Assessment of Qualification of Surgeons when Carrying Out Recovery Operations at Patients after Obstructive Resections of a Colon and Rectum

Abstract


Relevance Reconstructive operation after obstructive colon resection is complex and high risk of complication and mortality. Appropriate to carry out such operation in specialized department
The purpose of study Analyze results of treatment colostomy patients by different surgeon in specialized center. Determine their rating on the basis of operational activity and results of treatment.
Materials and methods Reconstructive operations after obstructive colon resection were studied in 161 patients. 134 operations were performed by 3 surgeons (category A, B, C) and 27 operations were performed by 9 surgeons (category D).
The treatment outcome was defined on the basis of study intraabdominal complications, excluded somatic and infectious aftereffects. Applying the formula calculation with considering quantity and difficulty reconstructive operation.
Results and their discussion The high rating of category A,B,C group of surgeon is 19-83 point. They specialized on reconstructive surgery of colon and performed from 30 to 47 operation. The leading specialist has many complication and most high rating, because of quantity and difficulty operations. Low rating of group D surgeons (13 points) due to the high level of complications and rare operating.
Conclusion Rating surgeons depends on number, difficulty of operations, and quantity of intraabdominal complications. Method of calculation rating objectively shows experience and results of surgeons. With the same qualification (experience, qualification category, scholastic degree), the better result among doctors, that specialized on reconstructive surgery.

Regional Clinical Hospital №1, 46A Odesskaia Str., Tiumen', 625023, Russian Federation

Author for correspondence.
Email: matveevia@mail.ru
surgeon, Tiumen' regional hospital №1

Regional Clinical Hospital №1, 46A Odesskaia Str., Tiumen', 625023, Russian Federation

Email: admin@vestnik-surgery.com
MD., prof. of Tiumen' medical academy

Regional Clinical Hospital №1, 46A Odesskaia Str., Tiumen', 625023, Russian Federation

Email: admin@vestnik-surgery.com
surgeon of Tiumen' regional hospital №1

Regional Clinical Hospital №1, 46A Odesskaia Str., Tiumen', 625023, Russian Federation

Email: admin@vestnik-surgery.com
surgeon of Tiumen' regional hospital №1

Regional Clinical Hospital №1, 46A Odesskaia Str., Tiumen', 625023, Russian Federation

Email: admin@vestnik-surgery.com
prof. of Tiumen' medical academy

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