RESUMO
PURPOSE: Compare the new training model for vessel ligation with the traditional using rabbits in the assessment. METHODS: From 106 academics of the Division of Operative Technique and Experimental Surgery, 36 were divided into two groups and offered them two training models of ligature. The group was invited to participate to an experimental procedure with rabbits and reproduce the technique trained. The procedure consisted of performing ligatures in saphenous veins of the legs of rabbits. The students were evaluated by objective criteria by an observer evaluator and answered a questionnaire at the end of the procedure. RESULTS: The medical students who have had training with the new model had a higher number of hits compared to the other group performing ligatures without clamping with hemostatic forceps (p<0.05). There was also a higher number of hits for the new model group to perform ligation temporary and permanent ligation with the use of forceps (p>0.05). The questionnaires indicated that the new model develops more ability to work in groups (p=0.088). CONCLUSIONS: The project promotes the implementation of the new model for training ligature, indicating that the new model is better to the traditional surgical practice.
Assuntos
Educação Médica/métodos , Modelos Animais , Modelos Educacionais , Procedimentos Cirúrgicos Operatórios/educação , Animais , Humanos , Ligadura/educação , Ligadura/métodos , Coelhos , Veia Safena/cirurgia , Procedimentos Cirúrgicos Operatórios/métodosRESUMO
PURPOSE: Compare the new training model for vessel ligation with the traditional using rabbits in the assessment. METHODS: From 106 academics of the Division of Operative Technique and Experimental Surgery, 36 were divided into two groups and offered them two training models of ligature. The group was invited to participate to an experimental procedure with rabbits and reproduce the technique trained. The procedure consisted of performing ligatures in saphenous veins of the legs of rabbits. The students were evaluated by objective criteria by an observer evaluator and answered a questionnaire at the end of the procedure. RESULTS: The medical students who have had training with the new model had a higher number of hits compared to the other group performing ligatures without clamping with hemostatic forceps (p<0.05). There was also a higher number of hits for the new model group to perform ligation temporary and permanent ligation with the use of forceps (p>0.05). The questionnaires indicated that the new model develops more ability to work in groups (p=0.088). CONCLUSIONS: The project promotes the implementation of the new model for training ligature, indicating that the new model is better to the traditional surgical practice.
OBJETIVO: Comparar o novo modelo de treinamento de ligadura de vaso com o tradicional a partir de modelo experimental com coelhos. MÉTODOS: De 106 acadêmicos da Disciplina de Técnica Operatória e Cirurgia Experimental, 36 foram distribuídos em dois grupos e foram ofertados a eles dois modelos de treinamento de ligadura. O grupo foi convidado a participar de procedimento experimental com coelhos para a reprodução da técnica treinada. O procedimento consistiu da realização de ligaduras nas veias safenas das coxas dos coelhos. Os acadêmicos foram avaliados por critérios objetivos por avaliador observador e responderam a um questionário ao final procedimento. RESULTADOS: Os acadêmicos que tiveram treinamento com o novo modelo tiveram maior número de acertos quando comparado o outro grupo para realização de ligaduras sem clampeamento com pinças hemostáticas (p<0,05). Houve maior número de acertos para realização de ligadura temporária e de ligadura definitiva com uso de pinças (p>0,05) para o grupo do novo modelo. Os questionários indicaram que o novo modelo desenvolve mais a habilidade de trabalho em grupo (p=0,088). CONCLUSÃO: O projeto favorece a implantação do novo modelo para treinamento de ligaduras, indicando que o novo modelo se aproxima mais com a prática cirúrgica que o tradicional.
Assuntos
Animais , Humanos , Coelhos , Educação Médica/métodos , Modelos Animais , Modelos Educacionais , Procedimentos Cirúrgicos Operatórios/educação , Ligadura/educação , Ligadura/métodos , Veia Safena/cirurgia , Procedimentos Cirúrgicos Operatórios/métodosRESUMO
Bilateral hypogastric artery ligation is a technique described in the antiquity to restrain the hemorrhage in the gynecological and obstetric surgery. There are few Gineco-obstetricians that dominate the technique, for what intended a training program, in which was to demonstrate their security and effectiveness. We carry out a program where were qualified 14 gineco-obstetricians, theoretical and surgically. Results were analyzed finding an acceptable security with 1.5% of complications and an effectiveness demonstrated when having to the program 92.9% of students that reached the competition. We intend to reply the course in other hospital units, in order to decrease the maternal mortality for hemorrhage obstetric or gynecological.