Learning Curve of the "French Ambulatory Caesarean Section"
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 试验地点
- 1
- 主要终点
- Number of surgical procedure needed for a trainee to master the FAUCS.
研究概览
简要总结
In the last decades, caesarean section (CS) rates are getting higher in all over the world.
This encourages us to improve operative techniques. In January 2018, investigators have introduced in the study unit: The French Ambulatory C section (FAUCS). This innovative approach appeares to provide a shorter recovery time, with a hospital discharge the day after surgery in 90% and then a better experience of childbirth.
The diffusion of this technique requires its integration to the curriculum of residency.
In this study, investigators will determine the mean number of procedures needed for trainees to master FAUCS.
详细描述
Caesarean section (CS) is of the most commonly performed operations worldwide. This encourages a permanent search to improve the operative techniques for a better childbirth experience. The MisgavLadach (MLC), caesarean section is the gold standard for caesarean section. Thus so, it is included During the first years of obstetrics curriculum.
In January 2018, investigators have introduced The French Ambulatory C section (FAUCS) in the study unit. It is an innovative approach for CS. combining a left paramedian incision , an extra peritoneal access to the uterus and a purse-string double-layer closure of the uterus. Since that date, two doctors practice it regularly. However, the diffusion of this technique requires its integration into the curriculum of residency. Currently, there is no study on the learning procedure of FAUCS.
In our study, investigators will determine the mean number of procedures needed for trainees to master FAUCS.
Once the resident will master the procedure, investigators will study his skills evolution every 5 surgeries performed alone.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •trainee in obstetrics and gynecology.
- •trainee subscribed for a training programm in the suty unit during the study period
- •Exclusion Criteria :
- •Trainee in obstetrics and gynecology subscribed in atraining program elswhere from the sutudy unit during the study period
- •trainee who refused to participate in the study
排除标准
- 未提供
结局指标
主要结局
Number of surgical procedure needed for a trainee to master the FAUCS.
时间窗: through study completion, an average of 1 year
Number of surgical procedure needed for a trainee to acheive the highest evaluation
次要结局
- neonatal acid base balance(immediately after birth)
- operative time(through study completion, an average of 1 year)
- new born overall condition(5 minutes after birth)
- calculated blood loss(the day and 24 hours after surgery)
研究者
Kaouther Dimassi
Associate professor
University Tunis El Manar