When Surgery Stops: A Quantitative Video Analysis of Workflow During Laparoscopic Surgery
Introduction: Interruptions in surgical workflow has been shown to lead to OR inefficiencies and patient injury; however, we lack knowledge as to what causes these interruptions and to what degree these interruption affect the procedure time (PT). Workflow is a result of teamwork, thus interruptions were analyzed based on their effect on the teamwork rather… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Videolaryngoscopic Intubation: A new teaching tool for residents in the Surgical Intensive Care Unit
Objective: This is a study to determine the efficacy and feasibility of videolaryngoscopy as a training tool for emergent endotracheal intubations by surgical residents in the surgical intensive care unit (SICU). Methods: Over a fifteen month period ending December 2007, SICU patients underwent emergent endotracheal intubation using videolaryngoscopy. All residents underwent a thirty minute tutorial… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Validation that a one-year fellowship in minimally invasive/bariatric surgery can eliminate the “learning curve” for laparoscopic Roux-en-Y gastric bypass (LRYGB): Fellows’ first 100 cases in practice replicate the quality of their training institution.
INTRODUCTION: The concept that advanced surgical training can reduce or eliminate the “learning curve” for complex procedures makes logical sense but is difficult to verify and has not been tested for LRYGB. We sought to determine if minimally invasive / bariatric surgery fellowship graduates would demonstrate complication-related outcomes (CRO) equivalent to the outcomes achieved during… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Validation of Laparoscopic Surgical Skills Training Outside the Operating Room: A Long Road
Intro: Surgical skills training outside the OR is beneficial. The best methods have yet to be identified. In a series of three studies, we attempted unsuccessfully to document predictive validity of simulation training. Methods: In each study we used Global Operative Assessment of Laparoscopic Skills (GOALS) to evaluate operative performance 1.) Prospective, randomized, multi-center trial… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Validation of a Simple Camera Navigation Trainer
IntroductionA common challenge during laparoscopic surgery is proper usage of the 30 degree laparoscope. Optimal images are obtained by adjusting both the axis of the scope and the angle of lens as determined by the orientation of the light cord. Hence, utilizing a novice as the primary camera operator often results in a frustrating and… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Utilization of Laparoscopic and Open Inguinal Hernia Repair
BACKGROUND: Laparoscopic inguinal hernia repair is a safe and effective treatment for inguinal hernias, and is considered by some to be the procedure of choice for recurrent inguinal hernias. Little is known, however, about the frequency with which laparoscopic inguinal hernia repair is performed and the determinants of its utilization.METHODS: We performed a retrospective cohort… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Transfer of Basic Skills Between Laparoscopy and Colonoscopy
INTRODUCTION: Skills needed for different image-based procedures appear to vary considerably, even though they often derive from the same underlying abilities. The aim of this study was to investigate the transfer of basic skills between colonoscopy and laparoscopy. METHODS: Twenty-nine medical trainees (no clinical experience in laparoscopy and colonoscopy) were stratified by scores on psychometric… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Trans-oral technique for gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass can ease learning curve and reduce cost
TRANS ORAL TECHNIQUE FOR GASTROJEJUNOSTOMY IN LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS CAN EASE LEARNING CURVE AND REDUCE COST Background: The stapled gastrojejunostomy of the laparoscopic Roux-en-Y gastric bypass (LRYGB) can be created by linear stapling techniques or by a circular stapler. In the circular stapling technique, the anvil of the stapler can be introduced into the… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The value of motion metrics for proficiency-based training on a VR simulator
Background: Virtual reality laparoscopic simulators have proven effective for the acquisition and transfer of laparoscopic skill and offer the advantages of automatically recording participant performance, providing feedback, and minimizing the need for instructor involvement. Such simulators offer multiple performance metrics but their importance for proficiency-based training is poorly understood. The objective of this study was… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The Impact of Surgical Team Size on Laparoscopic Surgical Performance
Introduction: The surgical team is a dynamic system with constant change in tasks and team composition. This study reviewed operation records retrospectively to describe the surgical team composition, and examine the impact of surgical size on performance. We aim to improve the OR efficiency by constructing optimal surgical teams.Methods: Cases preformed by an expert laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Telesimulation: A Novel Method of Teaching Fls in Africa
Objective: Telesimulation (TS) is a novel concept that uses the internet to link simulators between an instructor and trainee in different locations.The objective of this study was to determine if TS could be used to teach FLS from Canada to Botswana, Africa. Methods: Pre-test FLS scores were obtained for each surgeon during a first visit… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Sustaining Laparoscopic Suturing Proficiency by Maintenance Testing
Introduction: Proficiency-based training for laparoscopic suturing has been shown to translate to improved performance in the OR. However, testing to maintain proficiency in resident training programs has not been established. The purpose of this study is to determine the efficacy of a maintenance testing curriculum for resident skill retention. Methods: Surgical residents, previously trained to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Surgical Simulation in Africa: The Feasibility and Impact of a Three Day Fls Course
Introduction: Although simulation is now considered important for learning technical skills, there is very little literature assessing the use of simulation in resource restricted countries. The purpose of this study was to determine the feasibility and impact of a three day Fundamentals of Laparoscopic Surgery (FLS) course in Botswana, Africa. Methods: A total of 20… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Speed-Accuracy Tradeoff in VR Simulator with Haptic Feedback
Virtual reality (VR) technology is expected to play an increasingly important role in laparoscopic surgical training in the future. Haptic feedback in VR training remains a debated topic amongst researchers and practitioners. This study was designed to test the hypothesis that haptics would improve the control of force application in a virtual pick-and-place task, especially… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Simulator motion analysis metrics do not add to FLS score in predicting intraoperative laparoscopic performance.
Background: There is interest in the use of simulation for the assessment of laparoscopic skills. We have previously demonstrated good correlation between FLS simulator performance and intraoperative performance. Motion analysis metrics can discriminate between surgeons of different experience levels. We investigated whether the addition of motion analysis to the basic FLS simulator score improved the… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation