Teaching surgery novices and trainees advanced laparoscopic suturing: a trial and tribulations

Train, Arianne T; Hu, Jinwei; Narvaez, Reinier; Towle-Miller, Lorin M; Wilding, Gregory E.; Cavuoto, Lora; Noyes, Katia; Hoffman, Aaron B.; Schwaitzberg, Steven D.

doi:10.1007/s00464-020-08067-5

Cited by 6 publications

(2 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been confirmed that participants rapidly reached their optimal performance on simple tasks such as HEC and that despite further training, no significant improvements were seen in performance 5. Suturing, however, is regarded as a complex task and has been shown to improve with greater surgical experience 28…”

Section: Discussionmentioning

confidence: 90%

“…5 Suturing, however, is regarded as a complex task and has been shown to improve with greater surgical experience. 28 Meaning of the study: possible explanations and implications for clinicians and policymakers Most of the emergency work in O&G relates to obstetrics, and exposure to out-of-hours laparoscopic procedures is therefore limited. 29 Our study confirmed this.…”

Section: Principal Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Comparing proficiency of obstetrics and gynaecology trainees with general surgery trainees using simulated laparoscopic tasks in Health Education England, North-West: a prospective observational study

Khan,

Shrestha,

Shugaba

et al. 2023

BMJ Open

View full text Add to dashboard Cite

BackgroundTraining programmes for obstetrics and gynaecology (O&G) and general surgery (GS) vary significantly, but both require proficiency in laparoscopic skills. We sought to determine performance in each specialty.DesignProspective, observational study.SettingHealth Education England North-West, UK.Participants47 surgical trainees (24 O&G and 23 GS) were subdivided into four groups: 11 junior O&G, 13 senior O&G, 11 junior GS and 12 senior GS trainees.ObjectivesTrainees were tested on four simulated laparoscopic tasks: laparoscopic camera navigation (LCN), hand–eye coordination (HEC), bimanual coordination (BMC) and suturing with intracorporeal knot tying (suturing).ResultsO&G trainees completed LCN (p<0.001), HEC (p<0.001) and BMC (p<0.001) significantly slower than GS trainees. Furthermore, O&G found fewer number of targets in LCN (p=0.001) and dropped a greater number of pins than the GS trainees in BMC (p=0.04). In all three tasks, there were significant differences between O&G and GS trainees but no difference between the junior and senior groups within each specialty. Performance in suturing also varied by specialty; senior O&G trainees scored significantly lower than senior GS trainees (O&G 11.4±4.4 vs GS 16.8±2.1, p=0.03). Whilst suturing scores improved with seniority among O&G trainees, there was no difference between the junior and senior GS trainees (senior O&G 11.4±4.4 vs junior O&G 3.6±2.1, p=0.004).DiscussionGS trainees performed better than O&G trainees in core laparoscopic skills, and the structure of O&G training may require modification.Trial registration numberClinicalTrials.gov Registry (NCT05116332).

show abstract

Section: Discussionmentioning

confidence: 90%