The Impact of High Complexity Total Pelvic Exenteration on Surgeon Fatigue: The FaME Study.

ABSTRACT:

Aims

Total pelvic exenteration surgery (TPE) is a radical procedure requiring significant surgeon mental and physical endurance. Literature surrounding surgeon fatigue remains minimal. This study investigated impact of performing high complexity (bony, vascular and neurological resection) TPE on surgeon fatigue.

Methods

Two surgeons ([#1]/[#2]) delivering high complexity TPEs (1st November 2022-1st September 2023) in a tertiary centre (110/annum) were assessed using a predefined protocol. Surgeon heart rate, concentration performance (d2 Brickencamp test) and Surgery Task Load Index (SURG-TLX) were measured across intraoperative stages (mobilisation, dissection, reconstruction). Surgeons underwent baseline cardiopulmonary exercise testing.

Results

Baseline VO₂

SUBMITTER: Khalil M 

PROVIDER: S-EPMC12717490 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature