Clinical trial NCT04155177: FAUCS Surgery: Learning Curve for Resident
Official title: Learning Curve of the "French Ambulatory Caesarean Section"
Study type: OBSERVATIONAL
Overall status: WITHDRAWN
Conditions: Caesarean
Training
Keywords: Caesarean
surgery
training
obstetrics
Lead sponsor: University Tunis El Manar
Sponsor class: OTHER
First posted: 2019-11-07
Enrollment: 0
Sex: ALL
Minimum age (years): 18
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: all the included participants will be enrolled in three groups :

* First group : trainees in obstetrics and gynecology who have achieved less than 2 years of their hole curriculum
* Second group : trainees who have acieved at least 2 years and less than 4 years of the curriculum
* third group : trainees who have achieved at least 4 years of their curriculum

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.

Eligibility criteria: Inclusion Criteria:

* 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

Primary outcomes:
measure: Number of surgical procedure needed for a trainee to master the FAUCS.
timeFrame: through study completion, an average of 1 year
Secondary outcomes:
measure: operative time
timeFrame: through study completion, an average of 1 year
measure: neonatal acid base balance
timeFrame: immediately after birth
measure: new born overall condition
timeFrame: 5 minutes after birth
measure: calculated blood loss
timeFrame: the day and 24 hours after surgery
Other outcomes:
Locations:
city: Tunis
country: Tunisia
facility: Kaouther Dimassi
state: Marsa
Study officials:
affiliation: University Tunis El Manar , Faculty of medicine Tunis
name: kaouther dimassi, MD
role: PRINCIPAL_INVESTIGATOR
References: