Table 5.
Surgical experience of main surgeon: ≤12 operations/year | |||
---|---|---|---|
Assistant performing ≤ 6 POP operations/year as main surgeon | Assistant performing ≥ 24 POP operations/year as main surgeon | P value | |
Surgeon-reported outcomes | |||
Perioperative bleeding (ml) | |||
Mean | 30.32 | 35.23 | |
SD | 33.45 | 14.92 | 0.494 |
n | 576 | 22 | |
N | 643 | 26 | |
Reoperation within 1 year | |||
Yes | 1.4% | 0.0% | |
95% CI | (0.65–2.68) | N/A | 0.544 |
n | 643 | 26 | |
N | 643 | 26 | |
Surgeon-reported complication (of any kind) within 1 year | |||
Yes | 15.1% | 11.5% | |
95% CI | (12.4–18.1) | (2.4–30.2) | 0.619 |
n | 643 | 26 | |
N | 643 | 26 | |
Organ damage (perforation: bladder, urethra, or intestine) | |||
Yes | 0% | 0% | |
95% CI | N/A | N/A | |
n | 643 | 26 | |
N | 643 | 26 | |
Patient-reported outcomes | |||
Number of days using painkillers at home after surgery | |||
Mean | 4.75 | 6.44 | |
SD | 6.87 | 10.79 | 0.344 |
n | 455 | 16 | |
N | 643 | 26 | |
Patient-reported complications within 8 weeks, with medical attention sought | |||
Yes | 21.6% | 31.8% | |
95% CI | (18.3–25.2) | (13.9–54.9) | 0.250 |
n | 565 | 22 | |
N | 643 | 26 | |
Complications needing hospitalization up to 8 weeks after surgery | |||
Yes | 2.7% | 5.0% | |
95% CI | (1.5–4.5) | (0.1–24.9) | 0.586 |
n | 512 | 20 | |
N | 643 | 26 | |
Satisfaction, 1 year after the surgery | |||
Yes | 72.1% | 60.0% | |
95% CI | (67.7–76.1) | (63.1–80.9) | 0.241 |
n | 462 | 20 | |
N | 643 | 26 | |
Patient-reported feeling of genital protrusion, 1 year after surgery | |||
Yes | 70.7% | 56.5% | |
95% CI | (66.3–74.9) | (23.2–65.5) | 0.146 |
n | 458 | 23 | |
N | 643 | 26 |
Satisfaction and failure rates are taken from the 1-year questionnaire, covering operations from 1 January 2006 to 31 December 2015
All outcomes are for otherwise healthy patients operated on by an inexperienced main surgeon (performing no more than 12 colporrhaphy operations per active year) and an assistant surgeon. Results are stratified by the assistant surgeon’s experience as the main surgeon