Effect of Resident Participation on Hysterectomy Outcomes in Morbidly Obese Patients

Abstract

Study Objective To assess the effect of resident participation on hysterectomy-related complications in morbidly obese patients. Design Retrospective cohort study. Setting Tertiary-care academic medical center. Patients or Participants Patients with BMI > 40 kg/m2 who underwent any route of hysterectomy between 4/2014 and 3/2018 were eligible for inclusion. 225 patients were randomly selected, excluding patients with gynecologic malignancy or prior bariatric surgery. Interventions 108 patients with resident participation in hysterectomy were compared to 117 patients with no resident participation. Data was collected by manual chart review and polytomous logistic regression was used for analysis. Measurements and Main Results Mean BMI in the group with resident participation was 46.4 kg/m2, compared to 45.2 kg/m2 in the group with no resident (P=0.12). Mean operative time was 69 minutes longer in the group with resident participation (241.6 minutes v. 172.9 minutes, P Conclusion In this cohort of morbidly obese patients, resident participation in hysterectomy was associated with significantly longer operative time, substantially greater odds of complications occurring during surgery, and greater odds of any 30-day hysterectomy-related complication.