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Be prepared! Impact of structured video-assisted coaching on performance in a simulated bleeding exercise during laparoscopic surgery.
Chatziisaak, Dimitrios; Sparn, Moritz; Krstic, Daniel; Bauci, Gabriele; Warschkow, Réne; Brunner, Walter; Schmied, Bruno; Hahnloser, Dieter; Bischofberger, Stephan.
Afiliación
  • Chatziisaak D; Department of Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Sparn M; Department of Visceral Surgery, University Hospital Lausanne, Lausanne, Switzerland.
  • Krstic D; Department of Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Bauci G; Department of Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Warschkow R; Department of Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Brunner W; Department of Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Schmied B; Department of Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.
  • Hahnloser D; Paracelsus Medical University, Salzburg, Austria.
  • Bischofberger S; Department of Surgery, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Surg Endosc ; 2024 Aug 26.
Article en En | MEDLINE | ID: mdl-39187730
ABSTRACT

BACKGROUND:

Bleeding during laparoscopic surgery is stressful and requires immediate efficient management. Skills for complication management are rarely trained. This study aims to investigate the impact of video-assisted coaching on laparoscopic skills acquisition and performance in emergency bleeding situations.

METHODS:

Participants faced simulated emergency scenarios during laparoscopy involving bleeding management in porcine aorta/kidney specimens. Four sequences were conducted over two days, with a structured video-assisted coaching provided between sequences. Performance was assessed using the Global Operative Assessment of Laparoscopic Skills (GOALS) score. The study involved 27 participants attending the advanced colorectal surgery module at the 40th Annual Davos Course in 2023.

RESULTS:

54 video sequences were analyzed. Structured video-assisted coaching improved the GOALS sum score by 0.36 (95%CI 0.21-0.50, P < 0.001) in contrast to simple repetition (0.05 with 95%CI -0.43 to 0.53, P = 0.826). This association was observed for depth of perception (P < 0.001), bimanual dexterity (P < 0.001), tissue handling (P < 0.001), overall performance (P < 0.001), and efficiency (P < 0.001). Autonomy did not significantly improve (P = 0.55). Findings were consistent regardless of age, gender, and overall laparoscopic experience of the participants. However, a weaker effect of structured video-assisted coaching was observed in participants with experience in laparoscopic surgery.

CONCLUSION:

Structured video-assisted coaching improved performance in laparoscopic skills in complex and stress-inducing bleeding scenarios. The findings of this study support the incorporation of video-assisted coaching and complication management exercises into surgical training curricula.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Surg Endosc Asunto de la revista: DIAGNOSTICO POR IMAGEM / GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Alemania