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Status: Bibliographieeintrag

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Verfasst von:Hirche, Christoph [VerfasserIn]   i
 Kneser, Ulrich [VerfasserIn]   i
 Xiong, Lingyun [VerfasserIn]   i
 Wurzer, Paul [VerfasserIn]   i
 Ringwald, Felicitas [VerfasserIn]   i
 Obitz, Franziska [VerfasserIn]   i
 Fischer, Sebastian [VerfasserIn]   i
 Harhaus-Wähner, Leila [VerfasserIn]   i
 Gazyakan, Emre [VerfasserIn]   i
 Kremer, Thomas [VerfasserIn]   i
Titel:Microvascular free flaps are a safe and suitable training procedure during structured plastic surgery residency
Titelzusatz:a comparative cohort study with 391 patients
Verf.angabe:Christoph Hirche, Ulrich Kneser, Lingyun Xiong, Paul Wurzer, Felicitas Ringwald, Franziska Obitz, Sebastian Fischer, Leila Harhaus, Emre Gazyakan, Thomas Kremer
E-Jahr:2016
Jahr:May 2016
Umfang:7 S.
Fussnoten:Gesehen am 14.05.2020
Titel Quelle:Enthalten in: Journal of plastic, reconstructive & aesthetic surgery
Ort Quelle:Amsterdam [u.a.] : Elsevier, 2006
Jahr Quelle:2016
Band/Heft Quelle:69(2016), 5, Seite 715-721
ISSN Quelle:1878-0539
Abstract:Background - Microvascular free flaps have become a reliable standard procedure. Due to increasing microsurgical experience in teaching hospitals, residents are getting acquainted with performing free flap surgeries earlier in their training. However, economic considerations and safety regulations contradict adequate teaching. A validation of procedures for residency training is necessary to reduce the existing concerns. - Methods - This retrospective, comparative cohort study was designed to investigate whether free flaps are a safe residency training procedure. In addition, the aim was to establish standards for microsurgical training. Between 2008 and 2011, 391 patients were included who underwent reconstructive surgery with free flaps, under the supervision of either an experienced microsurgeon (cohort 1) or a resident in training (cohort 2). Patient demographics, interventional characteristics, as well as outcome parameters were attributed for comparative analysis. - Results - The comparison of both cohorts revealed a significant difference for defect cause (p < 0.01) and defect localization (p < 0.001). Free flaps for breast reconstruction were more frequently used in cohort 1, and ALT flaps were more used in cohort 2 (p < 0.001). The length of hospital stay was significantly reduced in cohort 1 (p < 0.001). No significant differences for major postoperative complications were identified. - Conclusion - With respect to standardized environmental conditions and risk stratification, microvascular free flaps can be applied as a safe training procedure during residency. Adequate teaching conditions require a sufficient case load and a high level of expertise of the teacher. The resident's experience and skills as well as the institutional infrastructure and expertise require consideration. Level of evidence: III.
DOI:doi:10.1016/j.bjps.2016.01.022
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.bjps.2016.01.022
 Volltext: http://www.sciencedirect.com/science/article/pii/S1748681516000516
 DOI: https://doi.org/10.1016/j.bjps.2016.01.022
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Free flap
 Microsurgery
 Plastic surgery
 Residency
 Skills
 Training procedure
K10plus-PPN:1698235925
Verknüpfungen:→ Zeitschrift

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