| Autor: |
Karim, Khizar, Kirubarajan, Abirami, Tanwani, Rajiv, Delpero, Emily, Skolnik, Emma, Shore, Eliane M., Sobel, Mara |
| Předmět: |
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| Zdroj: |
Journal of Gynecologic Surgery; Aug2023, Vol. 39 Issue 4, p190-197, 8p |
| Abstrakt: |
Objective: This study assessed the content of online videos as educational supplements for gynecology trainees for total laparoscopic hysterectomy (TLH). Materials and Methods: A cross-sectional analysis was performed of relevant YouTube videos. The key words laparoscopic total hysterectomy surgical training and laparoscopic total hysterectomy surgical education were used to retrieve the top 60 videos per search query. Videos without live surgical footage, audio, or written narration; or with commercial intent were excluded. Two independent reviewers evaluated the videos, using a modified version of the Objective Scale Specific for the Assessment of Technical Skills for Laparoscopic Hysterectomy (H-OSATS) to assess inclusion of necessary steps; the Objective Structured Assessment of Technical Skills (OSATS) for laparoscopy to assess surgical technique; and a 3-point Likert scale to assess surgical difficulty. Results: A total of 12 videos were analyzed: 11 (91.6%) videos were created by physicians without academic affiliations and 1 was from an academic center. The mean H-OSATS and OSATS scores were 21.75/53 (41%) and 16.05/20 (82.5%), respectively. Inter-rater agreement was rated at 95.3% with a Cohen's κ of 0.90. All videos included appropriate instruction on division of the major uterine blood supply (100%). Conversely, very few videos included information about preoperative instruction for patient positioning (5.56%), abdominal entry (12.50%), trocar insertion (14.58%), and inspection of the peritoneal cavity (20.83%). Mean surgical difficulty was rated as easy (1.6/3). Conclusions: Online surgical videos demonstrate adequate surgical skill and technique, but do not provide thorough inclusion of the steps required to perform TLH. There is a need to produce open-access high-quality comprehensive videos for TLH instruction. (J GYNECOL SURG 39:190) [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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