The use of simulation in the acquisition of laparoscopic suturing skills

Dehabadi, Mohammad; Fernando, Bimbi; Berlingieri, Pasquale

doi:10.1016/j.ijsu.2014.01.022

Cited by 69 publications

(31 citation statements)

References 64 publications

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“…However, successful laparoscopic suturing of the vaginal cuff remains a major hurdle in total laparoscopic hysterectomies (TLHs). [2] As more advanced surgical skills are needed for high-quality laparoscopic suture repair, some studies have reported that the incidence of vaginal cuff dehiscence is higher in laparoscopic hysterectomy than in vaginal or abdominal hysterectomy. [3–6] Although figure-of-eight suturing with intra- or extracorporeal knot tying is commonly used for laparoscopic vaginal cuff suturing due to feasibility, laparoscopic 2-layer continuous running suture is used in our institution, the same as in open abdominal hysterectomy.…”

Section: Introductionmentioning

confidence: 99%

Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure

et al. 2016

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We compared results using unidirectional barbed sutures and conventional sutures for vaginal cuff closure during total laparoscopic hysterectomy (TLH).The electronic medical records and surgical videos of 170 patients who underwent TLH between January 2013 and March 2015 at Uijeong-bu St. Mary's Hospital of Catholic University of Korea were reviewed. Vaginal cuffs were closed using the 2-layer continuous running technique with unidirectional barbed sutures (V-Loc; Covidien, Mansfield, MA) in 64 patients and with polycolic acid Vicryl; Ethicon, Somerville, NJ sutures in 106 patients. Procedure time, clinical characteristics, and postoperative complications were compared between the 2 study groups. There were no differences in clinical characteristics (age, body mass index, and demographic data) between groups. The mean suturing time was significantly reduced in the barbed group (7.2 vs 12.2 minutes; P < 0.001), although the mean number of stitches was greater than in the Vicryl group (14.1 vs 12.3, P < 0.001). Perioperative complications, including episodes of vaginal bleeding, vaginal cuff cellulitis, and postoperative fever, did not differ between groups. There were no instances of vaginal cuff dehiscence in either group. Unidirectional barbed sutures can be used safely to reduce procedure time and surgical difficulty relative to conventional sutures in laparoscopic vaginal cuff closure.

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Section: Introductionmentioning

confidence: 99%

Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure

et al. 2016

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“…Several training models for laparoscopic suturing are available that include synthetic bowel models, virtual reality simulators, explanted animal tissue models placed in video trainers, and live animal models. The evidence supporting these simulations as valid measures of suturing skill, however, is limited [5][6][7]. The limitation of animal models is that they can be difficult to standardize.…”

Section: Discussionmentioning

confidence: 99%

“…Several laparoscopic suturing tasks were developed in the past including virtual reality simulations and animal models [5][6][7]. These models have several limitations in terms of cost and validity evidence to support them as measures of advanced laparoscopic suturing skills.…”

Section: Introductionmentioning

confidence: 99%

New models for advanced laparoscopic suturing: taking it to the next level

et al. 2015

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“…La necesidad de adaptarse a una visión de profundidad alterada, la complejidad de lograr una coordinación motora-visual adecuada y el uso de instrumentos laparoscópicos con una interfaz háptica distinta a la cirugía abierta, son algunos de los factores que prolongan la curva de aprendizaje de esta disciplina [8][9][10] . Sin embargo, la simulación quirúrgica ha demostrado reducir estas curvas, disminuir los costos del entrenamiento y las complicaciones asociadas [11][12][13][14] .…”

Section: Introductionunclassified

Impacto Del Primer “Learning Center” De Cirugía Mínimamente Invasiva en Chile

et al. 2019

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Background: Standardized Simulated Training (SST) has shown to improve both resident and surgeon skills. However, Simulation Centers with validated training programs are scarce and centralized. The current challenge is to provide the surgical community access to these programs. Aim: To describe the first Learning Center (LC), launched during the 90th Chilean Surgical Congress, and to assess its impact and attendees' perception on simulation in Minimally Invasive Surgery (MIS) in current surgery residency programs. Materials and Method: Cross-sectional study. LC characteristics are described. A Likert survey was applied to assess its impact and attendees' perception. Inclusion criteria: to have performed ≥ 1 training sessions. Exclusion criteria: incomplete surveys. Descriptive and non-parametric analytical statistics were applied. Results: The LC was composed of 10 training stations with different difficulty levels. Nine instructors monitored and gave attendees effective feedback. 84 attendees answered the survey adequately. 39% were women. The sample was composed of 41.6% General Surgery Residents, 35.7% Surgeons, 17.9% Medicine Clerks and 4.8% General Practitioners. 85% of participants agreed regarding both the positive impact of the LC as a continuous educational resource during the congress and SST usefulness in development of MIS skills. There were no significant differences according to sex or medical degree. Conclusion: The first LC was widely accepted amongst its participants, constituting a possible permanent resource in the Chilean Surgical Congress. SST in MIS seems to be an accepted resource and perceived as a necessity by the national surgical community.Introducción: El entrenamiento estandarizado mediante simulación ha demostrado mejorar habilidades de residentes y cirujanos. Sin embargo, los centros de simulación que imparten programas validados son escasos y centralizados. Favorecer el acceso de la comunidad quirúrgica a estos programas constituye el desafío actual. Objetivo: Describir el primer "Learning Center" (LC) realizado durante el 90º Congreso Chileno de Cirugía, evaluar su impacto y percepción de los asistentes sobre simulación en cirugía mínimamente invasiva (CMI) en los programas de formación actual. Materiales y Método: Estudio de corte transversal. Se describieron las características del LC. Se aplicó una encuesta tipo Likert para evaluar impacto y percepción de los asistentes. Criterios de inclusión: completar ≥ 1 sesión de entrenamiento, exclusión: encuesta incompleta. Se aplicó estadística descriptiva y analítica no paramétrica. Resultados: LC se compuso de 10 estaciones de entrenamiento con distintos niveles de dificultad. Un equipo de 9 instructores monitorizaron y entregaron feedback efectivo a los asistentes. 84 asistentes contestaron la encuesta completa, 39% mujeres. La muestra se conformó por 41,6% residentes de cirugía general, 35,7% cirujanos, 17,9% internos de medicina, y 4,8% médicos generales. 85% manifestó acuerdo con el impacto positivo del LC como recurso educacional...

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The use of simulation in the acquisition of laparoscopic suturing skills

Abstract: Simulation is an integral tool in the training of future laparoscopic surgeons, and further research is required to answer the question of how to maximise benefit from these invaluable training implements.

Cited by 69 publications

References 64 publications

Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure

Barbed versus conventional 2-layer continuous running sutures for laparoscopic vaginal cuff closure

New models for advanced laparoscopic suturing: taking it to the next level

Impacto Del Primer “Learning Center” De Cirugía Mínimamente Invasiva en Chile

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