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SIMILAR LEARNING CURVES REPORTED FOR ENDOSCOPIC SINUS SURGERY AS HAVE BEEN REPORTED FOR ENDOSCOPIC GALLBLADDER SURGERY

SIMILAR LEARNING CURVES REPORTED FOR ENDOSCOPIC SINUS SURGERY AS HAVE
 BEEN REPORTED FOR ENDOSCOPIC GALLBLADDER SURGERY
 Physicians Must Police own Efforts to Ensure Surgical Safety
 PHILADELPHIA, June 26 /PRNewswire/ -- Some scientific reports have suggsted similar types of learning curves for endoscopic sinus surgery as have been reported recently by the media for endoscopic gallbladder surgery, according to David W. Kennedy, M.D., who pioneered the use of endoscopic surgery to diagnose and treat nasal and sinus diseases in the United States.
 "For this reason, several hospitals and departments of otorhinolaryngology have developed credentialing guidelines for these procedures," said Kennedy, who is chairman of the department of otorhinolaryngology and head and neck surgery at the University of Pennsylvania Medical Center. "As with laparoscopic surgery, the techniques are relatively new and many physicians did not get exposed to them during their residency training programs."
 (The surgical mechanism is the same for both endoscopic and laparoscopic surgery: both require the use of video/optic-guided devices to reach the surgical site.)
 "As academic health care leaders, we must police our own efforts to ensure that providers are appropriately trained," noted Kennedy. "While this type of surgery has the potential to dramatically reduce morbidity, it carries with it the risk of major complications in the hands of inexperienced and/or inadequately trained physicians."
 "Endoscopic sinus surgery is performed in an area close to the brain and close to the eyes, so the potential for serious complications is real," explained Kennedy. "Fortunately, such complications are uncommon."
 "Typically, discomfort is minimal and patients do well," he continued. "However, enthusiasm generated by the typically good results also creates the situation where the surgery may be becoming overused."
 At the University of Pennsylvania Medical Center, "we ensure quality of care through our extensive training and fellowship programs in endoscopic surgical techniques," added Kennedy. Such training includes the use of lectures, videotapes, hands-on experience using anatomic specimens, and physician-assisted surgeries.
 /delval/
 -0- 6/26/92
 /CONTACT: Rebecca Harmon of the Hospital of the University of Pennsylvania, 215-349-5660/ CO: Hospital of the University of Pennsylvania ST: Pennsylvania IN: HEA SU:


JS-CC -- PH009 -- 4229 06/26/92 12:49 EDT
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Publication:PR Newswire
Date:Jun 26, 1992
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