cystotomy repair for OBGYN residents. </span><b><span style="font-family:Verdana;">Methods: </span></b><span style="font-family:Verdana;">This was a prospective observational cohort study including 10 OBGYN residents (PGY1-3) at a single institution in 2020 (56% of the 18 eligible residents). The curriculum consisted of a one-hour didactic lecture and one-hour hands-on surgical skills training with fresh frozen cadavers. Residents were evaluated in three domains: 1) knowledge, 2) surgical skills, and 3) confidence. Knowledge, confidence, and resident satisfaction were evaluated with pre- and post-surveys. The bladder model, derived from the ACOG Simulation Working Group, was used to evaluate surgical skills at baseline and at completion of the curriculum. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Across all three PGY levels, statistically significant improvement

关 键 词：Bladder Injury Cystotomy Repair Cadaver Lab Resident Curriculum 

分 类 号：H31[语言文字—英语]