The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies—The Experience of Our Center
Background: Laparoscopy for benign ovarian pathology is the appropriate surgical approach and it has many well-known advantages. Minimal invasive gynecological surgery increases the quality of life of the patient. The learning process of laparoscopy is difficult and requires many interventions to ac...
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MDPI AG
2023-06-01
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| Online Access: | https://www.mdpi.com/2227-9032/11/12/1752 |
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| author | Romina-Marina Sima Anca-Violeta Crăițan Liana Pleș Florin Bobircă Mihaela Amza Gabriel-Petre Gorecki Mihai-Teodor Georgescu Bashar Haj Hamoud |
| author_facet | Romina-Marina Sima Anca-Violeta Crăițan Liana Pleș Florin Bobircă Mihaela Amza Gabriel-Petre Gorecki Mihai-Teodor Georgescu Bashar Haj Hamoud |
| author_sort | Romina-Marina Sima |
| collection | DOAJ |
| description | Background: Laparoscopy for benign ovarian pathology is the appropriate surgical approach and it has many well-known advantages. Minimal invasive gynecological surgery increases the quality of life of the patient. The learning process of laparoscopy is difficult and requires many interventions to acquire manual skills. The objectives of the study were to assess the learning process of laparoscopy for adnexal pathology surgery performed by beginner laparoscopists. Materials and Methods: This study included three gynecological surgeons who were beginners in laparoscopy and who were named A, B, and C. We collected information about patients, diagnosis, surgical technique, and complications. Results: We have analyzed the data from 159 patients. The most frequent primary diagnosis was functional ovarian cyst, and the laparoscopic cystectomy was performed in 49.1% of interventions. The need to convert a laparoscopy into laparotomy was necessary in 1.3% of patients. There were no cases of reintervention, blood transfusion, or ureteral lesions. The duration of the surgical intervention varied statistically significantly according to patient’s BMI and to the surgeon. After 20 laparoscopic interventions, a significant improvement was found in the time needed to perform ovarian cystectomy (operators A and B) and salpingectomy (operator C). Conclusions: The process of learning laparoscopy is laborious and difficult. We found a significant decrease in operating time after a twenty laparoscopic interventions. |
| first_indexed | 2024-03-11T02:24:29Z |
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| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T02:24:29Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-6b9e3456a86844598f289854bc73a0452023-11-18T10:38:38ZengMDPI AGHealthcare2227-90322023-06-011112175210.3390/healthcare11121752The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies—The Experience of Our CenterRomina-Marina Sima0Anca-Violeta Crăițan1Liana Pleș2Florin Bobircă3Mihaela Amza4Gabriel-Petre Gorecki5Mihai-Teodor Georgescu6Bashar Haj Hamoud7Department of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of Surgery, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaDepartment of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaFaculty of Medicine, Titu Maiorescu University, 040441 Bucharest, Romania“Prof. Dr. Al. Trestioreanu” Oncology Discipline, Carol Davila University of Medicine and Pharmacy, 252 Fundeni St., 050474 Bucharest, RomaniaDepartment for Gynecology, Obstetrics and Reproductive Medicine, Saarland University Hospital, KirrbergerStraße 100, Building 9, 66421 Homburg, GermanyBackground: Laparoscopy for benign ovarian pathology is the appropriate surgical approach and it has many well-known advantages. Minimal invasive gynecological surgery increases the quality of life of the patient. The learning process of laparoscopy is difficult and requires many interventions to acquire manual skills. The objectives of the study were to assess the learning process of laparoscopy for adnexal pathology surgery performed by beginner laparoscopists. Materials and Methods: This study included three gynecological surgeons who were beginners in laparoscopy and who were named A, B, and C. We collected information about patients, diagnosis, surgical technique, and complications. Results: We have analyzed the data from 159 patients. The most frequent primary diagnosis was functional ovarian cyst, and the laparoscopic cystectomy was performed in 49.1% of interventions. The need to convert a laparoscopy into laparotomy was necessary in 1.3% of patients. There were no cases of reintervention, blood transfusion, or ureteral lesions. The duration of the surgical intervention varied statistically significantly according to patient’s BMI and to the surgeon. After 20 laparoscopic interventions, a significant improvement was found in the time needed to perform ovarian cystectomy (operators A and B) and salpingectomy (operator C). Conclusions: The process of learning laparoscopy is laborious and difficult. We found a significant decrease in operating time after a twenty laparoscopic interventions.https://www.mdpi.com/2227-9032/11/12/1752learning processlaparoscopic gynecologygynecological surgerylaparoscopyovarian cyst |
| spellingShingle | Romina-Marina Sima Anca-Violeta Crăițan Liana Pleș Florin Bobircă Mihaela Amza Gabriel-Petre Gorecki Mihai-Teodor Georgescu Bashar Haj Hamoud The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies—The Experience of Our Center Healthcare learning process laparoscopic gynecology gynecological surgery laparoscopy ovarian cyst |
| title | The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies—The Experience of Our Center |
| title_full | The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies—The Experience of Our Center |
| title_fullStr | The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies—The Experience of Our Center |
| title_full_unstemmed | The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies—The Experience of Our Center |
| title_short | The Beginner Laparoscopists Trends in the Learning Process of Laparoscopy for Adnexal Gynecological Pathologies—The Experience of Our Center |
| title_sort | beginner laparoscopists trends in the learning process of laparoscopy for adnexal gynecological pathologies the experience of our center |
| topic | learning process laparoscopic gynecology gynecological surgery laparoscopy ovarian cyst |
| url | https://www.mdpi.com/2227-9032/11/12/1752 |
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