Simulators in the urological training armamentarium: A boon or a bane?

The new scientific developments and technological opportunities that have led to significant changes all build up the digital era. In medicine, the use of new technologies in patient diagnosis and treatment processes has opened new horizons for physicians and patients. As considering for the medical training, 3-dimensional modeling opportunities, virtual reality, augmented reality, and various simulators offered by the new technologies of the digital era have become a new hope. The 3-dimensional scanning and modeling, 3-dimensional medical printing, virtual reality technologies applications and simulators in urology are very recent and valuable. Besides, the exoscope-assisted 3-dimensional open surgery provides high-resolution 3-dimensional images to surgeons with high comfort as compared with old-fashioned operating microscopes. New modalities that tried to be integrated in robotic surgery are 3-dimensional reconstruction, usage of indocyanine green, augmented reality, contrast ultrasound, haptic feedback, and availability of single port. Some new companies announced their new robotic systems in the market. The use of these new technological applications during medical training, especially at the beginning of the education curve for various surgical interventions, may be beneficial in terms of reducing possible complications that may be encountered due to inexperience at the beginning of the education process and increasing patient safety. Urology will also stay at the futuristic approach in medicine, while 3-dimensional technologies used more widely in this field.

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“…Detailed training on the simulator will not only shorten the operation time but also reduce the possibility of complications. 21 …”

Section: Reality Technologies Applications and Simulators In Urologymentioning

confidence: 99%

Urologic Surgery in Digital Era: Foresights and Futuristic Approach

2021

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“…VR simulators developed in the healthcare context intend to transfer skills, as they do in other contexts Brown et al [86] designed and developed a virtual world for teaching and training Intensive Care nurses in the approach and method for shift handover. VR simulators are also used in urological training, replacing traditional training approaches [87]. But, where this tool is commonly used in healthcare is at operating rooms, with the objective not only for the learning of beginning surgeons but also as a training to reduce the operating time.…”

Section: The Use Of Management Flight Simulatorsmentioning

confidence: 99%

Safely learning Intensive Care Unit management by using a Management Flight Simulator

Garcia-Vicuña

Esparza²,

Giménez

2020

Operations Research for Health Care

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“…The da Vinci Surgical Simulator by Intuitive Surgical (USA) is used for basic robotic skills training though lacking haptic feedback. Nonetheless, the unavailability of haptic feedback or, mostly, improper use, is one of the main drawbacks of available commercial simulators [ 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Psychomotor skills development for Veress needle placement using a virtual reality and haptics-based simulator

2021

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Purpose Veress needle (VN) insertion, if not correctly performed, could cause severe injuries to intra-abdominal organs and vessels. Therefore, cognitive and psychomotor skills training is needed. Virtual reality (VR) and haptic technologies have the potential to offer realistic simulations. Methods We developed a novel VR and haptic surgical simulator for VN insertion to teach trainees how to correctly puncture the abdominal wall, experiencing realistic tactile sensations throughout the simulation. The simulator allows for both procedural and realistic training. We released two different versions: the first using the OpenHaptics$$^{\text {TM}}$$ TM (OH) Toolkit and the second exploiting CHAI3D. We evaluated the learning effect using different performance indexes (time to perform the procedure, error in insertion angle, number of undesired contacts with organs) in an insertion task for both experienced urologists and students. Results A general improvement of the chosen performance indexes was registered in the second repetition of the task for both groups. From the questionnaires, the simulator leveraging OH provides the trainee with a more precise haptic feedback, whereas the one exploiting CHAI3D allows them to perform the procedure more easily thanks to the better visualization of the virtual environment. The results proved that the participants appreciated both implementations, and the System Usability Scale (SUS) test resulted in a “good” usability. Conclusion The haptics-based and VR simulator has shown the potential to be an important resource for the basic urological training in obtaining the pneumoperitoneum and improving the acquisition of the necessary psychomotor skills, allowing for extended and more effective training without compromising patient safety.

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Simulators in the urological training armamentarium: A boon or a bane?

Cited by 5 publications

References 11 publications

Urologic Surgery in Digital Era: Foresights and Futuristic Approach

Urologic Surgery in Digital Era: Foresights and Futuristic Approach

Safely learning Intensive Care Unit management by using a Management Flight Simulator

Psychomotor skills development for Veress needle placement using a virtual reality and haptics-based simulator

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