Training and qualification in gynecological minimal access surgery: A systematic review

Leicher, Lasse; Steljes, Isabell; Eidswick, Jennifer; Larionov, Oleg V.; Wilde, Maya Sophie de; Campo, Rudi; Tanos, Vasilios; Wilde, Rudy Leon De

doi:10.1016/j.bpobgyn.2019.01.016

Cited by 11 publications

(3 citation statements)

References 30 publications

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“…However, these tools are not the final solution. Torres‐de la Roche et al 103 concluded that proficiency could deteriorate over time when it is solely learned and executed on simulation trainers, and thus the combination of structured curricula, simulation, and live surgery may be the more optimal training mode and effective long‐term. Similarly, DeStephano et al 104 noted that while simulation may be widely available for Ob/Gyn procedures, there were tremendous heterogeneity between programs and in the perceptions of residents, program directors, and faculty.…”

Section: Discussionmentioning

confidence: 99%

Surgical education in urogynecology from low fidelity to virtual reality: Systematic review

Patel

Cyrus

Siff

2023

Neurourology and Urodynamics

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ImportanceIncrease dissemination of educational tools in urogynecology.ObjectiveDescribe the effectiveness and public availability of published educational tools for urogynecologic surgery.Study designA systematic review was conducted by searching MEDLINE, EMBASE, Cochrane Library, and Web of Science from 1946 to 2023 for articles describing educational tools in urogynecology. There were no restrictions on study design or language. Data were extracted in duplicate using a standardized piloted extraction form, and outcomes were combined descriptively.Results2997 titles, 457 abstracts, and 97 full‐text articles were analyzed. Of the 97 interventions included, 43 were manuscripts and 54 were conference abstracts. The median study quality was low, with a moderate risk of bias. Six intervention categories were identified: didactics, animal models, cadavers, static models, extended reality (XR), and multimodal workshops. Didactics were subjectively useful for teaching pelvic anatomy and diseases and improving surgical techniques. If good quality, animal models and cadavers provided visual and tactile learning and assessed performance in real‐time. Animal models were also anatomically realistic and useful at half the cost of cadavers. Static models and XR improved confidence, knowledge, skills, and error rates despite lack of realism and accurate tissue texture in some models and steep learning curve with XR. Only four models were commercially accessible. Most studies did not assess long‐term (>6 months) retention.ConclusionAll educational modalities for urogynecologic surgery are largely realistic and increase participant satisfaction, preparedness, knowledge, skills, and likelihood of use. But only 40% advanced to manuscripts, and even fewer (<5%) were widely available.

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Section: Discussionmentioning

confidence: 99%

Surgical education in urogynecology from low fidelity to virtual reality: Systematic review

Patel

Cyrus

Siff

2023

Neurourology and Urodynamics

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“…In a systematic review, Torres-de la Roche et al . 98 showed that well-guided training courses combined with different trainers and methods significantly improve a surgeon’s laparoscopic skills and suturing ability, which are unforgettable over time. However, this proficiency could deteriorate over time when it is learned and executed solely on simulation trainers.…”

Section: Role Of Simulation In Laparoscopic Surgery Trainingmentioning

confidence: 99%

“…However, this proficiency could deteriorate over time when it is learned and executed solely on simulation trainers. The authors concluded by stating that structured curricula, including theory, simulation, and live surgery, seem to be the best options for trainees 98 .…”

Section: Role Of Simulation In Laparoscopic Surgery Trainingmentioning

confidence: 99%

Recent advances in benign gynecological laparoscopic surgery

Levy¹,

Tsaltas²

2021

Fac Rev

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Minimally invasive surgery continues to transform the field of gynecological surgery and is now the standard of care for the surgical treatment of many diseases in gynecology. Owing to minimally invasive surgery’s clear advantages, new advances in technology are being employed rapidly and enabling even the most complicated procedures to be performed less invasively. We examine recent literature on minimally invasive surgical innovations, advances, and common practices in benign gynecology that, from our point of view, made an impact on the way laparoscopic surgery is performed and managed in the last decade.

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