Feedback based simulator training reduces superfluous forces exerted by novice residents practicing knot tying for vessel ligation
Autor: | Moti Cordoba, Danny Rosin, Roi Anteby, Amitai Ziv, Chaya Shwaartz, Shlomi Laufer, Imri Amiel, Mordechai Gutman, Roy Mashiach |
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Rok vydání: | 2020 |
Předmět: |
Adult
Male education Visual feedback 030230 surgery 03 medical and health sciences 0302 clinical medicine Knot (unit) Surgical skills Humans Medicine Ligation Simulation Training Simulation Haptic technology business.industry Suture Techniques Internship and Residency General Medicine Knot tying 030220 oncology & carcinogenesis Female Surgery Clinical Competence Completion time business Knowledge of Results Psychological |
Zdroj: | The American Journal of Surgery. 220:100-104 |
ISSN: | 0002-9610 |
DOI: | 10.1016/j.amjsurg.2019.11.027 |
Popis: | Background Technological advances have led to the development of state-of-the-art simulators for training surgeons; few train basic surgical skills, such as vessel ligation. Methods A novel low-cost bench-top simulator with auditory and visual feedback that measures forces exerted during knot tying was tested on 14 surgical residents. Pre- and post-training values for total force exerted during knot tying, maximum pulling and pushing forces and completion time were compared. Results Mean time to reach proficiency during training was 11:26 min, with a mean of 15 consecutive knots. Mean total applied force for each knot were 35% lower post-training than pre-training (7.5 vs. 11.54 N (N), respectively, p = 0.039). Mean upward peak force was significantly lower after, compared to before, training (1.29 vs. 2.12 N, respectively, p = 0.004). Conclusions Simulator training with visual and auditory force feedback improves knot-tying skills of novice surgeons. |
Databáze: | OpenAIRE |
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