Clinical outcomes and trainee evaluation of intraoperative ultrasound guided localisation of impalpable breast lesion (IOL) training in the Cambridge Breast Unit (CBU)
Association of Breast Surgery ePoster Library. Wignarajah P. 05/13/19; 257104; P060
Primeera Wignarajah
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Rate & Comment (0)
P060
Topic: Breast surgery
Introduction: Intraoperative ultrasound guided localisation of impalpable breast lesions (IOL) is incorporated into the standard practice of the Cambridge Breast Unit (CBU) with low re-operation rates and specimen weights compared with national standards.A training programme for IOL was established for senior breast trainees.This study evaluates the clinical outcomes and feedback of trainees who have completed the IOL programme. Methods Two senior breast trainees with prior formal breast ultrasound training were given one to one training by a consultant surgeon competent in IOL. Once they were deemed competent they performed IOL independently. We retrospectively collected their re-operation rates and specimen weights and compared this to preoperative localisation outcomes for the CBU.Their training was evaluated with a detailed questionnaire. Results: Number of IOL completed before trainees felt competent to perform independently15Misplaced wires0Wire related complications0Time taken to complete IOL at end of training (minutes)5-10Trainees who would incorporate IOL into their consultant practice100%Trainees who feel competent to teach IOL to breast trainees100%Trainees who would recommend IOL to breast trainees100%IOL TraineesPreoperative localisation CBURe-operation rate3.6% (2/55)19.4% (35/180)p value of0.0048 (fishers exact).Mean average specimen weight (g), range (g)36.6, (6.5-237)36.3, (2.5-146)ConclusionThis study shows that trainees who completed IOL training in the CBU had low re-operation rates and specimen weights. IOL can be taught safely, skills gained quickly and incorporated into daily practice with good outcomes.
Topic: Breast surgery
Introduction: Intraoperative ultrasound guided localisation of impalpable breast lesions (IOL) is incorporated into the standard practice of the Cambridge Breast Unit (CBU) with low re-operation rates and specimen weights compared with national standards.A training programme for IOL was established for senior breast trainees.This study evaluates the clinical outcomes and feedback of trainees who have completed the IOL programme. Methods Two senior breast trainees with prior formal breast ultrasound training were given one to one training by a consultant surgeon competent in IOL. Once they were deemed competent they performed IOL independently. We retrospectively collected their re-operation rates and specimen weights and compared this to preoperative localisation outcomes for the CBU.Their training was evaluated with a detailed questionnaire. Results: Number of IOL completed before trainees felt competent to perform independently15Misplaced wires0Wire related complications0Time taken to complete IOL at end of training (minutes)5-10Trainees who would incorporate IOL into their consultant practice100%Trainees who feel competent to teach IOL to breast trainees100%Trainees who would recommend IOL to breast trainees100%IOL TraineesPreoperative localisation CBURe-operation rate3.6% (2/55)19.4% (35/180)p value of0.0048 (fishers exact).Mean average specimen weight (g), range (g)36.6, (6.5-237)36.3, (2.5-146)ConclusionThis study shows that trainees who completed IOL training in the CBU had low re-operation rates and specimen weights. IOL can be taught safely, skills gained quickly and incorporated into daily practice with good outcomes.
P060
Topic: Breast surgery
Introduction: Intraoperative ultrasound guided localisation of impalpable breast lesions (IOL) is incorporated into the standard practice of the Cambridge Breast Unit (CBU) with low re-operation rates and specimen weights compared with national standards.A training programme for IOL was established for senior breast trainees.This study evaluates the clinical outcomes and feedback of trainees who have completed the IOL programme. Methods Two senior breast trainees with prior formal breast ultrasound training were given one to one training by a consultant surgeon competent in IOL. Once they were deemed competent they performed IOL independently. We retrospectively collected their re-operation rates and specimen weights and compared this to preoperative localisation outcomes for the CBU.Their training was evaluated with a detailed questionnaire. Results: Number of IOL completed before trainees felt competent to perform independently15Misplaced wires0Wire related complications0Time taken to complete IOL at end of training (minutes)5-10Trainees who would incorporate IOL into their consultant practice100%Trainees who feel competent to teach IOL to breast trainees100%Trainees who would recommend IOL to breast trainees100%IOL TraineesPreoperative localisation CBURe-operation rate3.6% (2/55)19.4% (35/180)p value of0.0048 (fishers exact).Mean average specimen weight (g), range (g)36.6, (6.5-237)36.3, (2.5-146)ConclusionThis study shows that trainees who completed IOL training in the CBU had low re-operation rates and specimen weights. IOL can be taught safely, skills gained quickly and incorporated into daily practice with good outcomes.
Topic: Breast surgery
Introduction: Intraoperative ultrasound guided localisation of impalpable breast lesions (IOL) is incorporated into the standard practice of the Cambridge Breast Unit (CBU) with low re-operation rates and specimen weights compared with national standards.A training programme for IOL was established for senior breast trainees.This study evaluates the clinical outcomes and feedback of trainees who have completed the IOL programme. Methods Two senior breast trainees with prior formal breast ultrasound training were given one to one training by a consultant surgeon competent in IOL. Once they were deemed competent they performed IOL independently. We retrospectively collected their re-operation rates and specimen weights and compared this to preoperative localisation outcomes for the CBU.Their training was evaluated with a detailed questionnaire. Results: Number of IOL completed before trainees felt competent to perform independently15Misplaced wires0Wire related complications0Time taken to complete IOL at end of training (minutes)5-10Trainees who would incorporate IOL into their consultant practice100%Trainees who feel competent to teach IOL to breast trainees100%Trainees who would recommend IOL to breast trainees100%IOL TraineesPreoperative localisation CBURe-operation rate3.6% (2/55)19.4% (35/180)p value of0.0048 (fishers exact).Mean average specimen weight (g), range (g)36.6, (6.5-237)36.3, (2.5-146)ConclusionThis study shows that trainees who completed IOL training in the CBU had low re-operation rates and specimen weights. IOL can be taught safely, skills gained quickly and incorporated into daily practice with good outcomes.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}