Evaluation of laparoscopic knot training in a silicone model.

Autor:	Osorio LFF; - Universidade do Estado do Rio de Janeiro, Unidade de Pesquisa Urogenital - Programa de Pós-Graduação em Fisiopatologia e Ciências Cirúrgicas - Rio de Janeiro - RJ - Brasil., Maciel CFE; - Universidade do Estado do Rio de Janeiro, Unidade de Pesquisa Urogenital - Programa de Pós-Graduação em Fisiopatologia e Ciências Cirúrgicas - Rio de Janeiro - RJ - Brasil., Gallo CBM; - Universidade do Estado do Rio de Janeiro, Unidade de Pesquisa Urogenital - Programa de Pós-Graduação em Fisiopatologia e Ciências Cirúrgicas - Rio de Janeiro - RJ - Brasil., Sampaio FJ; - Universidade do Estado do Rio de Janeiro, Unidade de Pesquisa Urogenital - Programa de Pós-Graduação em Fisiopatologia e Ciências Cirúrgicas - Rio de Janeiro - RJ - Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista do Colegio Brasileiro de Cirurgioes [Rev Col Bras Cir] 2023 Mar 10; Vol. 50, pp. e20233476. Date of Electronic Publication: 2023 Mar 10 (Print Publication: 2023).
DOI:	10.1590/0100-6991e-20233476-en
Abstrakt:	Introduction: in videolaparoscopic surgery, movements are conducted from a twenty times magnified image of an indirect operative field. The video interface used assumes the need for depth perception using two dimensions instead of three. Objective: to evaluate the effectiveness of training to perform the laparoscopic knot in a silicone model, in 8-hour courses, and to analyze the correlation of learning outcomes with factors such as: sex, age, laterality, previous knowledge in endosuture and medical specialty. Material and Methods: in this prospective and randomized study, 56 students were evaluated, who took 8-hour courses, with groups of up to ten students. We used: a white box with camera, LCD screen and silicone piece. Four exercises were performed on the silicone mold: right hand, left hand, needle at 45° and back hand. Results: 56 students (mean age = 33.28 years). The female group, n=18, mean age 29.61 years, 17 right-handed and 1 left-handed. The male group, n=38, mean age 34.57 years, 35 right-handers, 1 left-handed and 2 ambidextrous. In both groups, no correlation was observed between the analyzes of well performed knots when correlated with the age or sex of the participants. Conclusion: laparoscopic knot training, in silicone molds, in 8 h courses, proved to be effective. Factors such as gender, age, laterality, previous knowledge in endosuture and medical specialty do not interfere with the learning results.
Databáze:	MEDLINE
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