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An evaluation of abdominal wall closure in general surgical and gynecological residents.

Publication ,  Journal Article
Williams, Z; Williams, S; Easley, HA; Seita, HM; Hope, WW
Published in: Hernia
December 2017

PURPOSE: To evaluate abdominal wall closure knowledge base and technical skills in surgical and OB/GYN residents. METHODS: Residents consented to participate in a skills laboratory and quiz. The skills portion involved closure of a 10-cm incision on a simulated abdominal wall. Participants were timed, filmed, and graded using a standardized grading system. RESULTS: Thirty surgical and OB/GYN residents participated. All residents reported closing the abdominal wall continuously, 97% preferred slowly absorbing sutures (28/29), 97% preferred taking 1-cm bites (29/30), and 93% spaced bites 1 cm apart (27/29). However, 77% (10/13) of surgery residents identified 4:1 as the ideal suture to wound length ratio; 47% (7/15) of OB/GYN residents believed it to be 2:1, and another 40% (6/15) indicated 3:1 (p < 0.0001). In the simulation, OB/GYN residents used significantly fewer stitches (p = 0.0028), significantly more distance between bites (p < 0.0001), and significantly larger bite size (p < 0.0001) than surgery residents. When graded, there was no significant difference between programs. CONCLUSIONS: Despite some knowledge regarding the principles of abdominal wall closure among surgical and OB/GYN residents, more instruction is needed. We identified some differences in knowledge base and techniques for abdominal wall closure among general surgery and OB/GYN residents, which are likely due to differences in educational curriculums.

Duke Scholars

Published In

Hernia

DOI

EISSN

1248-9204

Publication Date

December 2017

Volume

21

Issue

6

Start / End Page

873 / 877

Location

France

Related Subject Headings

  • Sutures
  • Surgery
  • Internship and Residency
  • Humans
  • Gynecology
  • General Surgery
  • Curriculum
  • Clinical Competence
  • Abdominal Wound Closure Techniques
  • Abdominal Wall
 

Citation

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Williams, Z., Williams, S., Easley, H. A., Seita, H. M., & Hope, W. W. (2017). An evaluation of abdominal wall closure in general surgical and gynecological residents. Hernia, 21(6), 873–877. https://doi.org/10.1007/s10029-017-1682-z
Williams, Z., S. Williams, H. A. Easley, H. M. Seita, and W. W. Hope. “An evaluation of abdominal wall closure in general surgical and gynecological residents.Hernia 21, no. 6 (December 2017): 873–77. https://doi.org/10.1007/s10029-017-1682-z.
Williams Z, Williams S, Easley HA, Seita HM, Hope WW. An evaluation of abdominal wall closure in general surgical and gynecological residents. Hernia. 2017 Dec;21(6):873–7.
Williams, Z., et al. “An evaluation of abdominal wall closure in general surgical and gynecological residents.Hernia, vol. 21, no. 6, Dec. 2017, pp. 873–77. Pubmed, doi:10.1007/s10029-017-1682-z.
Williams Z, Williams S, Easley HA, Seita HM, Hope WW. An evaluation of abdominal wall closure in general surgical and gynecological residents. Hernia. 2017 Dec;21(6):873–877.
Journal cover image

Published In

Hernia

DOI

EISSN

1248-9204

Publication Date

December 2017

Volume

21

Issue

6

Start / End Page

873 / 877

Location

France

Related Subject Headings

  • Sutures
  • Surgery
  • Internship and Residency
  • Humans
  • Gynecology
  • General Surgery
  • Curriculum
  • Clinical Competence
  • Abdominal Wound Closure Techniques
  • Abdominal Wall