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Learning curves of a resident surgeon performing transobturator tape procedures for stress urinary incontinence
Author(s) -
Montera Roberto,
Plotti Francesco,
Ricciardi Roberto,
Miranda Andrea,
Venturella Roberta,
Zullo Fulvio,
Angioli Roberto
Publication year - 2016
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2016.02.017
Subject(s) - medicine , urinary incontinence , confidence interval , surgery , stress incontinence , general surgery
Objective To evaluate the number of procedures necessary for an untrained resident surgeon to learn transobturator tension‐free vaginal tape (TVT‐O) procedures for treatment of stress urinary incontinence (SUI). Methods A prospective study was performed among patients aged 18–75 years who underwent TVT‐O procedures at a center in Rome, Italy, between March 2, 2009, and November 30, 2012. The TVT‐O procedure was performed by a right‐handed resident surgeon working under the supervision of an expert surgeon. Total and partial operative times were recorded. Results Among 18 patients included in analysis, the mean operative time was 22.2 minutes (range 7–44). All total operative times fell within the confidence interval after the 10th procedure, with a difference between the mean times recorded in the first nine and the last eight procedures (29.5 vs 13.1 minutes; P < 0.001). The resident surgeon required nine procedures to learn right tunneling and 13 to learn left tunneling. Conclusion Ten procedures were required for a resident surgeon to learn TVT‐O procedures for SUI.