Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2020; 87(1):32-38 | DOI: 10.55095/achot2020/005

Faktory ovlivňující četnost komplikací na ortopedickém operačním sálePůvodní práce

S. DUMAN¹, I. TURKMEN^2,*, N. SAGLAM¹

¹ Health Sciences University Umraniye Training and Research Hospital Department of Orthopaedics and Traumatology, Istanbul, Turkey

² Istanbul Medeniyet University Goztepe Training and Research Hospital Department of Orthopaedics and Traumatology, Istanbul, Turkey

PURPOSE OF THE STUDY:
The prevalence of complications in surgical units is available in the literature. The aim of this study was to compare the "rotational" (more than one surgeon) and "full-time single surgeon" use of the orthopedic theater.

MATERIAL AND METHODS:
We retrospectively evaluated patients who underwent orthopedic surgery in 2016 in different theaters. A total of 604 of 1973 patients were excluded from the study, and 1369 patients were analyzed. The follow-up period was 1 year. While evaluating the cases, the duration and order of each case, the total operation time on the table, the number of surgeons, the total number of cases, the number of residents, and the experiences of the surgeons were investigated, and the effects of these parameters on the complication rates were analyzed. The Dindo-Clavien system was used to classify the complications.

RESULTS:
When comparing the methods, the complication rate of the full-time single-surgeon method (12.9%) was less than that of the rotational method (21.7%) (p: 0.022). A higher rate of complications (8.5%) was observed in operations with a duration of 115 minutes or more compared to other operations (p

Klíčová slova: patient safety, surgical planning, operation time, operation order, orthopedic complication

Zveřejněno: 1. prosinec 2020  Zobrazit citaci