Abdominal wall closure: resident education and human error

Purpose Secure abdominal wall closure for laparotomy incisions is paramount in prevention of hernia formation. Despite the importance, abdominal closure is often delegated to the resident surgeon. The purpose of this study was to assess residents’ formal training, knowledge, and technique in abdomin...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2010-10, Vol.14 (5), p.463-466
Main Authors: Hope, W. W., Watson, L. I., Menon, R., Kotwall, C. A., Clancy, T. V.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Abdominal Wall - surgery
Educational Measurement
Humans
Internship and Residency - methods
Laparotomy - education
Laparotomy - methods
Medical Errors
Medicine
Medicine & Public Health
Original Article
Surveys and Questionnaires
Suture Techniques - education
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Summary:Purpose Secure abdominal wall closure for laparotomy incisions is paramount in prevention of hernia formation. Despite the importance, abdominal closure is often delegated to the resident surgeon. The purpose of this study was to assess residents’ formal training, knowledge, and technique in abdominal wall closure. Methods All surgical residents in our training program participated in a skills laboratory and completed a questionnaire. The skills portion involved closure of a 10-cm incision on a simulated abdominal wall. Participants were timed, videotaped, and graded using a standardized grading system. Lengths of the suture bites were measured. Regression analysis was used to compare results based on number of closures. A P -value of
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-010-0691-y