Preoperative Warm-Up Using a Virtual Reality Simulator

Moldovanu, R; Târcoveanu, E; Dimofte, Gabriel; Lupașcu, Cristian; Bradea, C

doi:10.4293/108680811x13176785204409

Cited by 55 publications

(85 citation statements)

References 18 publications

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“…The nine other studies[24Ð28, 30,31,33] included in this review reported significant results in some, but not all, recorded outcome measures. All of these studies concluded overall that preoperative simulation improves surgical performance, but only two studies [25,28] (48,51) include an explanation as to why significant results were prioritised over non-significant results.…”

Section: The Warm-up Tasksmentioning

confidence: 90%

“…A further four studies were case studies, two compared a technical skills practice to no practice [30,31] and two [32,33] did not contain a control group. One RCT [34] examined the effect of mental practice prior to an operation on subsequent laparoscopic performance.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…In a majority of studies, validated global rating assessments were used. In three studies [22,28,30] a modification of a previously published global rating scale was employed.…”

Section: Studies Reporting Global Rating Scorementioning

confidence: 99%

“…The second study [28] found a significant improvement in one assessed task, but not another. One RCT [22] and one cross-over trial [30] found that preoperative simulation had no effect on subsequent performance, as judged by a global rating scale.…”

Section: Studies Reporting Global Rating Scorementioning

confidence: 99%

“…the assessment task) was used to prepare the participants for surgery (real-life or simulated) and thus, demanded a repetition of motor action. Two studies [27,30] had, what appears to be a more even distribution of cognitive and motor demands in their preoperative simulation and one study relied on cognitive alone (complete absence of motor action) [34].…”

Section: The Warm-up Tasksmentioning

confidence: 99%

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A systematic examination of preoperative surgery warm-up routines

et al. 2016

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Background: Recent evidence indicates that a preoperative warm-up is a potentially useful tool in facilitating performance. But what factors drive such improvements and how should a warm-up be implemented? Methods:In order to address these issues, we adopted a two-pronged approach: (i) we conducted a systematic review of the literature to identify existing studies utilizing preoperative simulation techniques; (ii) we performed task analysis to identify the constituent parts of effective warm-ups. We identified five randomised control trials, four randomised crossover trials and four case series. The majority of these studies reviewed surgical performance following preoperative simulation relative to performance without simulation.Results: Four studies reported outcome measures in real patients and the remainder reported simulated outcome measures. All but one of the studies found that preoperative simulation improves operative outcomes-but this improvement was not found across all measured parameters. Whilst the reviewed studies had a number of methodological issues, the global data indicate that preoperative simulation has substantial potential to improve surgical performance. Analysis of the task characteristics of successful interventions indicated that the majority of these studies employed warm-ups that focused on the visual motor elements of surgery. However, there was no theoretical or empirical basis to inform the design of the intervention in any of these studies. Conclusions:There is an urgent need for a more rigorous approach to the development of Ôwarm-upÕ routines if the potential value of preoperative simulation is to be understood and realised. We propose that such interventions need to be grounded in theory and empirical evidence on human motor performance.

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Section: The Warm-up Tasksmentioning

confidence: 90%

Section: Study Characteristicsmentioning

confidence: 99%

“…In a majority of studies, validated global rating assessments were used. In three studies [22,28,30] a modification of a previously published global rating scale was employed.…”

Section: Studies Reporting Global Rating Scorementioning

confidence: 99%

Section: Studies Reporting Global Rating Scorementioning

confidence: 99%

Section: The Warm-up Tasksmentioning

confidence: 99%

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A systematic examination of preoperative surgery warm-up routines

et al. 2016

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Virtual reality training for surgical trainees in laparoscopic surgery

Nagendran

Gurusamy

Aggarwal

et al. 2013

Cochrane Database of Systematic Reviews

320

193

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Virtual reality training appears to decrease the operating time and improve the operative performance of surgical trainees with limited laparoscopic experience when compared with no training or with box-trainer training. However, the impact of this decreased operating time and improvement in operative performance on patients and healthcare funders in terms of improved outcomes or decreased costs is not known. Further well-designed trials at low risk of bias and random errors are necessary. Such trials should assess the impact of virtual reality training on clinical outcomes.

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Training in ART

Heitmann

2021

Assisted Reproduction Techniques

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Preoperative Warm-Up Using a Virtual Reality Simulator

Abstract: Even more experienced laparoscopic surgeons in this report became better prepared to perform a surgical procedure doing simple exercises on a virtual reality simulator before the actual procedure.

Cited by 55 publications

References 18 publications

A systematic examination of preoperative surgery warm-up routines

A systematic examination of preoperative surgery warm-up routines

Virtual reality training for surgical trainees in laparoscopic surgery

Training in ART

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