In Vitro Training Program to Improve Ambidextrous Skill and Reduce Physical Fatigue During Laparoscopic Surgery: Preliminary Experience

Abstract

Incorporation of sufficient in vitro training to improve nondominant hand functioning and reduce physical fatigue can make adaptation to laparoscopic surgery easier.

Development of Laparoscopic Suturing Skills: A Prospective Trial

“…Similar to previous reports, 17 upper-limb and shoulder discomfort, noted during early training sessions, improved with practice and increased physical endurance. It has been estimated that 30 hours over 2 months is required to master intracorporeal suturing with the dominant hand.…”

“…It has been estimated that 30 hours over 2 months is required to master intracorporeal suturing with the dominant hand. 17 However, participants in our study achieved similar suture times with 5 to 8 hours of training on the home-constructed system. In addition, our system could be used to practice the chicken skin-over-catheter model of urethrovesical anastomosis proposed by Katz and colleagues.…”

Intérêt et performances d’un pelvitrainer portable pour l’entraînement à la laparoscopie

“…L'entraînement sur pelvitrainer permettrait ainsi d'amé liorer l'utilisation de la main non dominante, de ré duire la fatigue physique et donc d'avoir une meilleure adaptation à la chirurgie laparoscopique [25]. L'utilisation de la main gauche augmente d'ailleurs chez les personnes qui s'entraî-nent sur pelvitrainer [21].…”

Methods of training using pelvic trainers

“…Knotting is performed when the suture is fixed to the base of the trainer with a long piece on one side and a short one on the other. The suture is grasped with two needle holders and the trainee is instructed to perform a simple knot and a double loop knot ("surgeon's knot") and perform forehand and backhand knotting, so the knot will lock and several knots will be in a row [17,19].…”

“…A unique contribution was presented by Gupta et al [19]. They followed the progression of a single novice surgeon who was practicing laparoscopic suturing on a box trainer and measured the overall time required to reach a satisfying level using his dominant and non-dominant hand.…”