Gynecologic surgical skill acquisition through simulation with outcomes at the time of surgery: a systematic review and meta-analysis

Orejuela, Francisco J.; Aschkenazi, Sarit; Howard, David L.; Jeppson, Peter C.; Balgobin, Sunil; Walter, Andrew J.; White, Amanda B.; Olivera, Cedric K.; Sanses, Tatiana; Thompson, Jennifer C.; Gala, Rajiv B.; Matteson, Kristen A.; Balk, Ethan M; Meriwether, Kate V.; Rahn, David D.

doi:10.1016/j.ajog.2022.01.031

Cited by 17 publications

(7 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As the current study developed a sterile cover for the heat-sensitive sensors, an upcoming study should apply the developed inertial sensor system in the OR to collect structured data for various standard procedures. In future for example, each surgeons’ experiences could be archived and subsequently used for digital assistance systems [ 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Tracking and evaluating motion skills in laparoscopy with inertial sensors

et al. 2023

View full text Add to dashboard Cite

Background Analysis of surgical instrument motion is applicable in surgical skill assessment and monitoring of the learning progress in laparoscopy. Current commercial instrument tracking technology (optical or electromagnetic) has specific limitations and is expensive. Therefore, in this study, we apply inexpensive, off-the-shelf inertial sensors to track laparoscopic instruments in a training scenario. Methods We calibrated two laparoscopic instruments to the inertial sensor and investigated its accuracy on a 3D-printed phantom. In a user study during a one-week laparoscopy training course with medical students and physicians, we then documented and compared the training effect in laparoscopic tasks on a commercially available laparoscopy trainer (Laparo Analytic, Laparo Medical Simulators, Wilcza, Poland) and the newly developed tracking setup. Results Eighteen participants (twelve medical students and six physicians) participated in the study. The student subgroup showed significantly poorer results for the count of swings (CS) and count of rotations (CR) at the beginning of the training compared to the physician subgroup (p = 0.012 and p = 0.042). After training, the student subgroup showed significant improvements in the rotatory angle sum, CS, and CR (p = 0.025, p = 0.004 and p = 0.024). After training, there were no significant differences between medical students and physicians. There was a strong correlation between the measured learning success (LS) from the data of our inertial measurement unit system (LSIMU) and the Laparo Analytic (LSLap) (Pearson’s r = 0.79). Conclusion In the current study, we observed a good and valid performance of inertial measurement units as a possible tool for instrument tracking and surgical skill assessment. Moreover, we conclude that the sensor can meaningfully examine the learning progress of medical students in an ex-vivo setting.

show abstract

Section: Discussionmentioning

confidence: 99%

Tracking and evaluating motion skills in laparoscopy with inertial sensors

et al. 2023

View full text Add to dashboard Cite

show abstract

“…Multiple Studien zeigen für endoskopische Simulatoren (Arthroskopie, Laparoskopie, Gynäkologie) positive Effekte auf die Performance von AssistentInnen in klinischen Szenarien [ 1 , 24 , 27 , 28 , 33 ]. Eine aktuelle Übersichtsarbeit, welche 44 Studien zur Wirksamkeit arthroskopischer Simulatoren für die Weiterbildung von AssistenzärztInnen evaluierte, stellte dar, dass 95 % der eingeschlossenen Studien einen positiven Einfluss von Simulatoren auf die arthroskopische Performance der AssistenzärztInnen zeigten [ 16 ].…”

Section: Diskussionunclassified

Satisfaction with continuing education at a level 1 trauma center—Results of a survey and development of a competency-based continuing education concept

Katthagen,

Deichsel,

Schenk

et al. 2024

Chirurgie

View full text Add to dashboard Cite

Zusammenfassung Hintergrund Die strukturierte, kompetenzbasierte Weiterbildung ist einer der am häufigsten artikulierten Wünsche von AssistenzärztInnen. Methodik Es erfolgte die Befragung von 19 AssistenzärztInnen hinsichtlich der Zufriedenheit mit der aktuellen Weiterbildung an einem Level-I-Traumazentrum, mittels eines Fragebogens mit 5 Fragen, welche auf einer 5‑Punkte-Likert-Skala beantwortet wurden. Im Folgenden erfolgte die Entwicklung eines überarbeiteten, kompetenzbasierten Weiterbildungskonzeptes. Resultate Die Befragung spiegelte eine Unsicherheit wider, ob die aktuellen Weiterbildungsstrukturen den Anforderungen der Weiterbildungsordnung gerecht werden können. Das überarbeitete, kompetenzbasierte Weiterbildungskonzept besteht aus klinischem Mentoring, regelmäßigen theoretischen und praktischen Fortbildungen sowie regelmäßigen und strukturierten Mitarbeitergesprächen. Schlussfolgerung Das vorgestellte Weiterbildungskonzept spiegelt den Versuch wider, eine zeitgemäße chirurgische Weiterbildung zu etablieren und sollte im Verlauf evaluiert werden.

show abstract

“…Recent studies have shown that the proficiency of surgeons is strongly associated with the incidence of complications, revision rates, and mortality in patients 6 , 7 . This highlights the importance of surgeon training and the need to secure surgical safety 8 , 9 .…”

Section: Introductionmentioning

confidence: 99%

Assessment of laparoscopic intracorporeal intestinal anastomosis training using simulation-based 3D printed models: exploring surgical performance and learning curves

Xia

Chen

et al. 2023

International Journal of Surgery

View full text Add to dashboard Cite

Background & Aims: Intestinal anastomosis is a clinical procedure widely used to reconstruct the digestive tract, but authentic laparoscopic intracorporeal intestinal anastomosis（LIIA） models are lacking. However, three-dimensional (3D) printing can enable authentic and reusable models. In this paper, a novel cost-effective 3D-printing training model of LIIA is designed and the authenticity and validity of the model are tested. Methods: An FDM 3D printing and assembled lab model were built to test LIIA. Fifteen surgeons were required to perform LIIA, and their operation score and time were recorded and analyzed. Five experts were invited to assess the face and content validity of the models. A study was also performed to further evaluate and validate the learning curve of surgeons. Results: The difference in Modified anastomosis objective structured assessment of technical skills (MAOSATS) scores between the expert, intermediate and novice groups were significant (64.1±1.8: 48.5±1.7: 29.5±3.1, P < 0.001). In addition, the operation time of the procedure was statistically different for all three groups (21.5±1.9: 30.6±2.8:70.7±4.0, P < 0.001). The five experts rated the face and content validity of the model very highly, with the median being four out of five. Surgeons who underwent repeated training program showed improved surgical performance. After eight training, the novices’ performance was similar to that of the average level of untrained intermediates, while the operation scores of the intermediates were close to that of the average level of experts. Conclusions: In this study, it is found that the LIIA model exhibits excellent face, content and construct validity, repeated simulation training of the LIIA training program improved the surgeon’s operative performance, so the model is considered one of the effective methods for LIIA training and assessment of surgical quality in the future and for reducing healthcare costs.

show abstract

Gynecologic surgical skill acquisition through simulation with outcomes at the time of surgery: a systematic review and meta-analysis

Cited by 17 publications

References 45 publications

Tracking and evaluating motion skills in laparoscopy with inertial sensors

Tracking and evaluating motion skills in laparoscopy with inertial sensors

Satisfaction with continuing education at a level 1 trauma center—Results of a survey and development of a competency-based continuing education concept

Assessment of laparoscopic intracorporeal intestinal anastomosis training using simulation-based 3D printed models: exploring surgical performance and learning curves

Contact Info

Product

Resources

About