Cadaveric Dissection vs Homemade Model: What is the Best Way to Teach Endoscopic Totally Extraperitoneal Inguinal Hernia Repair?

AlJamal, Yazan N.; Buckarma, EeeLN H.; Ruparel, Raaj K.; Allen, Samuel; Farley, David R.

doi:10.1016/j.jsurg.2017.09.003

Cited by 14 publications

(15 citation statements)

References 11 publications

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“…Cadaveric simulation training made no difference to the postintervention test scores in the study of AlJamal and colleagues, but a significant improvement in overall examination scores was seen in the cadaveric‐trained group by Sharma and co‐workers. Significant improvement in post‐test knowledge scores was reported in the three non‐comparative studies following cadaveric training.…”

Section: Resultsmentioning

confidence: 87%

“…Fifty‐one studies were included in the review, of which 47 were full‐text original research articles and four were conference posters. The main characteristics of studies, including OCEBM and mean MERSQI scores are shown in Tables S2 – S5 (supporting information).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies assessed the educational impact of the cadaveric training intervention by measuring change in learner knowledge. One of these studies was an RCT comparing cadaveric simulation training with a low‐fidelity bench‐top simulator, one was a cohort study comparing learning in cadaveric‐trained participants with those who received didactic teaching materials only, and three were non‐comparative cohort studies. Three studies used procedural knowledge scores as the primary outcome measure, and two used viva voce and oral checklist examinations.…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of the current status of cadaveric simulation for surgical training

James

Chapman

Pattison

et al. 2019

British Journal of Surgery

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BackgroundThere is growing interest in and provision of cadaveric simulation courses for surgical trainees. This is being driven by the need to modernize and improve the efficiency of surgical training within the current challenging training climate. The objective of this systematic review is to describe and evaluate the evidence for cadaveric simulation in postgraduate surgical training.MethodsA PRISMA‐compliant systematic literature review of studies that prospectively evaluated a cadaveric simulation training intervention for surgical trainees was undertaken. All relevant databases and trial registries were searched to January 2019. Methodological rigour was assessed using the widely validated Medical Education Research Quality Index (MERSQI) tool.ResultsA total of 51 studies were included, involving 2002 surgical trainees across 69 cadaveric training interventions. Of these, 22 assessed the impact of the cadaveric training intervention using only subjective measures, five measured impact by change in learner knowledge, and 23 used objective tools to assess change in learner behaviour after training. Only one study assessed patient outcome and demonstrated transfer of skill from the simulated environment to the workplace. Of the included studies, 67 per cent had weak methodology (MERSQI score less than 10·7).ConclusionThere is an abundance of relatively low‐quality evidence showing that cadaveric simulation induces short‐term skill acquisition as measured by objective means. There is currently a lack of evidence of skill retention, and of transfer of skills following training into the live operating theatre.

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Section: Resultsmentioning

confidence: 87%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Systematic review of the current status of cadaveric simulation for surgical training

James

Chapman

Pattison

et al. 2019

British Journal of Surgery

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“…A single cadaver cost us over $1500. Whereas, the low‐fidelity model costs less than $25 to create . Fresh cadavers are typically useful for 2 to 4 hours unless they have been fixed with the Thiel technique .…”

Section: Discussionmentioning

confidence: 99%

Can the simultaneous laparoscopic approach improve the learning of vaginal surgery with meshes in the anatomical model?

Sánchez-Ferrer

Fernández-Andres

Martínez‐Escoriza

et al. 2019

Neurourology and Urodynamics

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Aims: To evaluate the usefulness of simultaneous laparoscopic assistance to improve understanding of the nonvisible surgical steps in Thiel-embalmed cadaver models for training in vaginal surgery using vaginal mesh kits and to evaluate opinions of this surgical learning procedure in comparison with other learning models. Methods: Recording of anterior compartment prolapse repair with vaginal mesh kits using an external camera simultaneously with laparoscopic vision during the execution of the procedure at the dissection room. To measure the usefulness of this procedure, we designed an anonymous online survey that was made available to program participants via a computer application (a link to video 1 and the survey is available at encuesta@um.es).Results: After watching the video, 97.2% of participants agreed that laparoscopic vision combined with the vaginal approach was useful in learning this surgical technique, and 95.8% agreed they had learned details of the surgical anatomy of the pelvis. All participants agreed that it should be mandatory to train in these techniques with cadavers before practice with live patients. In addition, 84.7% responded that the cadaveric model was superior to animal and other types of models.Conclusion: Laparoscopic inspection of the procedure performed with the vaginal approach allowed a better understanding of the surgical technique by making "visible" the anatomical structures that were commonly only palpated.Use of the cadaverous model was considered most efficient for training in this surgical technique. K E Y W O R D S anatomical knowledge, laparoscopic approach, surgical skills, Thiel anatomical model, vaginal mesh

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“…HRQoL is a multidimensional concept widely used in medical research, but its usage in routine medical practice is increasing. It is de ned as "individual´s perception of their own life in the context of their cultures and believes, and their personal goals and concerns" (Skevington et al 2004;AlJamal et al 2018). Important areas such as physical health, psychological health, level of independence and social relationships are included in HRQoL evaluation.…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study.

Sánchez-Ferrer

Adoamnei

Prieto-Sánchez

et al. 2020

Preprint

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Background: Polycystic ovary syndrome (PCOS) is a chronic condition with symptoms affecting many women at reproductive age and evaluating their health-related quality of Life (HRQoL) is an important issue. Moreover, differences in the HRQoL between women with different PCOS phenotypes have never been analyzed. Therefore, the aim of our study was to compare the HRQoL between women with PCOS -and its phenotypes- and controls attending to a tertiary hospital. Methods: A group of 117 women with PCOS and 153 controls were studied between 2014 and 2016. Controls were women without PCOS attending the gynecological outpatient clinic for routine examinations. Cases were women attending the same setting and diagnosed with PCOS. PCOS diagnose was performed following the Rotterdam Criteria and women were further classified by anovulatory or ovulatory phenotypic subtype. Women underwent physical and gynecological exams and completed health questionnaires including the Short Form-12v2. Eight scales and two component summary scores [Physical (PCS) and Mental (MCS), respectively] were calculated. Bivariate and multivariate analyses were performed to assess differences in HRQoL between women with PCOS and controls. Results: All women with PCOS and anovulatory PCOS presented lower score in PCS compared to controls [mean (95%CI): 53.7 (52.5-54.9) and 52.9 (51.5-54.4) vs. 55.8 (54.8-56.8); p-values<0.01], as well as lower scores for five out of the eight scales (p-values < 0.05) after adjusting by age, body mass index, infertility, educational level and current occupation. No significant differences were observed for the MCS between women with or without PCOS or its phenotypic subtypes. Conclusions: HRQoL was significantly decreased in adult women with PCOS and its anovulatory phenotype compared to controls attending the outpatient clinic of a tertiary hospital. These results may have implications for the clinical practice and suggest the need for specific interventions in women with PCOS.

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Cadaveric Dissection vs Homemade Model: What is the Best Way to Teach Endoscopic Totally Extraperitoneal Inguinal Hernia Repair?

Cited by 14 publications

References 11 publications

Systematic review of the current status of cadaveric simulation for surgical training

Systematic review of the current status of cadaveric simulation for surgical training

Can the simultaneous laparoscopic approach improve the learning of vaginal surgery with meshes in the anatomical model?

Health-related quality of life in women with polycystic ovary syndrome attending to a tertiary hospital in Southeastern Spain: a case-control study.

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