尼日利亚研究生肠吻合术培训趋势及实践模式横断面调查

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
O. Balogun, E. Jeje, O. Atoyebi
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引用次数: 0

摘要

背景:多年来,外科教育中师徒技能学习的概念一直是培训和知识获取的基础。肠吻合技术是外科培训生早期应掌握的基础技能之一。本研究旨在评估尼日利亚研究生肠吻合术的培训趋势和现状。方法:采用自填问卷对拉各斯国立医学研究生院2020年年度修读课程的外科学员进行横断面调查。结果:有效率为74.1%。年龄29 ~ 52岁,平均35.5±4.6岁。大多数受访者未来的职业兴趣是普外科,在外科研究生二年级(43.3%)和三年级(38.3%)。非创伤性急腹症(71.7%)是胃肠吻合术最常见的指征。大多数应答者在选择性结直肠手术中预防性使用肠道准备和鼻胃管放置。采用合成可吸收缝线的二层吻合术是最受欢迎的。无论肠的哪个部分参与了吻合术,这都是首选的技术。术后第5天开始口服是首选时间。20名受访者给出的吻合口漏率估计为0%-10%,其中71.7%的受访者将其归因于系统性因素。尽管86.7%的受访者希望进一步接受肠吻合方面的正规培训,但三分之二的受访者认为他们目前的吻合技能良好。结论:非创伤性急腹症是肠吻合术最常见的适应证。传统的两层吻合与合成可吸收缝合线较其他吻合技术更受青睐。多数患儿术后第5天开始口服喂养。三分之一的受访者报告的自评吻合口漏≤10%。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Training trends and practice pattern of intestinal anastomosis among Nigerian Postgraduate Trainees: A cross-sectional survey
Background: The concept of mentor-mentee skills learning in surgical education has been the bedrock of training and knowledge acquisition over many years. Techniques of intestinal anastomosis are one of the fundamentals skills to be mastered in the early career of trainees in surgery. This study aims to evaluate the training trends and current practice of intestinal anastomosis amongst Nigerian postgraduate trainees. Methods: A cross-sectional survey using a self-administered questionnaire was conducted on surgical trainees who attended the 2020 annual revision course of the National Postgraduate Medical College in Lagos. Results: Response rate was 74.1%. The age range of respondents was 29–52 years with a mean 35.5 ± 4.6 years. Majority of the respondents had their future career interest in general surgery and were in the second (43.3%) and third (38.3%) postgraduate year in surgery. Nontraumatic emergency abdominal conditions (71.7%) were the most common indication for gastrointestinal anastomosis. Majority of the respondents practice prophylactic use of bowel preparation and nasogastric tube placement for elective colorectal procedures. Two-layer anastomosis using synthetic absorbable suture was favored by most respondents. This was the technique of choice regardless of the segment of the bowel involved in the anastomosis. Fifth postoperation day was the most preferred time for the commencement of oral intake. Twenty respondents gave an estimated anastomotic leak rate of 0%–10% and this was attributed to systemic factors by 71.7% of the respondents. Two-third of respondents rated their current anastomotic skills as good even though 86.7% of respondents desired further formal training in intestinal anastomosis. Conclusion: Nontraumatic emergency abdominal conditions were the most common indication for intestinal anastomosis. The traditional two-layer anastomosis with synthetic absorbable sutures was favored over other anastomotic techniques. Majority would commence oral feeding on 5th day postoperation. Self-rated anastomotic leak reported by a third of respondents was ≤10%.
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
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发文量
15
审稿时长
45 weeks
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