Gynecologic Endoscopy Skills Training and Assessment: Review

Bharathan, Rasiah; Setchell, T.; Miskry, Tariq; Darzi, Ara; Aggarwal, Rajesh

doi:10.1016/j.jmig.2013.07.016

Cited by 12 publications

(5 citation statements)

References 90 publications

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“…For example, neuroendoscopic approaches to intraventricular pathology are extremely difficult to model using only virtual reality. Although endoscopy is widely simulated, 1,2,4,7,11,15 because of the anatomical complexity, varia-abbreviatioNs ETV = endoscopic third ventriculostomy; FTDL = Fresh Tissue Dissection Laboratory; USC = University of Southern California. submitted January 24, 2014. accepted October 7, 2014. iNclude wheN citiNg Published online April 10, 2015; DOI: 10.3171/2014.10.JNS1497.…”

mentioning

confidence: 99%

Cerebrospinal fluid reconstitution via a perfusion-based cadaveric model: feasibility study demonstrating surgical simulation of neuroendoscopic procedures

Winer¹,

Kramer²,

Robison³

et al. 2015

JNS

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Cadaveric surgical simulation carries the advantage of realistic anatomy and haptic feedback but has been historically difficult to model for intraventricular approaches given the need for active flow of CSF. This feasibility study was designed to simulate intraventricular neuroendoscopic approaches and techniques by reconstituting natural CSF flow in a cadaveric model. In 10 fresh human cadavers, a simple cervical laminectomy and dural opening were made, and a 12-gauge arterial catheter was introduced. Saline was continuously perfused at physiological CSF pressures to reconstitute the subarachnoid space and ventricles. A neuroendoscope was subsequently inserted via a standard right frontal bur hole. In 8 of the 10 cadavers, adequate reconstitution and endoscopic access of the lateral and third ventricles were achieved. In 2 cadavers, ventricular access was not feasible, perhaps because of a small ventricle size and/or deteriorated tissue quality. In all 8 cadavers with successful CSF flow reconstitution and endoscopic access, identifying the foramen of Monro was possible, as was performing septum pellucidotomy and endoscopic third ventriculostomy. Furthermore, navigation of the cerebral aqueduct, fourth ventricle, prepontine cistern, and suprasellar cistern via the lamina terminalis was possible, providing a complementary educational paradigm for resident education that cannot typically be performed in live surgery. Surgical simulation plays a critical and increasingly prominent role in surgical education, particularly for techniques with steep learning curves including intraventricular neuroendoscopic procedures. This novel model provides feasible and realistic surgical simulation of neuroendoscopic intraventricular procedures and approaches.

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mentioning

confidence: 99%

Cerebrospinal fluid reconstitution via a perfusion-based cadaveric model: feasibility study demonstrating surgical simulation of neuroendoscopic procedures

Winer¹,

Kramer²,

Robison³

et al. 2015

JNS

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“…Although the operative laparoscopy in gynecology was popularized in the 1970s with tubal sterilization; in the 1990s, laparoscopic procedures have increased in clinical practice and synthetic simulators were then used to assess validity of gynecological tasks in simulation laboratories (93). Loukas et al (2011) tested 25 inexperienced surgeons on for basic tasks and the effects of training were assessed on laparoscopic adhesiolysis, laparoscopic bowel suturing and laparoscopic cholecystectomy in a virtual reality (VR) simulator.…”

Section: Evidence For Training With Laparoscopic Simulation In Laparomentioning

confidence: 99%

Role of laparoscopic simulators in the development and assessment of laparoscopic surgical skills in laparoscopic surgery and gynecology (Review)

et al. 2020

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The aim of the present review article was to provide an overview of the evaluation and capability of the different types of laparoscopic simulators in the application of training in laparoscopic gynecological surgery. The literature suggests that the acquisition of surgical psychomotor skills is best achieved in a simulated laboratory outside of the live operating environment. The present review article includes scientific publications on current laparoscopic gynecological simulators, including laparoscopic box trainers, laparoscopic virtual reality simulators, animal models, human cadavers and lightly embalmed human cadavers. At present, controversy exists as to the superiority of virtual reality simulators over laparoscopic box trainers on the transferability and development of minimally invasive surgical skills for the justification of their increased cost. The present review article covers the role of simulation-based surgical education in the development and assessment of the appropriated surgical skills for laparoscopic gynecological procedures. Within the surgical curriculum, the tertiary laparoscopic training hospitals should include surgical simulation-based programs for laparoscopic training to gynecologists outside the live operation rooms under appropriate supervision. Contents 1. Introduction 2. Surgical simulators for training in laparoscopic surgery 3. Scoring systems to objectively assess acquired skills from laparoscopic surgical training 4. Effectiveness of surgical stimulation in laparoscopic training 5. Laparoscopic virtual reality simulators versus laparoscopic box trainers 6. Evidence for training with laparoscopic simulation in laparoscopic gynecological surgery 7. Conclusion

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“… 1 Therefore, simultaneously, the interest in training programs to teach technical skills is gaining ground rapidly. 2 3 Laparoscopic surgery has obtained a major position within surgical specialties. For LS, additional psychomotor and hand-eye coordination skills are needed.…”

Section: Figmentioning

confidence: 99%

Laparoscopic Box Training with Four Different Modules in a Tertiary Education and Research Hospital, Ankara, Turkey

Tapisiz

Altınbaş

Tekın

2019

Rev Bras Ginecol Obstet

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Gynecologic Endoscopy Skills Training and Assessment: Review

Cited by 12 publications

References 90 publications

Cerebrospinal fluid reconstitution via a perfusion-based cadaveric model: feasibility study demonstrating surgical simulation of neuroendoscopic procedures

Cerebrospinal fluid reconstitution via a perfusion-based cadaveric model: feasibility study demonstrating surgical simulation of neuroendoscopic procedures

Role of laparoscopic simulators in the development and assessment of laparoscopic surgical skills in laparoscopic surgery and gynecology (Review)

Laparoscopic Box Training with Four Different Modules in a Tertiary Education and Research Hospital, Ankara, Turkey

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