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Surgical competence of obstetrics and gynecology residents performing microsurgical tubal anastamoses.
Frattarelli, John L; Hong, Steve; McWilliams, Grant D E.
Afiliación
  • Frattarelli JL; Tripler Army Medical Center, Honolulu, Hawaii, USA. jfrattarelli@rmanj.com
J Assist Reprod Genet ; 24(1): 53-6, 2007 Jan.
Article en En | MEDLINE | ID: mdl-17177109
OBJECTIVE: To assess tubal patency rates after microsurgical tubal anastamosis in a residency program. STUDY DESIGN: Retrospective cohort analysis. Primary outcome measurement was tubal patency rates. RESULTS: Twenty-seven of the forty-nine patients (55.1%) had bilateral tubal patency and twenty-one of the forty-nine (42.9%) had only one tube open after surgery. No statistical difference in tubal patency rate was noted between the REI staff (85.7%) and the resident (71.4%) (p=0.09). No statistical difference was noted when comparing the patency rate of the residents' first procedure (68.6%) to subsequent procedures (72.8%) (p=0.99). CONCLUSIONS: These data suggest that with appropriate guidance, residents without prior experience are able to perform microsurgical procedures under direct supervision. Residents completed the procedure with patency rates similar to the REI staff. Additionally, tubal patency rates were not significant different in comparing the residents' first or subsequent procedures.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reversión de la Esterilización / Competencia Clínica / Internado y Residencia Tipo de estudio: Observational_studies Límite: Adult / Female / Humans Idioma: En Revista: J Assist Reprod Genet Asunto de la revista: GENETICA / MEDICINA REPRODUTIVA Año: 2007 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Reversión de la Esterilización / Competencia Clínica / Internado y Residencia Tipo de estudio: Observational_studies Límite: Adult / Female / Humans Idioma: En Revista: J Assist Reprod Genet Asunto de la revista: GENETICA / MEDICINA REPRODUTIVA Año: 2007 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Países Bajos