Significant improvement of laparoscopic knotting time in medical students through manual training with potential cost savings in laparoscopy - an observational study
| Autor: | Erich-Franz Solomayer, Sebastian Findeklee, Carolin Spüntrup, Julia Caroline Radosa, Georg-Peter Breitbach, Emanuela Morinello, Elmar Spüntrup |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
education 030232 urology & nephrology Box trainer laparoscopy lcsh:Medicine equivalent calculation lcsh:Gynecology and obstetrics Standard procedure Simulation training 03 medical and health sciences 0302 clinical medicine Operating time Medicine Medical physics Laparoscopy laparoscopic knotting lcsh:RG1-991 Original Investigation 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry surgery simulator lcsh:R Obstetrics and Gynecology food and beverages Cost savings Observational study Surgical simulation business |
| Zdroj: | Journal of the Turkish-German Gynecological Association, Vol 21, Iss 3, Pp 150-155 (2020) Journal of the Turkish German Gynecological Association |
| ISSN: | 1309-0380 1309-0399 |
| Popis: | Objective Laparoscopy is a standard procedure in operative gynaecology, but laparoscopic simulator training for novices/junior surgeons is not currently well-established. The aims of this study were to demonstrate that a laparoscopic knot course for trainees can significantly shorten the knotting time and to perform a counter-value calculation for the clinic’s costs. Material and methods An observational study was performed with exercises on a laparoscopic box trainer as part of the practical clerkship in gynaecology and obstetrics between 07.10.2019-31.01.2020. At the beginning and at the end of the exercises, the participants made a laparoscopic knot and the difference in knotting time, Δt in seconds (s) was measured. Results Eighty-eight medical students needed an average of 247.1 s for the first laparoscopic knot at the beginning of the course and an average of 45.43 s for the second at the end of the course. Mean shortening of the knotting time was 201.67 s or 81.6% (p=0.02). Calculating costs of an average of €40-50 for an operation minute would mean a cost saving of at least €120-150 for a partial node. Conclusion Trainees can significantly improve their operative skills in a short time with the aid of surgical simulation training. Such training can be beneficial for clinics by reducing the operating time if the basics, such as sewing and instrument guidance, are learned on a simulator. We therefore suggest that operative simulation training should be mandatory in medical education. |
| Databáze: | OpenAIRE |
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