Why the study?
To assess whether there is any theoretical basis to expect increased productivity in terms of number of operations completed with overlapping surgery.
Does overlapping surgery improve operating theatre productivity compared to non-overlapping surgery?
Does overlapping surgery improve operating theatre productivity compared to non-overlapping surgery?
Overlapping surgery does not have evidence supporting increased overall productivity compared to two surgeons working in parallel, though it may be beneficial in specific scenarios with long turnover times and short operations.
Answers are grounded in this paper and cite their sources.
Perceived productivity gains from overlapping surgery lack theoretical support; leaves open the need for rigorous prospective trials.
This article reviews the background to overlapping surgery, in which a single senior surgeon operates across two parallel operating theatres; anaesthesia is induced and surgery commenced by junior surgeons in the second operating theatre while the lead surgeon completes the operation in the first. We assess whether there is any theoretical basis to expect increased productivity in terms of number of operations completed. A review of observational studies found that while there is a perception of increased surgical output for one surgeon, there is no evidence of increased productivity compared with two surgeons working in parallel. There is potential for overlapping surgery to have some positive impact in situations where turnover times between cases are long, operations are short (<2 h) and where 'critical portions' of surgery constitute about half of the total operation time. However, any advantages must be balanced against safety, ethical and training concerns.
No takes yet. Share an insight, caveat, or question.
Pandit et al. (2022) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: