Simulated training of a laparoscopic vesicourethral anastomosis

Abstract Purpose: To develop a model and curriculum for simulated training of an effective and well accepted laparoscopic vesicourethral anastomosis (VUA). Methods: Experimental longitudinal study of quantitative character. The sample consisted of 12 general surgery residents and 6 urology residen...

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Main Authors: Eudes Fontenele Moraes Pinheiro, Márcio Alencar Barreira, Luiz Gonzaga de Moura Junior, Charles Jean Gomes de Mesquita, Rômulo Augusto da Silveira
Format: Article
Language:English
Published: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia 2018-08-01
Series:Acta Cirúrgica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502018000800713&tlng=en
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author Eudes Fontenele Moraes Pinheiro
Márcio Alencar Barreira
Luiz Gonzaga de Moura Junior
Charles Jean Gomes de Mesquita
Rômulo Augusto da Silveira
author_facet Eudes Fontenele Moraes Pinheiro
Márcio Alencar Barreira
Luiz Gonzaga de Moura Junior
Charles Jean Gomes de Mesquita
Rômulo Augusto da Silveira
author_sort Eudes Fontenele Moraes Pinheiro
collection DOAJ
description Abstract Purpose: To develop a model and curriculum for simulated training of an effective and well accepted laparoscopic vesicourethral anastomosis (VUA). Methods: Experimental longitudinal study of quantitative character. The sample consisted of 12 general surgery residents and 6 urology residents (R3). The training consisted of making twelve VUAs on synthetic organs. The training was divided into four sessions and accompanied by an instructor who performed positive feedback. The evaluation of the anastomoses considered the time and the analysis of the operative technique through the global evaluation scale Objective Structured Assessment of Technical Skills (OSATS). Results: Residents showed a reduction in operative time and evolution in the surgical technique statistically significant (p<0.01). The best-rated items were the facilitator positive feedback and the fact that the training was carried out at the teaching hospital premises. Conclusions: The proposed training model was well accepted and proved to be effective in reducing operative time and improving laparoscopic skills. The training should be fractionated (4 sessions in 3 weeks), repetitive (12 anastomoses) and have positive feedback.
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spelling doaj.art-1eee2b0892ab4ab78470562d42ede7d92022-12-21T18:41:46ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira0102-86502018-08-0133871372210.1590/s0102-865020180080000007Simulated training of a laparoscopic vesicourethral anastomosisEudes Fontenele Moraes PinheiroMárcio Alencar BarreiraLuiz Gonzaga de Moura JuniorCharles Jean Gomes de MesquitaRômulo Augusto da SilveiraAbstract Purpose: To develop a model and curriculum for simulated training of an effective and well accepted laparoscopic vesicourethral anastomosis (VUA). Methods: Experimental longitudinal study of quantitative character. The sample consisted of 12 general surgery residents and 6 urology residents (R3). The training consisted of making twelve VUAs on synthetic organs. The training was divided into four sessions and accompanied by an instructor who performed positive feedback. The evaluation of the anastomoses considered the time and the analysis of the operative technique through the global evaluation scale Objective Structured Assessment of Technical Skills (OSATS). Results: Residents showed a reduction in operative time and evolution in the surgical technique statistically significant (p<0.01). The best-rated items were the facilitator positive feedback and the fact that the training was carried out at the teaching hospital premises. Conclusions: The proposed training model was well accepted and proved to be effective in reducing operative time and improving laparoscopic skills. The training should be fractionated (4 sessions in 3 weeks), repetitive (12 anastomoses) and have positive feedback.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502018000800713&tlng=enEducationMedicalAnastomosis, SurgicalLaparoscopySuture TechniquesUrologic Surgical Procedures
spellingShingle Eudes Fontenele Moraes Pinheiro
Márcio Alencar Barreira
Luiz Gonzaga de Moura Junior
Charles Jean Gomes de Mesquita
Rômulo Augusto da Silveira
Simulated training of a laparoscopic vesicourethral anastomosis
Acta Cirúrgica Brasileira
Education
Medical
Anastomosis, Surgical
Laparoscopy
Suture Techniques
Urologic Surgical Procedures
title Simulated training of a laparoscopic vesicourethral anastomosis
title_full Simulated training of a laparoscopic vesicourethral anastomosis
title_fullStr Simulated training of a laparoscopic vesicourethral anastomosis
title_full_unstemmed Simulated training of a laparoscopic vesicourethral anastomosis
title_short Simulated training of a laparoscopic vesicourethral anastomosis
title_sort simulated training of a laparoscopic vesicourethral anastomosis
topic Education
Medical
Anastomosis, Surgical
Laparoscopy
Suture Techniques
Urologic Surgical Procedures
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502018000800713&tlng=en
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