Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study

Emad Rajih; Saffanah Alhejaili; Ekram Almutairi; Areej Alrefaei; Hanan Abuseer; Shuruq Alhujuri; Shaykhah Almihdhar; Walaa Borhan; Asim Almughamsi

doi:10.24911/IJMDC.51-1667580891

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Original Article
Online Published: 13 Dec 2022

IJMDC. 2023; 7(2): 204-210

doi: 10.24911/IJMDC.51-1667580891

Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study

Emad Rajih, Saffanah Alhejaili, Ekram Almutairi, Areej Alrefaei, Hanan Abuseer, Shuruq Alhujuri, Shaykhah Almihdhar, Walaa Borhan, Asim Almughamsi.

Abstract
Background: Despite the improvement of minimal invasive surgery (MIS) training programs over the last two decades, there is still inconsistent practice among surgeons at different centers. Thus, this study aimed to assess the practice pattern of MIS and the factors that influence MIS training among healthcare providers of general surgery, gynecology, and urology in Saudi Arabia.
Methods: A national cross-sectional study based on survey questionnaires was conducted from May to October 2021. The survey was obtained from healthcare providers in different regions of the kingdom for the three specialties: general surgery, urology, and gynecology; who are practicing in Saudi Arabia. The main outcome measure was the confidence level of performing MIS alone. Different covariates were used to study the factors contributing to the confidence level of practicing MIS.
Results: Around 73.9% of healthcare providers were confident enough to perform MIS alone. General surgeons were most confident to perform MIS alone as compared to other surgical specialties. Factors that affect the confidence level are experience, MIS training during fellowship period, current practice hours of MIS, and kingdom’s regions. The independent factors including experience represented by age of more than 45 years [14.9 times (95% CI 0.79-29.14; p-value 0.03)] and involvement in laparoscopic and robotic surgery during fellowship training [25.5 times (95% CI 4.71-46.3; p-value 0.01)].
Conclusion: The practice pattern of MIS for healthcare providers varied among different regions and surgical specialties. The confidence to practice MIS independently was affected by the experience period and the working region in the kingdom.

Key words: Laparoscopy, robotic, minimal invasive surgery, physician practice pattern, training.

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Pubmed Style

Rajih E, Alhejaili S, Almutairi E, Alrefaei A, Abuseer H, Alhujuri S, Almihdhar S, Borhan W, Almughamsi A. Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study. IJMDC. 2023; 7(2): 204-210. doi:10.24911/IJMDC.51-1667580891

Web Style

Rajih E, Alhejaili S, Almutairi E, Alrefaei A, Abuseer H, Alhujuri S, Almihdhar S, Borhan W, Almughamsi A. Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study. https://www.ijmdc.com/?mno=127601 [Access: October 14, 2025]. doi:10.24911/IJMDC.51-1667580891

AMA (American Medical Association) Style

Rajih E, Alhejaili S, Almutairi E, Alrefaei A, Abuseer H, Alhujuri S, Almihdhar S, Borhan W, Almughamsi A. Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study. IJMDC. 2023; 7(2): 204-210. doi:10.24911/IJMDC.51-1667580891

Vancouver/ICMJE Style

Rajih E, Alhejaili S, Almutairi E, Alrefaei A, Abuseer H, Alhujuri S, Almihdhar S, Borhan W, Almughamsi A. Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study. IJMDC. (2023), [cited October 14, 2025]; 7(2): 204-210. doi:10.24911/IJMDC.51-1667580891

Harvard Style

Rajih, E., Alhejaili, . S., Almutairi, . E., Alrefaei, . A., Abuseer, . H., Alhujuri, . S., Almihdhar, . S., Borhan, . W. & Almughamsi, . A. (2023) Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study. IJMDC, 7 (2), 204-210. doi:10.24911/IJMDC.51-1667580891

Turabian Style

Rajih, Emad, Saffanah Alhejaili, Ekram Almutairi, Areej Alrefaei, Hanan Abuseer, Shuruq Alhujuri, Shaykhah Almihdhar, Walaa Borhan, and Asim Almughamsi. 2023. Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study. International Journal of Medicine in Developing Countries, 7 (2), 204-210. doi:10.24911/IJMDC.51-1667580891

Chicago Style

Rajih, Emad, Saffanah Alhejaili, Ekram Almutairi, Areej Alrefaei, Hanan Abuseer, Shuruq Alhujuri, Shaykhah Almihdhar, Walaa Borhan, and Asim Almughamsi. "Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study." International Journal of Medicine in Developing Countries 7 (2023), 204-210. doi:10.24911/IJMDC.51-1667580891

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Rajih, E., Alhejaili, . S., Almutairi, . E., Alrefaei, . A., Abuseer, . H., Alhujuri, . S., Almihdhar, . S., Borhan, . W. & Almughamsi, . A. (2023) Practice pattern of minimal invasive surgery in Saudi Arabia: a national cross-sectional study. International Journal of Medicine in Developing Countries, 7 (2), 204-210. doi:10.24911/IJMDC.51-1667580891

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