E-Posters-10220_Catanzarite

10220_Catanzarite

Pdf Summary

The study aimed to compare the operative times for robotic-assisted sacrocolpopexy (RASC) performed by FPMRS (Female Pelvic Medicine and Reconstructive Surgery) attendings to those performed by FPMRS fellows using a structured training pathway. Abdominal sacrocolpopexy is considered the gold standard for correcting apical prolapse in women, and minimally invasive techniques reduce complications. However, training in minimally invasive sacrocolpopexy is associated with a learning curve, and longer operative times are a risk factor for complications. The study implemented a novel, structured fellow training pathway for RASC and recorded the operative times for 296 RASC procedures.<br /><br />The results showed that total procedure time and times for specific steps of RASC were slightly increased with fellow involvement. The proportion of operative participation increased with each year of fellowship. Fellows in the F3 year achieved similar total procedure times to attendings. Fellow involvement was not associated with increased intraoperative or postoperative complications, and there were no readmissions.<br /><br />The study concluded that the stepwise structured training curriculum provided safe operative times during RASC procedures performed by FPMRS fellows. This approach allowed for increased fellow participation while maintaining acceptable operative times. The study suggests that this novel approach to surgical education could contribute to quality and patient safety in the teaching environment. Further studies are warranted to evaluate the impact of this training pathway on surgical outcomes and patient care.

Keywords

operative times

robotic-assisted sacrocolpopexy

FPMRS

Female Pelvic Medicine and Reconstructive Surgery

structured training pathway

abdominal sacrocolpopexy

minimally invasive techniques

learning curve

operative participation

postoperative complications