scholarly journals Key points in laparoscopic suturing and knot-tying~Findings on verbalizing elements of suturing and knot-tying with dry box training~

2021 ◽  
Vol 37 (2) ◽  
pp. 30-36
Author(s):  
Saki Kotaka ◽  
Tomonori Hada ◽  
Takayuki Okada ◽  
Taihei Yamada ◽  
Michiru Yasui ◽  
...  
2018 ◽  
Vol 25 (6) ◽  
pp. 625-635 ◽  
Author(s):  
Benjamin De Witte ◽  
Franck Di Rienzo ◽  
Xavier Martin ◽  
Ye Haixia ◽  
Christian Collet ◽  
...  

Mini-invasive surgery—for example, laparoscopy—has challenged surgeons’ skills by extending their usual haptic space and displaying indirect visual feedback through a screen. This may require new mental abilities, including spatial orientation and mental representation. This study aimed to test the effect of cognitive training based on motor imagery (MI) and action observation (AO) on surgical skills. A total of 28 postgraduate residents in surgery took part in our study and were randomly distributed into 1 of the 3 following groups: (1) the basic surgical skill, which is a short 2-day laparoscopic course + MI + AO group; (2) the basic surgical skill group; and (3) the control group. The MI + AO group underwent additional cognitive training, whereas the basic surgical skill group performed neutral activity during the same time. The laparoscopic suturing and knot tying performance as well as spatial ability and mental workload were assessed before and after the training period. We did not observe an effect of cognitive training on the laparoscopic performance. However, the basic surgical skill group significantly improved spatial orientation performance and rated lower mental workload, whereas the 2 others exhibited lower performance in a mental rotation test. Thus, actual and cognitive training pooled together during a short training period elicited too high a strain, thus limiting potential improvements. Because MI and AO already showed positive outcomes on surgical skills, this issue may, thus, be mitigated according to our specific learning conditions. Distributed learning may possibly better divide and share the strain associated with new surgical skills learning.


2016 ◽  
Vol 73 (2) ◽  
pp. 258-263 ◽  
Author(s):  
Olivia H. Chang ◽  
Louise P. King ◽  
Anna M. Modest ◽  
Hye-Chun Hur

Author(s):  
M. Zhou ◽  
S. Tse ◽  
A. Derevianko ◽  
D.B. Jones ◽  
S.D. Schwaitzberg ◽  
...  

2019 ◽  
Vol 34 (2) ◽  
pp. 869-879 ◽  
Author(s):  
Mona W. Schmidt ◽  
Karl-Friedrich Kowalewski ◽  
Sarah M. Trent ◽  
Laura Benner ◽  
Beat P. Müller-Stich ◽  
...  

2019 ◽  
Vol 30 (02) ◽  
pp. 193-200 ◽  
Author(s):  
Johannes Boettcher ◽  
Lea Klippgen ◽  
Stefan Mietzsch ◽  
Friederike Grube ◽  
Thomas Krebs ◽  
...  

Abstract Introduction Spaced learning has been shown to be superior in complex motor skill acquisition like laparoscopic suturing and knot tying. By using a pre–post follow-up design, the aim of the study was to evaluate the long-term impact of implementation of the spaced learning concept in laparoscopic training. Materials and Methods To evaluate the effectiveness of spaced learning, subjects were asked to perform four surgeon's square knots on a bowel model within 30 minutes—prior and after 3 hours of hands-on training. To examine the long-term skills, the same students were asked to perform a comparable, but more complex, task (four slip knots in a model of esophageal atresia) 12 months later as follow-up measurement. Total time, knot stability (evaluated via tensiometer), suture accuracy, knot quality (Muresan scale), and laparoscopic performance (Munz checklist) were assessed. Moreover, motivation was accessed using Questionnaire on Current Motivation. Results Twenty students were included in the study; after simple randomization, 10 were trained using the “spaced learning” concept and 10 via traditional methods. Both groups had comparable baseline characteristics and improved after training significantly, regarding all aspects assessed in this study. Subjects that trained via spaced learning were superior in terms of speed (p = 0.021), knot quality (p = 0.008), and suture strength (p = 0.003). Additionally, spaced learning significantly decreased anxiety (p = 0.029) and probability of success (p = 0.005). Conclusion The spaced learning concept is very suitable for long-term complex motor skill acquisition, like laparoscopic suturing and knot tying. It is superior to conventional training regarding speed and, most importantly, knot quality and stability, resulting in improved confidence and motivation. Thus, we strongly recommend to incorporate the spaced learning concept into training courses and surgical programs.


Author(s):  
M. Zhou ◽  
S. Tse ◽  
A. Derevianko ◽  
D. B. Jones ◽  
S. D. Schwaitzberg ◽  
...  

2012 ◽  
Vol 19 (6) ◽  
pp. S130
Author(s):  
S. Senapati ◽  
A. Westling ◽  
K. Pozolo ◽  
F. Tu

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