Structured Training for Laparoscopic Appendectomy for Residents (STAR Trial)–A Randomized Pilot Study

Pang, Natalie; Chua, Hui Wen; Kim, Guowei; Tan, Matthias Hwai Yong; Abdul-Aziz, Muhammad Nur Dinie Bin; Xu, Roland Weixiang; Chen, Elya; Teo, Siok Chin; Khoo, Nikita Xueni; Lomanto, Davide; Tai, Bee Choo; So, Jimmy Bok-Yan; Chong, Choon Seng

doi:10.1016/j.jss.2021.06.073

Cited by 4 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The study by Pang et al. [73] was the highest‐scoring training study on MERSQI (Figure 4) for appendicectomy. Interestingly, they did not find any impact of an additional simulator training programme compared with standard training.…”

Section: Discussionmentioning

confidence: 99%

“…Studies evaluating a training intervention should ideally include the transfer of skills to the clinical setting. However, we identified only one study, for laparoscopic appendicectomy, that evaluated a training intervention using clinical outcomes [73]. However, they could not show an impact of the training intervention.…”

Section: Discussionmentioning

confidence: 99%

“…No training studies were identified for open appendicectomy, which all gastrointestinal surgeons should master. However, one study describing the construction of an inanimate training model was identifiedduring the screening, but no performance data were reported[76].The study by Pang et al[73] was the highest-scoring training study on MERSQI (Figure4) for appendicectomy. Interestingly, they did not find any impact of an additional simulator training programme compared with standard training.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Training and assessment for colorectal surgery and appendicectomy– a systematic review

Hertz,

Rattenborg,

Haug

et al. 2024

Colorectal Disease

View full text Add to dashboard Cite

AimThere is currently an increased focus on competency‐based training, in which training and assessment play a crucial role. The aim of this systematic review is to create an overview of hands‐on training methods and assessment tools for appendectomy and colon and rectal surgery procedures using either an open, laparoscopic or robot‐assisted approach.MethodA systematic review of Medline, Embase, Cochrane and Scopus databases was conducted following the PRISMA guidelines. We conducted the last search on 9 March 2023. All published papers describing hands‐on training, evaluation of performance data and development of assessment tools were eligible. The quality of studies and the validity evidence of assessment tools are reported.ResultsFifty‐one studies were identified. Laparoscopic assessment tools are abundant, but the literature still lacks good‐quality assessment tools for open appendectomy, robotic colectomy and open rectal surgery. Overall, there is a lack of discussion regarding the establishment of pass/fail standards and the consequences of assessment. Virtual reality simulation is used more for appendectomy than colorectal procedures. Only a few of the studies investigating training were of acceptable quality. There is a need for high‐quality studies in open and robotic‐assisted colon surgery and all approaches to rectal surgery.ConclusionThis review provides an overview of current training methods and assessment tools and identifies where more research is needed based on the quality of the studies and the current validity evidence.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Training and assessment for colorectal surgery and appendicectomy– a systematic review

Hertz,

Rattenborg,

Haug

et al. 2024

Colorectal Disease

View full text Add to dashboard Cite

show abstract

“…The emergency department of a tertiary care hospital receives many patients with acute abdomen in whom acute appendicitis is an important differential to rule out. The overall chance of acquiring this serious pathology in life is 1,2 approximately 9% in males and 7% in females. There are several causes for this sickness, which 3,4 typically makes it difficult for surgeons to diagnose.…”

Section: Introductionmentioning

confidence: 99%

Reliability of Diagnosis of Acute Appendicitis by Clinical Assessment Through Modified ALVARADO Vs RIPASA Scoring System at Combined Military Hospital, Rawalpindi

Qamar,

Mahmood,

Javed

et al. 2024

L&S

View full text Add to dashboard Cite

Objective: To determine the diagnostic accuracy of RIPASA (Raja Isteri Pengiran Anak Saleha Appendicitis) andModified ALVARADO score in the diagnosis of acute appendicitis by using histopathology as a gold standard.Study Design: A comparative cross-sectional study.Place and Duration of Study: The study was carried out at the Department of Surgery, Combined MilitaryHospital (CMH) Rawalpindi, Pakistan from January 2020 to August 2020.Methods: A total of 126 patients suspected of having acute appendicitis were included. All patients who hadmet the inclusion criteria were chosen via the process of consecutive sampling. Patients who had presentedwith right iliac fossa pain, migration of pain, anorexia, nausea, and vomiting and were admitted to the hospitalwere assessed prospectively using RIPASA and Modified ALVARADO scores. RIPASA (Raja Isteri Pengiran AnakSaleha Appendicitis) score > 7.5 and Modified ALVARADO score > 7 were used to diagnose acute appendicitis.The diagnosis was confirmed postoperatively using a histopathological report. Every scoring system wasassessed for validity by calculating sensitivity, specificity, diagnostic accuracy, negative predictive value, andpositive predictive value.Result: The results obtained from individuals recruited in the study showthat out of 126 patients, 70(55.6%)were male and 56(44.4%) were female. The mean age was 33.25±8.19 years. 83.3% of patients having RIPASA(Raja Isteri Pengiran Anak Saleha Appendicitis) score (≥7.5) and 68.3% of patients having Modified ALVARADOscore (≥7) have met the criteria for acute appendicitis. The sensitivity and specificity of the RIPASA (Raja IsteriPengiran Anak Saleha Appendicitis) score were 90.9% and 73.3% compared with 73.8% and 73.3% of theModified Alvarado score.Conclusion: The RIPASA (Raja Isteri Pengiran Anak Saleha Appendicitis) scoring system is a more convenient,accurate, and specific scoring system for our population than the Modified ALVARADO scoring system. How to cite this: Qamar R, Mahmood K, Javed R, Sher F, Tufail I.Reliability of Diagnosis of Acute Appendicitis by Clinical Assessment Through Modified Alvarado Vs Ripasa Scoring System. Life and Science.2024; 5(2): 193-198. doi: http://doi.org/10.37185/LnS.1.1.346

show abstract

Construção de modelo de apendicectomia videolaparoscópica

DE-LIMA FILHO,

SILVA,

FREIRE

et al. 2024

Rev. Col. Bras. Cir.

View full text Add to dashboard Cite

RESUMO Introdução: A simulação médica emerge como uma metodologia crucial, permitindo que profissionais experimentem uma variedade de cenários, tanto de êxito quanto de falha, identificando fragilidades e condições inseguras, com o intuito de evitar danos aos pacientes. Assim, o objetivo desse estudo é descrever a produção de um modelo de simulação em apendicectomia videolaparoscópica “ex-vivo”. Metodologia: Foram utilizadas estruturas de cerâmica fria para moldar manualmente o modelo anatômico do apêndice, garantindo sua rigidez. Neste modelo, utilizou-se materiais para criar um molde flexível usando silicone acético. Feito o molde, o preencheu-se com borracha de polímero de estireno termomoldável, junto com corante, e fundindo em uma temperatura específica. Resultados: Esse processo resultou na confecção de uma peça que simula o apêndice, sendo resistente ao rasgo e suturável, replicando fielmente a estrutura e características de um órgão humano. O baixo peso dos materiais facilita o transporte, permitindo que sejam reproduzidos e utilizados em diversas situações, desde treinamentos em ambientes hospitalares até universidades. O modelo é aplicável em simulações didáticas com estudantes de medicina, residentes e cirurgiões. Sua facilidade de produção e baixo custo contribuem para que as práticas sejam repetíveis, garantindo um melhor desenvolvimento das habilidades cirúrgicas. Conclusão: O trabalho contribui para o avanço da simulação médica e destaca a importância de soluções inovadoras e colaborativas na melhoria da educação médica e na promoção da segurança do paciente.

show abstract

Structured Training for Laparoscopic Appendectomy for Residents (STAR Trial)–A Randomized Pilot Study

Cited by 4 publications

References 25 publications

Training and assessment for colorectal surgery and appendicectomy– a systematic review

Training and assessment for colorectal surgery and appendicectomy– a systematic review

Reliability of Diagnosis of Acute Appendicitis by Clinical Assessment Through Modified ALVARADO Vs RIPASA Scoring System at Combined Military Hospital, Rawalpindi

Construção de modelo de apendicectomia videolaparoscópica

Contact Info

Product

Resources

About