Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees’ Surgical Skills
<i>Background and objectives</i>: The primary objective was to evaluate the benefit of training with virtual reality simulation. The secondary objective was to describe the short-term skill acquisition obtained by simulation training and to determine the factors affecting its magnitude....
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-02-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/57/2/130 |
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| author | Mohamed Elessawy Mohamed Mabrouk Thorsten Heilmann Marion Weigel Mohamed Zidan Ghada Abu-Sheasha Andre Farrokh Dirk Bauerschlag Nicolai Maass Mohamed Ibrahim Dina Kamel |
| author_facet | Mohamed Elessawy Mohamed Mabrouk Thorsten Heilmann Marion Weigel Mohamed Zidan Ghada Abu-Sheasha Andre Farrokh Dirk Bauerschlag Nicolai Maass Mohamed Ibrahim Dina Kamel |
| author_sort | Mohamed Elessawy |
| collection | DOAJ |
| description | <i>Background and objectives</i>: The primary objective was to evaluate the benefit of training with virtual reality simulation. The secondary objective was to describe the short-term skill acquisition obtained by simulation training and to determine the factors affecting its magnitude. <i>Materials and Methods</i>: We prospectively performed a three-stage evaluation: face, constructive, and predictive to evaluate the training with a laparoscopic simulator with haptic feedback. The participants (<i>n</i> = 63) were divided according to their level of experience into three groups: 16% residents; 46% specialists and 38% were consultants. <i>Results</i>: Face evaluation demonstrates the acceptance of the design and realism of the tasks; it showed a median score of eight (IQR 3) on a Likert scale and 54% of participants (<i>n</i> = 34) gave the tissue feedback a moderate rating. Constructive evaluation demonstrates the improvement of the participants in the training session and the ability of the designed task to distinguish the experienced from the inexperienced surgeon based on the performance score, at task I (transfer of pegs) and II (laparoscopic salpingectomy). There was an improvement in both tasks with a significant increase in score and reduction in time. The study showed that those with a high score at the pre-test recorded a high score post-test, showing a significant pair-wise comparison (<i>Z</i>) and correlation (<i>p</i>) showing a significant statistical significance (<i>p</i> < 0.001). The predictive evaluation demonstrates the beneficiary effect of training four weeks afterward on the practice of surgeons addressed with five questions. It showed an improvement regarding implementation into daily routine, performance of procedure, suturing, shortening of the operative time, and complication management. <i>Conclusions</i>: Virtual reality simulation established high ratings for both realism and training capacity, including clinical relevance, critical relevance, and maintaining training enthusiasm. |
| first_indexed | 2024-03-12T08:33:52Z |
| format | Article |
| id | doaj.art-71ff64f072cf4b8fb2ff546e5e00c334 |
| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T08:33:52Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-71ff64f072cf4b8fb2ff546e5e00c3342023-09-02T17:26:18ZengMDPI AGMedicina1010-660X2021-02-015713013010.3390/medicina57020130Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees’ Surgical SkillsMohamed Elessawy0Mohamed Mabrouk1Thorsten Heilmann2Marion Weigel3Mohamed Zidan4Ghada Abu-Sheasha5Andre Farrokh6Dirk Bauerschlag7Nicolai Maass8Mohamed Ibrahim9Dina Kamel10Department of Gynecology and Obstetrics, Campus Kiel, University Hospitals Schleswig-Holstein, 24105 Kiel, GermanyCambridge Endometriosis and Endoscopic Surgery Unit (CEESU), Gynaecology Department, Cambridge University Hospitals Foundation Trust, Cambridge 01223, UKDepartment of Gynecology and Obstetrics, Campus Kiel, University Hospitals Schleswig-Holstein, 24105 Kiel, GermanyDepartment of Gynecology and Obstetrics, Campus Kiel, University Hospitals Schleswig-Holstein, 24105 Kiel, GermanyAlexandria Endoscopy Association (ALEXEA), 21529 Alexandria, EgyptDepartment of Biomedical Informatics and Medical Statistics, Medical Research Institute, University of Alexandria, 21519 Alexandria, EgyptDepartment of Gynecology and Obstetrics, Campus Kiel, University Hospitals Schleswig-Holstein, 24105 Kiel, GermanyDepartment of Gynecology and Obstetrics, Campus Kiel, University Hospitals Schleswig-Holstein, 24105 Kiel, GermanyDepartment of Gynecology and Obstetrics, Campus Kiel, University Hospitals Schleswig-Holstein, 24105 Kiel, GermanyAlexandria Endoscopy Association (ALEXEA), 21529 Alexandria, EgyptAlexandria Endoscopy Association (ALEXEA), 21529 Alexandria, Egypt<i>Background and objectives</i>: The primary objective was to evaluate the benefit of training with virtual reality simulation. The secondary objective was to describe the short-term skill acquisition obtained by simulation training and to determine the factors affecting its magnitude. <i>Materials and Methods</i>: We prospectively performed a three-stage evaluation: face, constructive, and predictive to evaluate the training with a laparoscopic simulator with haptic feedback. The participants (<i>n</i> = 63) were divided according to their level of experience into three groups: 16% residents; 46% specialists and 38% were consultants. <i>Results</i>: Face evaluation demonstrates the acceptance of the design and realism of the tasks; it showed a median score of eight (IQR 3) on a Likert scale and 54% of participants (<i>n</i> = 34) gave the tissue feedback a moderate rating. Constructive evaluation demonstrates the improvement of the participants in the training session and the ability of the designed task to distinguish the experienced from the inexperienced surgeon based on the performance score, at task I (transfer of pegs) and II (laparoscopic salpingectomy). There was an improvement in both tasks with a significant increase in score and reduction in time. The study showed that those with a high score at the pre-test recorded a high score post-test, showing a significant pair-wise comparison (<i>Z</i>) and correlation (<i>p</i>) showing a significant statistical significance (<i>p</i> < 0.001). The predictive evaluation demonstrates the beneficiary effect of training four weeks afterward on the practice of surgeons addressed with five questions. It showed an improvement regarding implementation into daily routine, performance of procedure, suturing, shortening of the operative time, and complication management. <i>Conclusions</i>: Virtual reality simulation established high ratings for both realism and training capacity, including clinical relevance, critical relevance, and maintaining training enthusiasm.https://www.mdpi.com/1010-660X/57/2/130laparoscopyevaluation of virtual realitylearning curvesurgical simulation |
| spellingShingle | Mohamed Elessawy Mohamed Mabrouk Thorsten Heilmann Marion Weigel Mohamed Zidan Ghada Abu-Sheasha Andre Farrokh Dirk Bauerschlag Nicolai Maass Mohamed Ibrahim Dina Kamel Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees’ Surgical Skills Medicina laparoscopy evaluation of virtual reality learning curve surgical simulation |
| title | Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees’ Surgical Skills |
| title_full | Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees’ Surgical Skills |
| title_fullStr | Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees’ Surgical Skills |
| title_full_unstemmed | Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees’ Surgical Skills |
| title_short | Evaluation of Laparoscopy Virtual Reality Training on the Improvement of Trainees’ Surgical Skills |
| title_sort | evaluation of laparoscopy virtual reality training on the improvement of trainees surgical skills |
| topic | laparoscopy evaluation of virtual reality learning curve surgical simulation |
| url | https://www.mdpi.com/1010-660X/57/2/130 |
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