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

Asoğlu, Mehmet Reşit; Achjian, Tamar; Akbilgiç, Oğuz; Borahay, Mostafa A.; Kılıç, Gökhan

doi:10.5152/jtgga.2016.16053

Cited by 15 publications

(10 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…19 A positive relationship between systematic training in simulators and reduced operative time and complications were also reported in cases of bariatric and urologic laparoscopic surgery. 29,30 In a Turkish study, Asoglu et al 31 concluded that a simulator lab improves the outcomes of hysterectomy performed at a teaching institution, and may play an adjunct role in developing the resident's surgical skills; the results found by them are in line with the findings of our study.…”

Section: Discussionsupporting

confidence: 90%

The Impact of Systematic Laparoscopic Skills and Suture Training on Laparoscopic Hysterectomy Outcomes in a Brazilian Teaching Hospital

Gonçalves¹,

Ayroza-Ribeiro²,

Lima³

et al. 2019

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

Objective To evaluate the impact of systematic laparoscopic skills and suture training (SLSST) on the total laparoscopic hysterectomy intra- and postoperative outcomes in a Brazilian teaching hospital. Methods A cross-sectional observational study in which 244 charts of total laparoscopic hysterectomy (TLH) patients operated from 2008 to 2014 were reviewed. Patient-specific (age, parity, previous cesarean sections, abdominal surgeries and endometriosis) and surgery-related variables (hospital stay, operative time, uterine volume and operative complications) were analyzed in three different time-frame groups: 2008-09 (I-1) – TLHs performed by senior attending physicians; 2010-11 (I-2) – TLHs performed by residents before the implementation of the SLSST program; and 2012-14 (I-3) – TLHs performed by residents after the implementation of the SLSST program. Results A total of 244 TLH patients (mean age: 45.93 years) were included: 24 (I-1), 55 (I-2), and 165 (I-3). The main indication for TLH was uterine myoma (66.4%). Group I-3 presented a decrease in surgical time compared to group I-2 (p = 0.010). Hospital stay longer than 2 days decreased in group I-3 compared to group I-2 (p = 0.010). Although we observed decreased uterine volume (154.2 cm3) in group I-2 compared to group I-1 (217.8 cm3) (p = 0.030), logistic regression did not find any association between uterine volume and surgical time (p = 0.103). Conclusion The total operative time for laparoscopic hysterectomy was significantly shorter in the group of patients (I-3) operated after the systematic laparoscopic skills and suture training was introduced in our hospital.

show abstract

Section: Discussionsupporting

confidence: 90%

The Impact of Systematic Laparoscopic Skills and Suture Training on Laparoscopic Hysterectomy Outcomes in a Brazilian Teaching Hospital

Gonçalves¹,

Ayroza-Ribeiro²,

Lima³

et al. 2019

Rev Bras Ginecol Obstet

View full text Add to dashboard Cite

show abstract

“…Current evidence suggests that simulation can affect outcomes. 39 Interestingly, it appears that simulation training in the laparoscopic and robotic platforms affect each other. 40 Even more, it appears that improved spatial and temporal eye-brain-hand coordination from video games may improve performance.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Minimally Invasive Myomectomy in the National Inpatient Sample Database, 2010–2014

Frost¹,

McMahon²,

Smith³

et al. 2021

JSLS

Self Cite

View full text Add to dashboard Cite

Background and Objectives: This study aims to characterize the utilization of minimally invasive myomectomy in the United States and to identify the patient and hospital factors associated with surgical approach to myomectomy. Methods: This is a cross-sectional study using the National Inpatient Sample database. We extracted women aged 18–50 years who underwent open and minimally invasive (laparoscopic and robotic) myomectomy (MIM) from January 1, 2010–December 31, 2014. Descriptive statistics were obtained for patient and hospital characteristics. We then performed multivariable logistic regression to examine the association of patient (age, race, insurance status, median household income) and hospital (bed size, teaching status, for-profit status, census region, cases volume) characteristics with the likelihood of undergoing MIM. Results: Of 114,850 myomectomy cases, 8,330 (7%) underwent MIM and 106,520 (93%) were open. Over time, the proportion of MIM remained very low and slightly decreased from 8.2% in 2010 to 6.1% in 2014 (p-for-trend: 0.001). Most hospitals performed few MIM per year, with 50% performing five or less, and 25% performing three or fewer per year. African American, Hispanic, and women of other races were less likely to undergo MIM compared to Caucasian women (adjusted odds ration [OR] 0.57, 95% confidence interval [CI] 0.50–0.64; 0.71, 95% CI 0.60–0.83; 0.62, 95% CI 0.52–0.74, respectively). Women in the West (adjusted odds ratio (aOR) 1.23, 95% CI 1.04–1.46) and Midwest (aOR 1.27, 95% CI 1.07–1.52) had higher odds of undergoing MIM. Conclusion: MIM appears to be an underutilized modality, accounting for less than10% of myomectomies. This underutilization disproportionally affects minority women.

show abstract

“…Also, with the current evidence of disparities in the use of LH ( 38 ), it is important to determine if it is adequately used for the obese patient population. Finally, there is a clear need to take important clinical variables such as BMI into account when designing and using simulators, which appear helpful in minimally invasive gynecologic surgical training ( 39 , 40 ).…”

Section: Discussionmentioning

confidence: 99%

Outcomes of robotic, laparoscopic, and open hysterectomy for benign conditions in obese patients

Borahay¹,

Tapisiz²,

Alanbay³

et al. 2018

J Turkish German Gynecol Assoc

Self Cite

View full text Add to dashboard Cite

Objective:To compare outcomes of robotic-assisted (RAH), total laparoscopic hysterectomy (LH), and total abdominal hysterectomy (TAH) for benign conditions in obese patients.Material and Methods:Retrospective cohort (Class II-2) analysis. All obese patients who underwent RAH, LH or TAH for benign conditions by a single surgeon at the University of Texas Medical Branch between January 2009 and December 2011 were identified and their charts reviewed. The patients’ characteristics, operative data, and post-operative outcomes were collected and statistically analyzed.Results:A total of 208 patients who underwent RAH (n=51), LH (n=24) or TAH (n=133) were analyzed. There were no significant differences among the groups in demographic characteristics, indications for surgery or pathologic findings. RAH and LH were associated with lower estimated blood loss (EBL) (p<0.001) and shorter length of hospital stay (LOS) (p<0.001) compared with TAH. In addition, RAH and LH had lower intraoperative and early postoperative (≤6 weeks) complications compared with TAH (p=0.002). However, the procedure time was longer in RAH and LH (p<0.001). No significant differences were noted among the groups for late post-operative complications (after 6 weeks) or unscheduled post-operative visits.Conclusion:Minimally invasive hysterectomy appears to be safe in obese patients with the advantages of less EBL, fewer intraoperative complications, and shorter LOS.

show abstract

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

Cited by 15 publications

References 26 publications

The Impact of Systematic Laparoscopic Skills and Suture Training on Laparoscopic Hysterectomy Outcomes in a Brazilian Teaching Hospital

The Impact of Systematic Laparoscopic Skills and Suture Training on Laparoscopic Hysterectomy Outcomes in a Brazilian Teaching Hospital

Predictors of Minimally Invasive Myomectomy in the National Inpatient Sample Database, 2010–2014

Outcomes of robotic, laparoscopic, and open hysterectomy for benign conditions in obese patients

Contact Info

Product

Resources

About