Impact of resident participation on surgical outcomes in laparoscopically assisted vaginal hysterectomy

Objective To compare surgical outcomes in patients with benign diseases who underwent laparoscopically assisted vaginal hysterectomy (LAVH) to determine the association between surgical outcomes and resident participation in the gynecologic field. Methods A single‐center retrospective study was cond...

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Published in:International journal of gynecology and obstetrics 2024-02, Vol.164 (2), p.587-595
Main Authors: Lee, A. Jin, Kim, Seo‐Yeon, Jang, Eun Bi, Hyun, Jeong‐Ah, Yang, Eun Jung, So, Kyeong A., Lee, Sun Joo, Lee, Ji Young, Kim, Tae Jin, Kang, Soon‐Beom, Shim, Seung‐Hyuk
Format: Article
Language:English
Subjects:
education
Female
Humans
hysterectomy
Hysterectomy - adverse effects
Hysterectomy, Vaginal - adverse effects
laparoscopically assisted vaginal hysterectomy
Laparoscopy - adverse effects
Length of Stay
Postoperative Complications - epidemiology
Postoperative Complications - etiology
resident participation
resident training
Retrospective Studies
surgical outcomes
surgical training
Treatment Outcome
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Summary:Objective To compare surgical outcomes in patients with benign diseases who underwent laparoscopically assisted vaginal hysterectomy (LAVH) to determine the association between surgical outcomes and resident participation in the gynecologic field. Methods A single‐center retrospective study was conducted of patients diagnosed with benign gynecologic diseases who underwent LAVH between January 2010 and December 2015. Clinicopathologic characteristics and surgical outcomes were compared between the resident involvement and non‐involvement groups. The primary endpoint was the 30‐day postoperative morbidity. Observers were propensity matched for 17 covariates for resident involvement or non‐involvement. Results Of the 683 patients involved in the study, 165 underwent LAVH with resident involvement and 518 underwent surgery without resident involvement. After propensity score matching (157 observations), 30‐day postoperative morbidity occurred in 6 (3.8%) and 4 (2.5%) patients in the resident involvement and non‐involvement groups, respectively (P = 0.501). The length of hospital stay differed significantly between the two groups: 5 days in the resident involvement group and 4 days in the non‐involvement group (P 2 (odds ratio [OR] 8.01, 95% confidence interval [CI] 2.68–23.96; P 
ISSN:0020-7292
1879-3479
DOI:10.1002/ijgo.15087