Hysteroscopic suture of levonorgestrel-releasing intrauterine system: learning curve for in vitro simulation training

Abstract Objective To simulate hysteroscopic suturing in vitro and analyze the learning curve of gynecologists with different experience levels. Methods Three gynecologists were trained on uterine models in a circulating water box. The posterior uterine wall was sutured 10 times under hysteroscopy f...

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Main Authors: JinCheng Huang, WenJian Zhang, Kun Tang, XiaoMei Liu, ZengSai Tian, CuiFen Li, SuZhen Jiang
Format: Article
Language:English
Published: SAGE Publishing 2023-10-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605231205760
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author JinCheng Huang
WenJian Zhang
Kun Tang
XiaoMei Liu
ZengSai Tian
CuiFen Li
SuZhen Jiang
author_facet JinCheng Huang
WenJian Zhang
Kun Tang
XiaoMei Liu
ZengSai Tian
CuiFen Li
SuZhen Jiang
author_sort JinCheng Huang
collection DOAJ
description Abstract Objective To simulate hysteroscopic suturing in vitro and analyze the learning curve of gynecologists with different experience levels. Methods Three gynecologists were trained on uterine models in a circulating water box. The posterior uterine wall was sutured 10 times under hysteroscopy for 5 consecutive days, and the time of each suture procedure was recorded. Results Doctors A, B, and C completed 50 posterior uterine sutures. After Dr. C completed 50 sutures on the posterior wall, he added 50 sutures on the anterior wall (Group D). The mean suturing time was 71.54 ± 68.158 s in Group A, 50.10 ± 28.060 s in Group B, 34.04 ± 10.457 s in Group C, and 30.38 ± 8.734 s in Group D. The difference between Groups C and B and between Groups B and A was statistically significant. There was no statistically significant difference between Groups C and D. Simulation curves were created using the number of features as the abscissa and cumulative sum as the coordinate, with peak curves of 19, 27, and 18 cases for Group A, B, and C, respectively. Conclusion Doctors with experience in single-hole laparoscopic surgery or hysteroscopic suture surgery can significantly shorten the hysteroscopic suturing time.
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spelling doaj.art-fb8d8e75b53e463fb401ce677289e6cc2023-10-21T11:33:34ZengSAGE PublishingJournal of International Medical Research1473-23002023-10-015110.1177/03000605231205760Hysteroscopic suture of levonorgestrel-releasing intrauterine system: learning curve for in vitro simulation trainingJinCheng HuangWenJian ZhangKun TangXiaoMei LiuZengSai TianCuiFen LiSuZhen JiangAbstract Objective To simulate hysteroscopic suturing in vitro and analyze the learning curve of gynecologists with different experience levels. Methods Three gynecologists were trained on uterine models in a circulating water box. The posterior uterine wall was sutured 10 times under hysteroscopy for 5 consecutive days, and the time of each suture procedure was recorded. Results Doctors A, B, and C completed 50 posterior uterine sutures. After Dr. C completed 50 sutures on the posterior wall, he added 50 sutures on the anterior wall (Group D). The mean suturing time was 71.54 ± 68.158 s in Group A, 50.10 ± 28.060 s in Group B, 34.04 ± 10.457 s in Group C, and 30.38 ± 8.734 s in Group D. The difference between Groups C and B and between Groups B and A was statistically significant. There was no statistically significant difference between Groups C and D. Simulation curves were created using the number of features as the abscissa and cumulative sum as the coordinate, with peak curves of 19, 27, and 18 cases for Group A, B, and C, respectively. Conclusion Doctors with experience in single-hole laparoscopic surgery or hysteroscopic suture surgery can significantly shorten the hysteroscopic suturing time.https://doi.org/10.1177/03000605231205760
spellingShingle JinCheng Huang
WenJian Zhang
Kun Tang
XiaoMei Liu
ZengSai Tian
CuiFen Li
SuZhen Jiang
Hysteroscopic suture of levonorgestrel-releasing intrauterine system: learning curve for in vitro simulation training
Journal of International Medical Research
title Hysteroscopic suture of levonorgestrel-releasing intrauterine system: learning curve for in vitro simulation training
title_full Hysteroscopic suture of levonorgestrel-releasing intrauterine system: learning curve for in vitro simulation training
title_fullStr Hysteroscopic suture of levonorgestrel-releasing intrauterine system: learning curve for in vitro simulation training
title_full_unstemmed Hysteroscopic suture of levonorgestrel-releasing intrauterine system: learning curve for in vitro simulation training
title_short Hysteroscopic suture of levonorgestrel-releasing intrauterine system: learning curve for in vitro simulation training
title_sort hysteroscopic suture of levonorgestrel releasing intrauterine system learning curve for in vitro simulation training
url https://doi.org/10.1177/03000605231205760
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