Decoding Factors Influencing Post-Operative Outcomes in Surgical Residents' Minor Surgeries
Keywords:
Minor surgery, Complication, Surgical resident, TrainingAbstract
Objective: Effective surgical residency training is essential for developing competent surgeons. The first year of training focuses on basic knowledge and fundamental surgical skills. Consequently, minor surgical procedures suit first-year surgical residents with minimal complexity and low complication rates. This pilot study aimed to evaluate the complications associated with surgical residency practice and examine the factors associated with these complications.
Materials and Methods: This study employed a single-center retrospective review method to evaluate the complications arising from surgical residents' minor operations and identify the factors associated with these complications. Data were collected at Siriraj Hospital over three consecutive years, from 2016 to 2018.
Results: During the study period, a total of 1,572 minor operations were performed by surgical residents. The overall complication rate was 4.3%, which included surgical site infections, wound dehiscence, hematoma or bleeding, seroma, and superficial skin necrosis. Among the surgical site infection cases, an operative time exceeding 30 minutes (OR 13.3, p-value = 0.00) and lesion size larger than two centimeters (OR 5.24, p-value = 0.01) were significant influencing factors for complications. Conversely, residents' background characteristics and the presence of a 'July effect' did not significantly impact surgical outcomes.
Conclusion: The rate of complications associated with minor operations performed by residents at Siriraj Hospital was comparable to the findings from other studies. The most common complications were wound dehiscence and surgical site infections. Operative time and lesion size were significant factors affecting complications. The results of this study can contribute to enhancing surgical residency training.
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