Back to Search
Start Over
Comparison of surgical outcomes of free flap reconstructions performed by expert microsurgeons and trainees who completed a structured microsurgical training program in a teaching hospital.
- Source :
-
Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2020 Oct; Vol. 73 (10), pp. 1834-1844. Date of Electronic Publication: 2020 May 22. - Publication Year :
- 2020
-
Abstract
- Background: Few studies have evaluated clinical outcomes of novice surgeons trained in a microsurgical training program. Herein, we describe successful free flap reconstructions performed by trainees who completed a structured microsurgical training program.<br />Methods: The Microsurgical Skills Training Course, a laboratory-based structured microsurgical training program, was developed and used for microsurgical training. Three trainees (postgraduate years 6 and 7) who completed the training course during residency were assigned to perform free flap reconstructions between March 2015 and February 2019. Clinical outcomes of free flap reconstruction were assessed. A retrospective propensity-score-matched analysis was performed between the trainee and expert microsurgeon groups.<br />Results: A total of 161 patients were included. Of them, 67 (25 of the trainee group and 42 of the expert group) were propensity score-matched. No flap failure developed in either matched group (p>0.999). Rates of overall complications, partial flap loss, and emergent reoperation due to vascular compromise were not significantly different between the two groups (p=0.384, p=0.525, and p=0.322, respectively), whereas those of donor complications and overall operation time were significantly higher in the trainee group than the expert group (p=0.002 and p<0.001, respectively).<br />Conclusion: The use of a structured microvascular training program in qualified teaching hospitals may help trainees achieve independence as microsurgeons and favorable clinical outcomes.<br />Competing Interests: Declaration of competing interest None.<br /> (Copyright © 2020 Elsevier Ltd. All rights reserved.)
- Subjects :
- Hospitals, Teaching
Humans
Microsurgery statistics & numerical data
Postoperative Complications epidemiology
Propensity Score
Plastic Surgery Procedures methods
Plastic Surgery Procedures statistics & numerical data
Retrospective Studies
Treatment Outcome
Clinical Competence
Free Tissue Flaps
Microsurgery education
Microsurgery standards
Plastic Surgery Procedures education
Plastic Surgery Procedures standards
Subjects
Details
- Language :
- English
- ISSN :
- 1878-0539
- Volume :
- 73
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS
- Publication Type :
- Academic Journal
- Accession number :
- 32536464
- Full Text :
- https://doi.org/10.1016/j.bjps.2020.05.036