Assessing Endoscopic Suture Performance of Gynecology and Obstetrics Residents Following Methodic Training.
| Autor: | Nogueira LR; Universidade Federal do Ceará, Departamento de Saúde Materno Infantil, Fortaleza, CE, Brazil., Lustosa KA; Universidade Federal do Ceará, Departamento de Saúde Materno Infantil, Fortaleza, CE, Brazil., Galindo LAO; Universidade Federal do Ceará, Departamento de Saúde Materno Infantil, Fortaleza, CE, Brazil., Castro SE; Universidade Federal do Ceará, Departamento de Saúde Materno Infantil, Fortaleza, CE, Brazil., Picanço LR; Universidade Federal do Ceará, Departamento de Saúde Materno Infantil, Fortaleza, CE, Brazil., Silva LLD; Universidade Federal do Cariri, Faculdade de Medicina, Juazeiro do Norte, CE, Brazil., Coutinho SS; Universidade Federal do Ceará, Departamento de Saúde Materno Infantil, Fortaleza, CE, Brazil., Bezerra LRPS; Universidade Federal do Ceará, Departamento de Saúde Materno Infantil, Fortaleza, CE, Brazil. |
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| Jazyk: | angličtina |
| Zdroj: | Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia [Rev Bras Ginecol Obstet] 2023 Oct; Vol. 45 (10), pp. e603-e608. Date of Electronic Publication: 2023 Nov 09. |
| DOI: | 10.1055/s-0043-1772476 |
| Abstrakt: | Objective: To evaluate the performance of residents in gynecology and obstetrics before and after practicing laparoscopic sutures, to establish when the training shows the best results, in addition to comparing whether being in different years of residency influences this progression. Methods: A prospective cohort study involving 32 medical residents evaluated with a pretest to establish their previous knowledge in laparoscopic suture. This test consisted of knotting two wires, one made of polypropylene and the other of polyglactin, with a blocking sequence of five semi-knots. We set a 30-minute limit to complete the task. Then, the residents held four training meetings, focusing on suture, Gladiator rule, knot, and symmetries, in addition to executing blocking sequences. A second test to establish progress was performed. Results: Regarding the time spent to make the stiches using polyglactin wire, a statistically significant time improvement ( p < 0.01) was observed, with a 10.67-minute pretraining median (mean 12.24 minutes) and a 2.53-minute posttraining median (mean 3.25 minutes). Regarding the stitches with polypropylene wire, a statistically significant time improvement ( p < 0.05) was also observed, with a 9.38-minute pretraining median (mean 15.43 minutes) and a 3.65-minute posttraining median (mean 4.54 minutes). A total of 64.2% of the residents had been able to make the knot with polypropylene previously. One hundred percent were able to complete the task in the posttest. Conclusion: Model training using the Gladiator rule for laparoscopic suture improves the knotting time with statistically similar performance, regardless of the year of residency, after systematic training. Competing Interests: The authors have no conflict of interests to declare. (Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).) |
| Databáze: | MEDLINE |
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