Predictors of Successful Surgical Outcome in Laparoscopic Hysterectomy

“…Developing the necessary eye-hand coordination before hands-on surgical practice may not only shorten the learning curve but also improve patient safety (2). By practicing in a simulation lab, residents can improve their psychomotor and cognitive skills in a riskfree setting (3)(4)(5)(6). The benefit of simulator-based training has been increasingly evident since total laparoscopy-assisted hysterectomy (TLH) & robot-assisted hysterectomy (RAH) cases accounted for more than 30% of the total hysterectomies in the United States (7).…”

Section: Introductionmentioning

confidence: 99%

The impact of a simulation-based training lab on outcomes of hysterectomy

Asoğlu¹,

Achjian²,

Akbilgiç³

et al. 2016

J Turkish German Gynecol Assoc

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Results:The average estimated blood loss before and after simulation-based training was significantly different in TAH and RAH groups (317±170 mL versus 257±146 mL, p=0.003 and 154±107 mL versus 102±88 mL, p=0.004, respectively), but no difference was found for TLH and VH. The mean of length of hospital stay was significantly different before and after simulation-based training for each technique: 3.7±2.3 versus 2.9±2.2 days for TAH, 2.0±1.2 versus 1.3±0.9 days for VH, 2.4±1.3 versus 1.9±2.5 days for TLH, and 2.0±1.3 versus 1.4±1.7 days for RAH (p<0.01). Conclusion:Based on our data, simulator-based training may play an integrative role in developing the residents' surgical skills and thus improving the surgical outcomes of hysterectomy. (J Turk Ger Gynecol Assoc 2016; 17: 60-4)

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“…Some authors considered that conversion combined the exposure to the general risk of the laparoscopic approach with an additional laparotomy, and is associated with worse postoperative outcomes [20][21][22][23]. To this regard, even if postoperative complications occurred, obviously, more frequently after conversion than laparoscopy, they did not differ between converted and laparotomy groups.…”

Section: Discussionmentioning

confidence: 89%