Development of a surgical procedure applicable to a simulator-based training program in laparoscopic gynecological surgery
DOI:
https://doi.org/10.18597/rcog.117Keywords:
laparoscopy, gynecology, training, simulation, surgeryAbstract
Introduction: Laparoscopic surgery has been gaining momentum over more than thirty years, and it is currently one of the most widely used procedures. However, this shift from conventional to laparoscopic surgery in gynecology has also brought about changes in training programs in order to make them truly efficient and consistent with the new learning curve.
Objective: To select a surgical procedure applicable to a simulator-based training program in laparoscopic gynecological surgery.
Materials and methods: Laparoscopic procedures used frequently in gynecology were selected in accordance with the opinion of an expert panel. Simulator practice sessions were then conducted in order to select the most suitable procedure on the basis of the following criteria: level of difficulty, skills acquisition, and adaptability to an animal anatomic component in the simulator.
Results: Laparoscopic oophorectomy was selected as the experimental procedure, considering that it meets the criteria established and provides the surgeon with the ideal training situation for acquiring basic skills by means of practical exercises on the simulator.
Conclusions: Laparoscopic oophorectomy is proposed as the procedure that is best suited as a simulation model for use within existing education programs.
Author Biographies
Joaquín Gustavo Luna-Ríos
Manuel Andrés Rojas-Galvis
Diana Cáceres-Ferro
Michelle Cortés-Barré
Jorge Felipe Ramírez-León
Francisco José Camacho-García
References
Rojas PG, Bustos LH. Perspectivas y alcances de la endoscopia ginecológica, revisión de 10 años. Perinatología Reproductiva Humana. 2001;15:229-37.
Camacho GF, Ramirez LJ, Herrera SD. Curso básico de entrenamiento en habilidades para cirugía endoscópica: grado de satisfacción de los profesionales en formación. Rev Col Or Tra. 2009;23:16-20.
García GE, Del Rosal Samaniego JM, Baena GV, Santos G, Baquero A. Aprendizaje de la cirugía laparoscópica en Pelvitrainer y en simuladores virtuales. Act Urol Esp. 2006;30:451-6.
Gómez SP. Uso de simuladores y otras ayudas educativas en medicina. Rev Fac Med Univ Nac Col. 2003;51:227-32.
Rodríguez-GJ, Turienzo SE, Vigal BG, Brea PA. Formación quirúrgica con simuladores en centros de entrenamiento. Cir Esp. 2006;79:342-8.
Usón GJ, Sánchez MF, Díaz G, Martín PI, Loscertales MA, Soria GF et al. Modelos experimentales en la cirugía laparoscópica. Act Urol Esp. 2006;30:443-50.
Usón J, Pascual S, Sánchez FM, Hernández FJ. Aprendizaje en suturas laparoscópicas. Zaragoza: Librería General; 1999. p. 29-47.
Argüello AR. Entrenamiento y certificación en endoscopia ginecológica. Sociedad Colombiana de Obstetricia y Ginecología. Visitado 2012 Ago 20. Disponible en: http://www.oocities.org/hotsprings/resort/4015/endosco.doc
Pereira RM, Zanatta A, Preti CD, de Paula FJ, da Motta EL, Serafini PC. Should the gyneacologist perform laparoscopic bowel resection to treat endometriosis? Results over 7 years in 168 patients. J Minim Invasive Gynecol. 2009;16:472-9.
Kôssi J, Luostarinen M. Virtual reality laparoscopic simulator as an aid surgical resident education: two years experience. Scand J Surg. 2009; 98:48-54.
Hasson HM. Simulation training in laparoscopy using a computerized physical reality simulator. JSLS. 2008;12:363-7.
Hulka JF, Peterson HB, Phillips JM, Surrey MW. Operative histeroscopy. American Association of Gynecologic Laparoscopists 1991, membership survey. J. Reprod Med. 1993;3:572-3.
Dent TL. Training, credaentialing, and evaluation in laparoscopy surgery. Surg Clin North Am. 1992;72:1003-11.
Usón J, Pascual S, Sánchez FM, Climent S. Formación en cirugía laparoscópica paso a paso. 4a ed. Cáceres: Editorial Centro de Cirugía de Mínima Invasión; 2010.
Hoffman MS, Ondrovic LE, Wenham RM, Apte SM, Shames ML, Zervos EE et al. Evaluation of the porcine model to teach various ancillary procedures to gynecologic oncology fellows. Am J Obstet Gynecol. 2009;201:116e1-3.
Schroeder H. Fisiopatología reproductiva de la vaca. Bogotá: Librería Médica Celsus. 1999; p. 26-36.
Vázquez ZV, Zepeda Z J, Briones LC, Hernández RM. Desempeño de los procedimientos laparoscópicos en ginecología: adquisición y mantenimiento de la idoneidad. Rev Chil Obstet Ginecol. 2011;76:275- 81.
Matfield M. Animal experimentation: the continuing debate. Nat Rev Drug Discov. 2002;1-2:149-52
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