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Gynecologic Oncology, Dipartimento per le Scienze della Salute della Donna e del Bambino, Fondazione Policlinico Universitario A. Gemelli IRCCS, Department of Gynecology and Obstetrics, Roma, Italy; Università Cattolica del Sacro Cuore, Roma, Italy..
Acta Biomed. 2020 Sep 16;92(1):e2021011. doi: 10.23750/abm.v92i1.10649.
The present study aims to investigate the number of surgical procedures performed by Italian residents and their confidence to carry out different surgeries in obstetrics and gynecology.
The present study is a national survey including all Italian gynecology and obstetrics senior residents. A questionnaire including 25 questions was provided. The free Google Forms site was used to create the survey. The study was conducted from April to October 2019. The survey started from the University Hospital of Parma, a tertiary hospital, and was sent to all the Italian post-graduation medical school in gynecology and obstetrics. An e-mail was sent to all representative residents in gynecology and obstetrics in Italy, then forwarded to all the senior residents.
Of the 555 residents enrolled, 100 joined the survey (18.2%). The analysis of the different procedures performed by residents has shown that 53%, 57%, and 77% of the residents had never performed a laparotomic, laparoscopic, and vaginal hysterectomy, respectively. The analysis of cesarean section skills has shown that 1% of residents had never performed any simple cesarean section, and 6% of residents had never performed any complex cesarean section. Fifty-two doctors in training had never performed an operative vaginal delivery. Seventy-three and ninety-three residents performed more than thirty uterine curettages and sutures of 1st or 2nd degree tears, respectively.
In Italy, senior residents are generally confident with the low-complexity procedures and also with complex cesarean sections. The number of Italian residents confident to perform a hysterectomy is poor.
本研究旨在调查意大利住院医师实施的手术数量及其在妇产科进行不同手术的信心。
本研究是一项全国性调查，包括所有意大利妇科和产科的高级住院医师。提供了一份包含 25 个问题的问卷。使用免费的 Google Forms 网站创建了调查。研究于 2019 年 4 月至 10 月进行。调查从三级医院帕尔马大学医院开始，并发送给所有妇产科的意大利研究生医学院。向意大利所有妇科和产科代表住院医师发送了一封电子邮件，然后转发给所有高级住院医师。
在注册的 555 名住院医师中，有 100 名参加了调查（18.2%）。对住院医师实施的不同手术的分析表明，53%、57%和 77%的住院医师分别从未进行过剖腹、腹腔镜和阴道子宫切除术。剖宫产技能分析表明，1%的住院医师从未进行过任何单纯剖宫产，6%的住院医师从未进行过任何复杂剖宫产。52 名受训医生从未进行过经阴道分娩。73 名和 93 名住院医师分别进行了 30 多次第一或第二度撕裂的子宫刮宫和缝合。
在意大利，高级住院医师普遍对低复杂度的手术有信心，对复杂的剖宫产也有信心。对子宫切除术有信心的意大利住院医师数量较少。
