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Abdominal cavity simulator for skill progression in videolaparoscopic sutures in Brazil
Ferreira Filho, Francisco; Moura Júnior, Luiz Gonzaga de; Rocha, Hermano Alexandre Lima; Rocha, Sabrina Gabriele Maia Oliveira; Ferreira, Lucas Fortes Portela; Ferreira, Amanda Fortes Portela.
  • Ferreira Filho, Francisco; Centro Universitário Unichristus. Fortaleza. BR
  • Moura Júnior, Luiz Gonzaga de; Centro Universitário Unichristus. Fortaleza. BR
  • Rocha, Hermano Alexandre Lima; Centro Universitário Unichristus. Fortaleza. BR
  • Rocha, Sabrina Gabriele Maia Oliveira; Centro Universitário Unichristus. Fortaleza. BR
  • Ferreira, Lucas Fortes Portela; Centro Universitário Unichristus. Fortaleza. BR
  • Ferreira, Amanda Fortes Portela; Centro Universitário Unichristus. Fortaleza. BR
Acta cir. bras ; 33(1): 75-85, Jan. 2018. tab, graf
Article in English | LILACS | ID: biblio-886253
ABSTRACT
Abstract

Purpose:

To develop and test a model of teaching by means of an abdominal cavity simulator.

Methods:

This study had two stages development of a teaching model and an experimental prospective study that aimed to evaluate the residents' competence. The participants were divided into 3 groups first-year resident, second-year resident, and senior surgeon. The two groups of resident physicians received training in the simulator, under instructor supervision for skill acquisition, according to the model proposed in first stage. The surgeons did not receive this intervention. The correlations and associations were verified through simple and multiple linear regressions. The learning curves were analysed using Cox regression models. The impact of the epidemiological characteristics was tested.

Results:

All residents reached the maximum score at the end of 16 steps and were comparable to the experimental (p<0.001).

Conclusion:

Residents who underwent training using the methodology of the proposed teaching model, which is based on realistic simulation, acquired proficiency in the accomplishment of endosutures in up to 16 hours of training in the laboratory.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Suture Techniques / Cholecystectomy, Laparoscopic / Abdominal Cavity / Education, Medical, Undergraduate / Simulation Training Type of study: Observational study / Prognostic study / Risk factors Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Acta cir. bras Journal subject: General Surgery / Procedimentos Cir£rgicos Operat¢rios Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Centro Universitário Unichristus/BR

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Full text: Available Index: LILACS (Americas) Main subject: Suture Techniques / Cholecystectomy, Laparoscopic / Abdominal Cavity / Education, Medical, Undergraduate / Simulation Training Type of study: Observational study / Prognostic study / Risk factors Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Acta cir. bras Journal subject: General Surgery / Procedimentos Cir£rgicos Operat¢rios Year: 2018 Type: Article Affiliation country: Brazil Institution/Affiliation country: Centro Universitário Unichristus/BR