Can the Learning Curve of Laparoscopic Sacrocolpopexy Be Reduced by a Structured Training Program?

2018 ◽  
Vol 24 (4) ◽  
pp. 272-276 ◽  
Author(s):  
Alex Mowat ◽  
Christopher Maher ◽  
Anita Pelecanos
Author(s):  
Fei Chi Chuang ◽  
Yu Min Chou ◽  
Ling Ying Wu ◽  
Tsai Hwa Yang ◽  
Wen Hsin Chen ◽  
...  

Abstract Introduction and hypothesis In addition to laparoscopic sacrocolpopexy (LS), laparoscopic pectopexy (LP) is a novel surgical method for correcting apical prolapse. The descended cervix or vaginal vault is suspended with a synthetic mesh by fixing the bilateral mesh ends to the pectineal ligaments. This study was aimed at developing a learning curve for LP and to compare it with results with LS. Methods We started laparoscopic/robotic pectopexy in our department in August 2019. This retrospective study included the initial 18 consecutive women with apical prolapse receiving LP and another group undergoing LS (21 cases) performed by the same surgeon. The medical and video records were reviewed. Results The age was older in the LP group than in the LS group (65.2 vs 53.1 years). The operation time of LP group was significantly shorter than that of the LS group (182.9 ± 27.2 vs 256.2 ± 45.5 min, p < 0.001). The turning point of the LP learning curve was observed at the 12th case. No major complications such as bladder, ureteral, bowel injury or uncontrolled bleeding occurred in either group. Postoperative low back pain and defecation symptoms occurred exclusively in the LS group. During the follow-up period (mean 7.2 months in LP, 16.2 months in LS), none of the cases had recurrent apical prolapse. Conclusions Laparoscopic pectopexy is a feasible surgical method for apical prolapse, with a shorter operation time and less postoperative discomfort than LS. LP may overcome the steep learning curve of LS because the surgical field of LP is limited to the anterior pelvis and avoids encountering the critical organs.


2020 ◽  
Vol 36 (1) ◽  
pp. 112-117
Author(s):  
Hassan Mohamed Ali ◽  
Mai Younes Taha ◽  
Ashraf Rady Ahmed Aswa ◽  
Bassant Mohamed Abdelhamid

2012 ◽  
Vol 286 (4) ◽  
pp. 983-988 ◽  
Author(s):  
Susana Mustafa ◽  
Amnon Amit ◽  
Shlomo Filmar ◽  
Michael Deutsch ◽  
Itamar Netzer ◽  
...  

Drones ◽  
2020 ◽  
Vol 4 (4) ◽  
pp. 70
Author(s):  
Bo Yang ◽  
Timothy L. Hawthorne ◽  
Margot Hessing-Lewis ◽  
Emmett J. Duffy ◽  
Luba Y. Reshitnyk ◽  
...  

Unoccupied Aerial Vehicles (UAVs), or drone technologies, with their high spatial resolution, temporal flexibility, and ability to repeat photogrammetry, afford a significant advancement in other remote sensing approaches for coastal mapping, habitat monitoring, and environmental management. However, geographical drone mapping and in situ fieldwork often come with a steep learning curve requiring a background in drone operations, Geographic Information Systems (GIS), remote sensing and related analytical techniques. Such a learning curve can be an obstacle for field implementation for researchers, community organizations and citizen scientists wishing to include introductory drone operations into their work. In this study, we develop a comprehensive drone training program for research partners and community members to use cost-effective, consumer-quality drones to engage in introductory drone mapping of coastal seagrass monitoring sites along the west coast of North America. As a first step toward a longer-term Public Participation GIS process in the study area, the training program includes lessons for beginner drone users related to flying drones, autonomous route planning and mapping, field safety, GIS analysis, image correction and processing, and Federal Aviation Administration (FAA) certification and regulations. Training our research partners and students, who are in most cases novice users, is the first step in a larger process to increase participation in a broader project for seagrass monitoring in our case study. While our training program originated in the United States, we discuss our experiences for research partners and communities around the globe to become more confident in introductory drone operations for basic science. In particular, our work targets novice users without a strong background in geographic research or remote sensing. Such training provides technical guidance on the implementation of a drone mapping program for coastal research, and synthesizes our approaches to provide broad guidance for using drones in support of a developing Public Participation GIS process.


2018 ◽  
Vol 27 (3) ◽  
pp. 507-517 ◽  
Author(s):  
Shigeki Kusamura ◽  
Santiago González-Moreno ◽  
Eran Nizri ◽  
Dario Baratti ◽  
Stefano Guadagni ◽  
...  

2009 ◽  
Vol 55 (6) ◽  
pp. 1459-1468 ◽  
Author(s):  
Filip Claerhout ◽  
Dirk De Ridder ◽  
Jan Paul Roovers ◽  
Heidi Rommens ◽  
Federico Spelzini ◽  
...  

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