The effect of warm-up on surgical performance: a systematic review

Abdalla, Gamal; Moran-Atkin, Erin; Chen, Grace; Schweitzer, Michael; Magnuson, Thomas; Steele, Kimberley E.

doi:10.1007/s00464-014-3811-4

Cited by 33 publications

(16 citation statements)

References 28 publications

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“…More recently, researchers have been investigating whether these simulators might yield shorter-term gains for trainees and experts alike, through the implementation of preoperative Òwarm-upsÓ [12,13]. The idea of warming up for surgery has largely been borrowed from sports medicine: there is a long history of elite athletes performing warm-up routines.…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

A systematic examination of preoperative surgery warm-up routines

et al. 2016

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“…In the surgical field, the concept of warming up has been investigated primarily before conducting laparoscopic procedures [6][7][8][9]. A recent systematic review analyzed six prospective randomized trails that compared the effect of warming up by using surgical simulators before laparoscopic procedures, with control groups who had no warm-up [10]. The study concluded that warming up enhanced the surgeon's technical, cognitive and psychomotor performance.…”

Section: Introductionmentioning

confidence: 99%

Does warming up improve surgical outcome in total hip arthroplasty?

Makhdom

Almaawi

Tanzer

et al. 2015

Eur J Orthop Surg Traumatol

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“…However it's value was demonstrated in different studies [17,18]. In our opinion, TAPP is useful as "warm-up" procedure before to start other more complex techniques (e.g.…”

Section: )mentioning

confidence: 90%