Literature DB >> 27604371

Training for endoscopic surgical procedures should be performed in the dissection room: a randomized study.

Pieter J Klitsie1, Bart Ten Brinke2, Reinier Timman3, Jan J V Busschbach3, Hilco P Theeuwes4, Johan F Lange2, Gert-Jan Kleinrensink5.   

Abstract

BACKGROUND: Laparoscopic surgery is associated with a shallow learning curve. AnubiFiX embalming technique enables laparoscopic surgical training on supple embalmed and hence insufflatable human specimens in the dissection room. Aim of the present trial is to test whether dissection-based anatomy education is superior to classical frontal classroom education on the short and long term.
METHODS: A total of 112 medical students were randomized in three groups. Group I attended classroom education, group II laparoscopic dissection-based education and group III received both. All groups completed an anatomy test on human specimens before, immediately after and 3 weeks after the anatomy training.
RESULTS: Group II and III scored significantly better compared to group I immediately after the anatomy training (p I-II < 0.001, p I-III < 0.001). This difference was still significant after 3 weeks (p I-II < 0.001, p I-III < 0.001). No significant difference was found between group II and group III immediately after the course (p = 0.86), nor at the follow-up (p = 0.054).
CONCLUSIONS: The AnubiFiX™ embalming technique enables laparoscopic anatomy education in human specimens, with superior outcomes on the short and long term, as compared to classical frontal classroom education.

Entities:  

Keywords:  Anatomy; Education; Endoscopy; Surgery

Mesh:

Year:  2016        PMID: 27604371     DOI: 10.1007/s00464-016-5168-3

Source DB:  PubMed          Journal:  Surg Endosc        ISSN: 0930-2794            Impact factor:   4.584


  11 in total

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Authors:  Danilo Miskovic; Susannah M Wyles; Melody Ni; Ara W Darzi; George B Hanna
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Review 2.  Chronic pain after mesh repair of inguinal hernia: a systematic review.

Authors:  Simon Nienhuijs; Erik Staal; Luc Strobbe; Camiel Rosman; Hans Groenewoud; Rob Bleichrodt
Journal:  Am J Surg       Date:  2007-09       Impact factor: 2.565

3.  A power primer.

Authors:  J Cohen
Journal:  Psychol Bull       Date:  1992-07       Impact factor: 17.737

4.  Is there an end of the "learning curve" of endoscopic totally extraperitoneal (TEP) hernia repair?

Authors:  N Schouten; R K J Simmermacher; T van Dalen; N Smakman; G J Clevers; P H P Davids; E J M M Verleisdonk; J P J Burgmans
Journal:  Surg Endosc       Date:  2012-10-06       Impact factor: 4.584

5.  Randomized clinical trial of total extraperitoneal inguinal hernioplasty vs Lichtenstein repair: a long-term follow-up study.

Authors:  Hasan H Eker; Hester R Langeveld; Pieter J Klitsie; Martijne van't Riet; Laurents P S Stassen; Wibo F Weidema; Ewout W Steyerberg; Johan F Lange; Hendrik J Bonjer; Johannes Jeekel
Journal:  Arch Surg       Date:  2012-03

6.  Open mesh versus laparoscopic mesh repair of inguinal hernia.

Authors:  Leigh Neumayer; Anita Giobbie-Hurder; Olga Jonasson; Robert Fitzgibbons; Dorothy Dunlop; James Gibbs; Domenic Reda; William Henderson
Journal:  N Engl J Med       Date:  2004-04-25       Impact factor: 91.245

7.  Prevalence and severity of chronic groin pain after endoscopic totally extraperitoneal inguinal hernioplasty.

Authors:  H Lau; N G Patil; W K Yuen; F Lee
Journal:  Surg Endosc       Date:  2003-07-21       Impact factor: 4.584

8.  Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomized, multicenter trial with 5-year follow-up.

Authors:  Arne S Eklund; Agneta K Montgomery; Ib C Rasmussen; Rune P Sandbue; Leif A Bergkvist; Claes R Rudberg
Journal:  Ann Surg       Date:  2009-01       Impact factor: 12.969

9.  Training in laparoscopic colorectal surgery: a new educational model using specially embalmed human anatomical specimen.

Authors:  Juliette C Slieker; Hilco P Theeuwes; Göran L van Rooijen; Johan F Lange; Gert-Jan Kleinrensink
Journal:  Surg Endosc       Date:  2012-08       Impact factor: 4.584

Review 10.  Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair.

Authors:  B L Wake; K McCormack; C Fraser; L Vale; J Perez; A M Grant
Journal:  Cochrane Database Syst Rev       Date:  2005-01-25
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  2 in total

1.  Use of the Humeral Head as a Reference Point to Prevent Axillary Nerve Damage during Proximal Fixation of Humeral Fractures: An Anatomical and Radiographic Study.

Authors:  H P Theeuwes; J W Potters; Jhjm Bessems; A J Kerver; G J Kleinrensink
Journal:  Strategies Trauma Limb Reconstr       Date:  2020 May-Aug

2.  The course of the radial nerve in the distal humerus: A novel, anatomy based, radiographic assessment.

Authors:  H P Theeuwes; B van der Ende; J W Potters; A J Kerver; J H J M Bessems; G-J Kleinrensink
Journal:  PLoS One       Date:  2017-10-26       Impact factor: 3.240

  2 in total

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