Abstract：
INTRODUCTION:To assess the impact of fatigue due to incorrect night rest in the performance of a laparoscopic manual anastomosis. METHODS:A prospective study evaluating the results from the realization of a manual endotrainer entero-enteral anastomosis performed by residents in terms of fatigue caused by inadequate nightly rest. Two groups were established; the fatigue group (F): anastomosis performed by residents coming off shift who slept less than seven hours and the rest group (R), being those who slept at home for more than 7 hours. The time taken, length of the anastomosis and quality of such were compared based on 4 parameters: Air leak test, correct tension on the suture line, accurate opposition of the edges and optimal distance between stitches. RESULTS:402 anastomoses were studied (211 rest group, 191 fatigue group). In the fatigue group leaks were detected in 33,5% anastomoses, as opposed to 19,4% in the rest group (p < 0.01). El rest group performed the anastomosis in 56,75 min and the fatigue group in 61,49 min (p = 0.006). There were no significant differences in the others parameters. CONCLUSIONS:Fatigue increases the risk of leakage and the time to do the exercise.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Real Noval H,Martín Parra JI,Fernández Fernández J,Del Castillo Criado Á,Ruiz Gómez JL,López Useros A,Fernández Santiago R,Manuel Palazuelos JCdoi
10.1016/j.ciresp.2020.12.010subject
Has Abstractpub_date
2021-01-16 00:00:00eissn
0009-739Xissn
1578-147Xpii
S0009-739X(20)30406-1pub_type
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