Method of effective simulation training of intracorporeal suture technique
Abstract
Intracorporeal suture (ICS) is regarded today as a mandatory element, which the surgeon must possess before the development of laparoscopic surgery in the operating room. At the Department of Surgery No. 1 MSMSU proposed a simulation method of effective teaching ICS on box simulators. The testing method was attended by 255 students: students of medical universities, interns, residents, and practicing surgeons. Only 20 % of doctors have shown the necessary level of knowledge of manual skills to start learning the art of ICS. All students, interns, residents, and 80 % of physicians had to start training with basic exercises unit. During testing, the proposed method of separate training of ICS has demonstrated high performance, availability, and economic benefits.
About the Authors
V. A. Rubanov
A.I. Evdokimov Moscow State Medical and Dentistry University; Central clinical hospital of civil aviation
Russian Federation
Russian Federation
O. E. Lutsevich
A.I. Evdokimov Moscow State Medical and Dentistry University; Center of endoscopic surgery and lithotripsy
Russian Federation
Russian Federation
E. A. Gallyamov
A.I. Evdokimov Moscow State Medical and Dentistry University
Russian Federation
Russian Federation
M. P. Tolstyh
A.I. Evdokimov Moscow State Medical and Dentistry University; 52 City Clinical Hospital
Russian Federation
Russian Federation
T. G. Mikhaylikov
Central clinical hospital of civil aviation
Russian Federation
Russian Federation
References
1. Галлямов Э.А. Проблема совершенствования и внедрения высоких технологий эндохирургических вмешательств в клиническую практику: дис.. д-ра мед. наук. М., 2008. 250 с.
2. Chandrasekera S.K., Donohue J.F., Orley D. [et al.] Basic laparoscopic surgical training: examination of a low-cost alternative // Eur. Urology. 2006. No. 50. P. 1285-1291.
3. Derossis A.M., Fried G.M., Abrahamowicz M. [et al.] Development of a model for training and evaluation of laparoscopic skills // Am. J. Surg. 1998. Vol. 175, No. 6. P. 482-487.
4. Fried G.M., Feldman L.S., Vassiliou M.C. [et al.] Proving the value of simulation in laparoscopic surgery // Ann. Surg. 2004. Vol. 240, No. 3. P. 518-528.
5. Kothari S.N., Kaplan BJ, DeMaria E.J. [et al.] Training in laparoscopic suturing skills using a new computer-based virtual reality simulator (MIST-VR) provides results comparable to those with an established pelvic trainer system // J. Laparoendosc Adv. Surg. Tech. A. 2002. Vol. 12. P. 167-173.
6. Pearson A.M., Gallagher A.G., Rosser J.C., Satava R.M. Evaluation of structured and quantitative training methods for teaching intra corporeal knot tying // Surg. Endosc. 2002. Vol. 16. P. 130-137.
7. Peters J.H., Fried G.M., Swanstrom L.L. [et al.] Development and validation of a comprehensive program of education and assessment of the basic fundamentals of laparoscopic surgery // Surgery. 2004. Vol. 135, No. 1. P. 21-27.
Review
For citations:
Rubanov V.A., Lutsevich O.E., Gallyamov E.A., Tolstyh M.P., Mikhaylikov T.G. Method of effective simulation training of intracorporeal suture technique. Pacific Medical Journal. 2016;(1):62-65. (In Russ.)
Views:
384
Email this article 