Correcting the Fundamentals of Laparoscopic Surgery 'Illusion of Validity' in Laparoscopic Vaginal Cuff Suturing
| Autor: | Christopher C. DeStephano, Sarah E. Weaver, M.G. Leon, Lori Chase, Tri A. Dinh, Michael G. Heckman |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Intraclass correlation medicine.medical_treatment 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Suture (anatomy) Cadaver medicine Humans Laparoscopy 030219 obstetrics & reproductive medicine Sutures medicine.diagnostic_test business.industry Suture Techniques Obstetrics and Gynecology musculoskeletal system Illusions Surgery 030220 oncology & carcinogenesis Cuff Female Clinical Competence business Cadaveric spasm |
| Zdroj: | Journal of Minimally Invasive Gynecology. 28:1927-1934 |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2021.05.002 |
| Popis: | STUDY OBJECTIVE The "illusion of validity" is a cognitive bias in which the ability to interpret and predict surgical performance accurately is overestimated. To address this bias, we assessed participants comparing fundamentals of laparoscopic surgery (FLS) and non-FLS tasks with cadaveric vaginal cuff suturing to determine the most representative simulation task for laparoscopic vaginal cuff suturing. DESIGN Validity (Messick framework) study comparing FLS and non-FLS tasks with cadaveric vaginal cuff suturing. SETTING Simulation center cadaver laboratory. PARTICIPANTS Obstetrics and gynecology residents (n = 21), minimally invasive gynecologic surgery fellows (n = 3), gynecologic surgical subspecialists (n = 4), general obstetrician/gynecologists (n = 10). INTERVENTIONS Tasks included a simulated vaginal cuff (ipsilateral port placement), needle passage through a metal eyelet loop (contralateral and ipsilateral), and intracorporeal knot tying (contralateral and ipsilateral). Simulation task times were compared with the placement of the first cadaveric vaginal cuff suture time, as well as the in-person and blinded Global Operative Assessment of Laparoscopic Skills (GOALS) score ("relations to other variables" validity evidence). Statistical analyses included Spearman's test of correlation (continuous and ordinal variables) or Wilcoxon rank sum test (categoric variables). MEASUREMENTS AND MAIN RESULTS There was a stronger association with cadaver cuff suturing time for simulated vaginal cuff suturing time (r = 0.73, p |
| Databáze: | OpenAIRE |
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