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Improving the Evaluation and Management of Cystotomy in Gynecologic Surgery with a Cadaver Surgical Curriculum

Open Journal of Obstetrics and Gynecology 2021年第9期11卷 1202-1216页

作者： Cassandra Presti Conway Xu Chang Liu Larry Walker Lauren Scott S. Abbas Shobeiri Francine McLeod Department of Obstetrics and Gynecology Inova Fairfax Hospital Falls Church USA Department of Surgery Inova Fairfax Hospital Falls Church USA Advanced Surgical Technology and Education Center Inova Fairfax Hospital Falls Church USA Division of Female Pelvic Medicine and Reconstructive Surgery Inova Fairfax Hospital Falls Church USA

Objectives: Urinary tract injuries are a known complication of gynecologic surgery, occurring in 0.18% - 0.80% of procedures and most commonly involving the bladder. Appropriate identification, evaluation, treatment, and follow-up by gynecologic surgeons are important to reduce the associated long-term morbidities. The purpose of this study was to implement a comprehensive cadaver curriculum in cystotomy repair for OBGYN residents. Methods: This was a prospective observational cohort study including 10 OBGYN residents (PGY1-3) at a single institution in 2020 (56% of the 18 eligible residents). The curriculum consisted of a one-hour didactic lecture and one-hour hands-on surgical skills training with fresh frozen cadavers. Residents were evaluated in three domains: 1) knowledge, 2) surgical skills, and 3) confidence. Knowledge, confidence, and resident satisfaction were evaluated with pre- and post-surveys. The bladder model, derived from the ACOG Simulation Working Group, was used to evaluate surgical skills at baseline and at completion of the curriculum. Results: Across all three P

关键词： bladder injury Cystotomy Repair Cadaver Lab Resident Curriculum

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