FAUCS Surgery: Learning Curve for Resident
- Conditions
- TrainingCaesarean
- Registration Number
- NCT04155177
- Lead Sponsor
- University Tunis El Manar
- Brief Summary
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.
- Detailed Description
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.
Recruitment & Eligibility
- Status
- WITHDRAWN
- Sex
- All
- Target Recruitment
- Not specified
- 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
Not provided
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Number of surgical procedure needed for a trainee to master the FAUCS. through study completion, an average of 1 year Number of surgical procedure needed for a trainee to acheive the highest evaluation
- Secondary Outcome Measures
Name Time Method neonatal acid base balance immediately after birth cord blood gaz
operative time through study completion, an average of 1 year time elapsed from skin incision and the end of surgery will be measured in minutes
new born overall condition 5 minutes after birth Apgar score ( The Apgar score is determined by evaluating the newborn baby on five simple criteria on a scale from zero to two, then summing up the five values thus obtained. The resulting Apgar score ranges from zero to 10. The five criteria are summarized using words chosen to form an ackronym (Appearance, Pulse, Grimace, Activity, Respiration).he test is generally done at 1 and 5 minutes after birth and may be repeated later if the score is and remains low. Scores 7 and above are generally normal; 4 to 6, fairly low; and 3 and below are generally regarded as critically low and cause for immediate resuscitative efforts .
calculated blood loss the day and 24 hours after surgery changes in hematocrites levels before and after a surgery
Trial Locations
- Locations (1)
Kaouther Dimassi
🇹🇳Tunis, Marsa, Tunisia
Kaouther Dimassi🇹🇳Tunis, Marsa, Tunisia