Use of augmented reality in surgical simulation training during covid-19

BackgroundSurgical trauma care requires excellent multidisciplinary team skills and communication to ensure the highest patient survival rate. This study investigated the effects of Hyper-realistic immersive surgical team training to improve individual and team performance. A Hyper-realistic surgical training environment is defined as having a high degree of fidelity in the replication of battlefield conditions in a training environment, so participants willingly suspend disbelief that they become totally immersed and eventually stress inoculated in a way that can be measured physiologically.MethodsSix multispecialty member US Navy Fleet Surgical/US Army Forward Surgical Teams (total n=99 evaluations) underwent a 6-day surgical training simulation using movie industry special effects and role players wearing the Human Worn Surgical Simulator (Cut Suit). The teams were immersed in trauma care scenarios requiring multiple complex interventions and decision making in a realistic, fast-paced, intensive combat trauma environment.ResultsHyper-realistic immersive simulation training enhanced performance between multidisciplinary healthcare team members. Key efficacy quantitative measurements for the same simulation presented on day 1 compared with day 6 showed a reduction in resuscitation time from 24 minutes to 14 minutes and critical error decrease from 5 to 1. Written test scores improved an average of 21% (Medical Doctors 11%, Registered Nurses 25%, and Corpsman/Medics 26%). Longitudinal psychometric survey results showed statistically significant increases in unit readiness (17%), combat readiness (12%), leadership quality (7%), vertical cohesion (7%), unit cohesion (5%), and team communication (3%). An analysis of salivary cortisol and amylase physiologic biomarkers indicated an adaptive response to the realistic environment and a reduction in overall team stress during performance evaluations.ConclusionsHyper-realistic immersive simulation training scenarios can be a basis for improved military and civilian trauma training.Level of evidenceLevel III.

Download Full-text

Efficacy of Surgical Simulation Training in a Low-Income Country

World Journal of Surgery ◽

10.1007/s00268-016-3573-3 ◽

2016 ◽

Vol 40 (11) ◽

pp. 2643-2649 ◽

Cited By ~ 17

Author(s):

Gavin Tansley ◽

Jonathan G. Bailey ◽

Yuqi Gu ◽

Michelle Murray ◽

Patricia Livingston ◽

...

Keyword(s):

Low Income ◽

Simulation Training ◽

Surgical Simulation ◽

Income Country ◽

Low Income Country

Download Full-text

Costs and Effectiveness of Surgical Simulation Training

Journal of Surgical Education ◽

10.1016/j.jsurg.2013.06.006 ◽

2014 ◽

Vol 71 (1) ◽

pp. 6

Author(s):

Kieran Walsh

Keyword(s):

Simulation Training ◽

Surgical Simulation

Download Full-text

Patients and hospital managers want laparoscopic simulation training to become mandatory before live operating: a multicentre qualitative study of stakeholder perceptions

BMJ Simulation and Technology Enhanced Learning ◽

10.1136/bmjstel-2017-000270 ◽

2018 ◽

Vol 5 (1) ◽

pp. 39-45 ◽

Cited By ~ 1

Author(s):

Jessica Preshaw ◽

Dimitrios Siassakos ◽

Mark James ◽

Timothy Draycott ◽

Sanjay Vyas ◽

...

Keyword(s):

Patient Safety ◽

Laparoscopic Surgery ◽

Qualitative Study ◽

Human Error ◽

Simulation Training ◽

Surgical Simulation ◽

Successful Implementation ◽

Hospital Managers ◽

Initial Learning ◽

Competency Based

BackgroundSurgical procedures are complex and susceptible to human error. Individual surgical skill correlates with improved patient outcomes demonstrating that surgical proficiency is vitally important for patient safety. Evidence demonstrates that simulation training improves laparoscopic surgical skills; however, projects to implement and integrate laparoscopic simulation into core surgical curricula have had varied success. One barrier to successful implementation has been the lack of awareness and prioritisation of simulation initiatives by key stakeholders.ObjectiveTo determine the knowledge and perceptions of patients and hospital managers on laparoscopic surgery and simulation training in patient safety and healthcare.MethodA qualitative study was conducted in the Southwest of England. 40 semistructured interviews were undertaken with patients attending general gynaecology clinics and general surgical and gynaecology hospital managers.ResultsSix key themes identified included: positive expectations of laparoscopic surgery; perceptions of problems and financial implications of laparoscopic surgery; lack of awareness of difficulties with surgical training; desire for laparoscopic simulation training and competency testing for patient benefit; conflicting priorities of laparoscopic simulation in healthcare; and drawbacks of surgical simulation training. Patients and managers were largely unaware of the risks of laparoscopic surgery and challenges for training. Managers highlighted conflicting financial priorities when purchasing educational equipment. Patients stated that they would have greater confidence in a surgeon who had undertaken mandatory surgical simulation training and perceived purchasing simulation equipment to be a high priority in the National Health Services. Most patients and hospital managers believed trainees should pass an examination on a simulator prior to live operating.ConclusionsCompetency-based mandatory laparoscopic simulation was strongly supported by the majority of stakeholders to augment the initial learning curve of surgeons.

Download Full-text

Endoscopic instrument tracking for surgical simulation training in a controlled environment via a camera and a planar mirror

Computers in Biology and Medicine ◽

10.1016/j.compbiomed.2015.10.012 ◽

2015 ◽

Vol 67 ◽

pp. 161-171 ◽

Cited By ~ 2

Author(s):

Erdal Dayak ◽

Ulus Çevik

Keyword(s):

Simulation Training ◽

Surgical Simulation ◽

Controlled Environment ◽

Endoscopic Instrument ◽

Instrument Tracking ◽

Planar Mirror

Download Full-text

Simulation training in pancreatico-jejunostomy using an inanimate biotissue model improves the technical skills of hepatobiliary-pancreatic surgical fellows

PLoS ONE ◽

10.1371/journal.pone.0244915 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0244915

Author(s):

Ryuji Yoshioka ◽

Hiroshi Imamura ◽

Hirofumi Ichida ◽

Yu Gyoda ◽

Tomoya Mizuno ◽

...

Keyword(s):

Learning Curve ◽

Simulation Training ◽

Surgical Simulation ◽

Technical Skills ◽

Summary Score ◽

The Other ◽

Actual Operating ◽

Technical Proficiency ◽

Time Required ◽

Safe Performance

Background Technical proficiency of the operating surgeons is one of the most important factors in the safe performance of pancreaticoduodenectomy. The objective of the present study was to investigate whether surgical simulation of pancreatico-jejunostomy (PJ) using an inanimate biotissue model could improve the technical proficiency of hepato-biliary pancreatic (HBP) surgical fellows. Methods The biotissue drill consisted of sewing biotissues to simulate PJ. The drill was repeated a total of five times by each of the participant surgical fellows. The improvement of the surgical fellows’ technical proficiency was evaluated by the supervisor surgeons using the Objective Structured Assessment of Technical Skills (OSATS) scale. Results Eight HBP surgical fellows completed all the 5 drills. Both the OSATS 25 score and OSATS summary score, assessed by the two supervisor surgeons, improved steadily with repeated execution of the PJ drill. The average OSATS score, as assessed by both the supervisor surgeons, improved significantly from the first to the final drill, with a P value of 0.003 and 0.014 for the assessment by the two surgeons, respectively. On the other hand, no chronological alteration was observed in time of procedure (P = 0.788). Conclusion Repeated execution of a biotissue PJ drill improved the HBP surgical fellows’ technical proficiency, as evaluated by OSATS. The present study lends support to the evidence that simulation training can contribute to shortening of the time required to negotiate the learning curve for the technique of PJ in the actual operating room.

Download Full-text