%0 Journal Article
%T Improving the Evaluation and Management of Cystotomy in Gynecologic Surgery with a Cadaver Surgical Curriculum
%A Cassandra Presti
%A Conway Xu
%A Chang Liu
%A Larry Walker
%A Lauren Scott
%A S. Abbas Shobeiri
%A Francine McLeod
%J Open Journal of Obstetrics and Gynecology
%P 1202-1216
%@ 2160-8806
%D 2021
%I Scientific Research Publishing
%R 10.4236/ojog.2021.119114
%X <strong>Objectives:</strong> <span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">Urinary tract injuries are a known complication of gynecologic surgery, occurring
in 0.18</span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">% </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">-</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\"><span style=\"font-family:Verdana;\">0.80% of procedures and most commonly involving the bladder. Appropriate
identification, evaluation, treatment, and follow-up by gynecologic surgeons are
important to reduce the associated long-term morbidities.</span></span></span><span><span><span style=\"font-family:&quot;\"> </span></span></span><span><span><span style=\"font-family:&quot;\"><span style=\"font-family:Verdana;\">The
purpose of this study was to implement a comprehensive cadaver curriculum in
cystotomy repair for OBGYN residents. </span><b><span style=\"font-family:Verdana;\">Methods: </span></b><span style=\"font-family:Verdana;\">This was a prospective observational
cohort study including 10 OBGYN residents (PGY1-3) at a single institution in
2020 (56% of the 18 eligible residents). The curriculum consisted of a one-hour
didactic lecture and one-hour hands-on surgical skills training with fresh
frozen cadavers. Residents were evaluated in three domains: 1) knowledge, 2)
surgical skills, and 3) confidence. Knowledge, confidence, and resident
satisfaction were evaluated with pre- and post-surveys. The bladder model,
derived from the ACOG Simulation Working Group, was used to evaluate surgical
skills at baseline and at completion of the curriculum. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">Across
all three PGY levels, statistically significant improvements were observed in
knowledge, surgical skills, and confidence after didactic and cadaver education
(p = 0.001, p &lt; 0.02, and p = 0.009 respectively). The largest increases in
confidence occurred in residents¡¯ ability to describe and perform cystotomy
repairs. </span><b><span style=\"font-family:Verdana;\">Conclusions: </span></b><span style=\"font-family:Verdana;\">Educating and training OBGYN residents to manage
and repair cystotomies can be challenging given the low incidence of injury
%K Bladder Injury
%K Cystotomy Repair
%K Cadaver Lab
%K Resident Curriculum
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=112105