Impact of Trainees Involvement on Surgical Outcomes of Abdominal and Laparoscopic Myomectomy in Tertiary Care Hospital

Myomectomy was one of the most frequently performed gynecologic procedures. It was a core competency of training in the field of Obstetrics and Gynecology internationally and was increasingly performed. Objective: To find the impact of trainee’s involvement on surgical outcomes of abdominal and laparoscopic myomectomy in tertiary care hospital. Methods: This retrospective study was conducted at Iqra National University Department of Allied Health Sciences Peshawar from May 2022 to January 2023. Data were collected from 245 patients who had undergone abdominal and laparoscopic myomectomy in tertiary care hospital. Data were collected by using questionnaire which include all the information related to demographic, socioeconomic status of patients, trainee’s information, operative details, preoperative measures, postoperative measures, length of hospital stay, blood loss during surgery. Results: Data were collected from 245 patients from hospital records. Mean age in group A was 42.01 ± 8.23 years and group B 41.76 ± 9.09 years. Mean uterine size in trainee involved group was 10.2 ± 2.1cm and in group B was 10.5 ± 2.3 cm. In simple abdominal myomectomy, procedures performed with trainees took longer compared to those without trainees, with a mean operative time of 110 ± 20 minutes versus 90 ± 15 minutes, respectively (p <0.05). Conclusions: It was concluded that trainee involvement in abdominal and myomectomies surgeries create a significant but negative impact on surgical outcomes due to increased operative time and complications.