ArticleANZ journal of surgery2025
The Impact of High Complexity Total Pelvic Exenteration on Surgeon Fatigue: The FaME Study.
Article in ANZ journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed.
- Prospective case-control cohort analysis of two-day/two-stage pelvic exenteration surgery: Safety, feasibility, acceptability and medium-term outcomes.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026Article
- The Impact of High Complexity Total Pelvic Exenteration on Surgeon Fatigue: The FaME Study.ANZ journal of surgery · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsTotal 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.
methodsTwo 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.
resultsBaseline VO
conclusionsSurgeon HR fluctuations corresponded with significant intraoperative events. Assistant dependent HR fluctuation and increased average d2 ER was demonstrated by greater HR deviations during dissection. Further investigation optimising strategies minimising surgeon fatigue is required.
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Registered trials
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