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Massari F, Kelly GMM. Learning Curve in Two-Port Laparoscopic Gastropexy Using FlexDex. Animals (Basel) 2024; 14:2016. [PMID: 39061478 PMCID: PMC11274303 DOI: 10.3390/ani14142016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2024] [Revised: 07/01/2024] [Accepted: 07/02/2024] [Indexed: 07/28/2024] Open
Abstract
OBJECTIVES Keyhole gastropexy is becoming increasingly popular, and the new development facilitates shorter surgical times. This paper reports on the learning curve in two-port laparoscopic gastropexy using FlexDex in a specialist's hands. FlexDex is a novel tool combining aspects of robotic surgery without requiring an expensive robot theatre setting. METHODS Cohort of 16 dogs >25 kg and at high risk of gastric volvulus and dilatation (GDV) undergoing elective laparoscopic gastropexy were enrolled in the study consecutively from 5/2022 to 9/2023. All patients were operated on by one surgeon (FM), and surgical time was recorded to assess learning curve. Competence was defined as plateauing surgical time. Detailed follow-up at 1 day, 7 days, 14 days, 2 months, 6 months, and long-term was recorded for success rate and complications. Ultrasound examination was scheduled at 4-6-month review to confirm lasting success of the gastropexy. RESULTS All 16 patients were operated on successfully without any significant complications, as confirmed on the ultrasound. The surgical time of laparoscopic gastropexy reduced from 52 to 14 min (reduction of 38 min/73%) and reached plateau after the 12th case of the 16, making it a very steep learning curve in specialist hands. There were no serious complications, and success rate was 100% at the 6-month ultrasound assessment. CLINICAL SIGNIFICANCE This is the first paper to report on the learning curve with the FlexDex device in a two-port laparoscopic gastropexy setting. It effectively halves the operating time to 30 min, making the surgery safer for the patient and more cost-efficient, without compromising the result.
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Affiliation(s)
- Federico Massari
- DOCVET Clinica Veterinaria Nervianese, Via Rho 2, 20014 Nerviano, Italy
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Dejescu CA, Bel LV, Melega I, Muresan SMC, Oana LI. Approaches to Laparoscopic Training in Veterinary Medicine: A Review of Personalized Simulators. Animals (Basel) 2023; 13:3781. [PMID: 38136818 PMCID: PMC10740942 DOI: 10.3390/ani13243781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 11/26/2023] [Accepted: 12/05/2023] [Indexed: 12/24/2023] Open
Abstract
Veterinary minimally invasive surgery (MIS) has experienced notable growth in recent years, yet the availability of specialized training tools remains limited and not readily accessible to practitioners worldwide. While borrowing simulators from human medicine practices suffices for acquiring fundamental laparoscopic skills, it proves inadequate when addressing procedure-specific nuances. Veterinary professionals are now taking steps to create simulators tailored to their patients, although the validation process can be time-consuming. Consequently, the availability of advanced laparoscopic simulators for veterinary training remains scarce. The present study aims to highlight custom-made simulators. A comprehensive search across five databases was conducted to uncover the simulators documented from 2010 to 2022. A total of five simulators emerged from this search, with four grounded in a canine model and only one in an equine model. These models underwent validation and were found to be effective in training surgeons for their designated tasks. The findings underscore a limited array of simulators, predominantly catering to two species (horses and dogs). Considering these findings, it is evident that further research is imperative to create laparoscopic simulators capable of facilitating advanced veterinary training. This would enable the continued evolution of surgical techniques across diverse species, including ruminants, small mammals, and non-mammalian animals.
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Affiliation(s)
| | - Lucia V. Bel
- Department of Surgery, Anesthesiology and Intensive Care, Faculty of Veterinary Medicine Cluj-Napoca, University of Agricultural Sciences and Veterinary Medicine Cluj-Napoca, 400372 Cluj-Napoca, Romania; (C.A.D.); (I.M.); (S.M.C.M.); (L.I.O.)
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Andrade-Espinoza B, Oviedo-Peñata C, Maldonado-Estrada JG. Use of a Composed Simulator by Veterinarian Non-Experts in Minimally Invasive Surgery for Training and Acquisition of Surgical Skills for Laparoscopic Ovariectomy in Dogs. Animals (Basel) 2023; 13:2698. [PMID: 37684962 PMCID: PMC10487008 DOI: 10.3390/ani13172698] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2023] [Revised: 07/12/2023] [Accepted: 07/17/2023] [Indexed: 09/10/2023] Open
Abstract
This study aims to assess the acquisition of surgical skills for laparoscopic ovariectomy (LOE) in dogs by veterinary surgeons with no experience in minimally invasive surgery using the CALMA Veterinary Lap-trainer simulator (CVLTS) in an experimental and analytical setting. Veterinary surgeons with no experience in minimally invasive surgery (MIS) (experimental, n = 5), and MIS experts (experts, n = 3) were evaluated. Experimental and expert group participants watched an instructional video (initial time) before practicing the LOE on uterine tissues and ovaries freshly reconstituted after elective ovariohysterectomy (initial time evaluation). Then, the experimental group practiced five training sessions on the composite simulator with permanent feedback and then performed the LOE again (final time evaluation). Surgical performances in initial and final evaluations were video recorded and further evaluated by three external MIS experts using Global objective assessment of laparoscopic skills (GOALS) and LOE-specific rating scales (SRSs) in a double-blinded schedule. In addition, a hands movement assessment system (HMAS) attached to the back of the hands was used to quantitatively measure completion time, angularity, and movement smoothness. Data were analyzed with one-factor ANOVA and Tukey's contrast test. No statistically significant differences were found between the novice group's performance after training and the expert group's performance according to the GOALS (p < 0.01) and SRS (p < 0.05) scores. Moreover, the novices had significantly improved time, number of movements, and angularity in the final time compared with the initial time (p < 0.05), with no significant differences compared to the expert group (p > 0.05). LOE training using a composed simulator resulted in significantly improved laparoscopic skills and time, number, and angularity of movements data, providing evidence of the usefulness and reliability of CVLTS in training LOE.
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Affiliation(s)
- Belén Andrade-Espinoza
- OHVRI-Research Group, College of Veterinary Medicine, Faculty of Agrarian Sciences, University of Antioquia, Medellín 050010, Colombia; (B.A.-E.); (J.G.M.-E.)
- Master of Science Program in Canine and Feline Internal Medicine, University of Cuenca, Cuenca 010107, Ecuador
| | - Carlos Oviedo-Peñata
- OHVRI-Research Group, College of Veterinary Medicine, Faculty of Agrarian Sciences, University of Antioquia, Medellín 050010, Colombia; (B.A.-E.); (J.G.M.-E.)
- Tropical Animal Production Research Group, Faculty of Veterinary Medicine and Zootechny, University of Cordoba, Monteria 230002, Colombia
| | - Juan G. Maldonado-Estrada
- OHVRI-Research Group, College of Veterinary Medicine, Faculty of Agrarian Sciences, University of Antioquia, Medellín 050010, Colombia; (B.A.-E.); (J.G.M.-E.)
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Buote NJ, Fransson B, Rishniw M. Comparison of Attempts Needed for Veterinary Students to Reach Proficiency in a Basic and Advanced Robotic Simulator Task. JOURNAL OF VETERINARY MEDICAL EDUCATION 2023:e20220130. [PMID: 36917585 DOI: 10.3138/jvme-2022-0130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
Surgical training of students is one of the most difficult aspects of veterinary medical education. Competing interests of house officers, owner's wishes, and ethical concerns have led to increasing use of inanimate models for basic surgical skills training. Robotic simulators have benefits for psychomotor training but have not been previously investigated in veterinary medicine. Understanding the necessary practice time for new training devices is important when determining their potential value. The aim of this study was to compare the number of attempts needed for veterinary students to reach proficiency in both a basic and advanced robotic simulator task, and to assess the predictive nature of performance variables. Each student performed a basic and advanced tasks on the Mimic dV-Trainer™ until proficiency was reached. Students required a median of eight attempts (95% CI = 7-8, range: 6-11) to reach proficiency for the basic task versus 22 attempts (95% CI = 20-26, range: 11-62) for the advanced task. The median time required to complete training for the basic and advanced task was 13.5 minutes (range: 8-24 minutes) and 26.5 minutes (range: 11-82 minutes) respectively. The difference in task attempts supports the training protocol and confirms proficiency can be attained in a short period of time. The number of attempts to reach proficiency correlated with specific performance variables which can be used by educators to aid in training students on a robotic simulator. Continued investigations on robotic simulators should be performed to investigate their use in improving psychomotor skills in veterinary students.
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Affiliation(s)
- Nicole J Buote
- ACVS Founding Fellow Minimally Invasive Surgery (Soft Tissue), Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853 USA
| | - Boel Fransson
- ACVS Founding Fellow Minimally Invasive Surgery (Soft Tissue), Department of Clinical Sciences, Washington State University, Pullman, WA 99164-6610
| | - Mark Rishniw
- Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853 USA
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Oviedo-Peñata CA, Giraldo Mejía GE, Riaño-Benavides CH, Maldonado-Estrada JG, Lemos Duque JD. Development and validation of a composed canine simulator for advanced veterinary laparoscopic training. Front Vet Sci 2022; 9:936144. [PMID: 36325095 PMCID: PMC9621388 DOI: 10.3389/fvets.2022.936144] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 09/05/2022] [Indexed: 11/04/2022] Open
Abstract
The development of innovative simulation models for veterinary laparoscopic surgery training is a priority today. This study aimed to describe a didactic simulation tool for the training of total laparoscopic gastropexy (TLG) with intracorporeal sutures in dogs. CALMA Veterinary Lap-trainer composite simulator (CLVTS) was developed from a plaster cast of 2 Great Dane canines mimicking the space and the correct position to carry out a TLG. After video instruction, 16 veterinarians with different degrees of experience in minimally invasive surgery (Experts, n = 6 and intermediates, n = 10) evaluated four sequential simulating TLG with intracorporeal suturing in the CLVTS. Subsequently, they completed an anonymous questionnaire analyzing the realism, usefulness, and educational quality of the simulator. The CLVTS showed a good preliminary acceptance (4.7/5) in terms of the usefulness and adequacy of the exercises that, in the participants' opinion, are appropriate and are related to the difficulty of the TLG. In addition, both experienced and intermediate surgeons gave high marks (4.5/5) to the feeling of realism, design, and practicality. There were no significant differences between the responses of the two groups. The results suggest that the CVLTS has both face and content validity. Where it can be practiced in a structured environment for the development of a total laparoscopic gastropexy with intracorporeal suture and without compromising patient safety, but still has some limitations of the scope of the study. Further studies are needed to establish the ability to assess or measure technical skills, including the degree of transferability to the actual surgical environment.
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Affiliation(s)
- Carlos A. Oviedo-Peñata
- Tropical Animal Production Research Group, Faculty of Veterinary Medicine and Zootechny, University of Cordoba, Monteria, Colombia,OHVRI-Research Group, Faculty of Agrarian Sciences, College of Veterinary Medicine, University of Antioquia, Medellín, Colombia,*Correspondence: Carlos A. Oviedo-Peñata
| | - Gloria E. Giraldo Mejía
- OHVRI-Research Group, Faculty of Agrarian Sciences, College of Veterinary Medicine, University of Antioquia, Medellín, Colombia
| | - Carlos Humberto Riaño-Benavides
- OHVRI-Research Group, Faculty of Agrarian Sciences, College of Veterinary Medicine, University of Antioquia, Medellín, Colombia
| | - Juan G. Maldonado-Estrada
- OHVRI-Research Group, Faculty of Agrarian Sciences, College of Veterinary Medicine, University of Antioquia, Medellín, Colombia
| | - Juan D. Lemos Duque
- Bioinstrumentation and Clinical Engineering Research Group-GIBIC, Department of Bioengineering, Faculty of Engineering, Universidad de Antioquia, Medellín, Colombia
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Maia SR, Mendes PA, da Câmara Barros FFP, Ayer IM, Ramos SB, Vacari AM, Lucera TMC, Murakami VY, de Carvalho LL, Bernardino PN, Gouvêa FN, Borin-Crivellenti S, Crivellenti LZ. Learning curve for the laparoscopy-guided kidney biopsy procedure in small corpses of dogs and pigs. PLoS One 2021; 16:e0257653. [PMID: 34570802 PMCID: PMC8475998 DOI: 10.1371/journal.pone.0257653] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Accepted: 09/08/2021] [Indexed: 11/18/2022] Open
Abstract
The use of renal biopsy through laparoscopy is increasingly present both in human and veterinary medicine. However, both techniques require skill and training to make the operator capable to do it. The learning curve allows the quantitative and qualitative assessment of the number of attempts and minimum time for the surgical procedure. The objective included establish the learning curve for laparoscopy-guided kidney biopsy procedures in dog and pig corpses. Six dogs and six pigs corpses weighing less than 10 kg were used for this study. All corpses underwent kidney biopsy performed through laparoscopy. Twenty-four operators, two per animal, performed 20 renal biopsies each (10 for each kidney), with 480 collection-procedures in total. Duration and difficulty of the procedure and the biopsy sample quality were evaluated and statistical analysis was performed using a mixed regression model with a random effect of individuals and multivariate analysis of data. There were 91.5% of the samples that were adequate for evaluation. There was no significant difference in the number of glomeruli or cortex percentage considering the attempts in either species, demonstrating the operator's ability since first collection. Swine samples showed higher amounts of renal cortex than canine samples. The procedure duration was shorter as more attempts were performed in dogs and pigs. From the fourth repetition, the professional reached a plateau for the variable related to 'collection', and from the second, the professional presented uniform duration for 'sample storage'. Operators of the swine model acquired more agility than the dog ones. The variable 'difficulty' decreased as more repetitions were performed, reaching a plateau in the sixth attempt. Seven renal biopsies laparoscopy-guided are required for an operator to be considered 'capable' to perform the procedure in the referred species included. The learning curve for image-guided kidney biopsy procedures improves the implementation of this technique and benefits patients that undergo this procedure.
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Affiliation(s)
- Suellen Rodrigues Maia
- Department of Veterinary Clinics, School of Veterinary Medicine and Animal Science, São Paulo State University (UNESP), Botucatu, São Paulo, Brazil
- * E-mail:
| | - Pamela Almerinda Mendes
- Veterinary Medicine Graduate Student, University of Franca (UNIFRAN), Franca, São Paulo, Brazil
| | | | - Ilan Munhoz Ayer
- Department of Animal Science, UNA—Academic Center, Pouso Alegre, Minas Gerais, Brazil
| | | | - Alessandra Marieeli Vacari
- Animal Science Graduate Program/Veterinary Teaching Hospital of University of Franca (UNIFRAN), Franca, São Paulo, Brazil
| | - Tiago Machado Carneiro Lucera
- Animal Science Graduate Program/Veterinary Teaching Hospital of University of Franca (UNIFRAN), Franca, São Paulo, Brazil
| | - Vanessa Yurika Murakami
- Animal Science Graduate Program/Veterinary Teaching Hospital of University of Franca (UNIFRAN), Franca, São Paulo, Brazil
| | - Leonardo Lamarca de Carvalho
- Animal Science Graduate Program/Veterinary Teaching Hospital of University of Franca (UNIFRAN), Franca, São Paulo, Brazil
| | - Pedro Negri Bernardino
- Global Study Program, University of California Davis (UC DAVIS), Davis, California, United States of America
| | - Fernanda Nastri Gouvêa
- Graduate Program in Veterinary Science (PPGCV) / College of Veterinary Medicine (FAMEV), Federal University of Uberlândia (UFU), Uberlândia, Minas Gerais, Brazil
| | - Sofia Borin-Crivellenti
- Graduate Program in Veterinary Science (PPGCV) / College of Veterinary Medicine (FAMEV), Federal University of Uberlândia (UFU), Uberlândia, Minas Gerais, Brazil
| | - Leandro Zuccolotto Crivellenti
- Graduate Program in Veterinary Science (PPGCV) / College of Veterinary Medicine (FAMEV), Federal University of Uberlândia (UFU), Uberlândia, Minas Gerais, Brazil
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French ED, Griffon DJ, Kass PH, Fahie MA, Gordon-Ross P, Levi O. Evaluation of a laparoscopic abdominal simulator assessment to test readiness for laparoscopic ovariectomy in live dogs. Vet Surg 2021; 50 Suppl 1:O49-O66. [PMID: 33615505 DOI: 10.1111/vsu.13604] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Revised: 12/09/2020] [Accepted: 01/05/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVE To predict readiness for laparoscopic ovariectomy of live dogs on the basis of performance on a high-fidelity laparoscopic abdominal simulator and to determine interrater reliability of the assessment. STUDY DESIGN Experimental study. SAMPLE POPULATION Seventeen fourth-year veterinary students. METHODS After a standardized laparoscopic training course, each participant performed a laparoscopic ovariectomy with a simulator. This performance was scored in real time by two evaluators using a rubric. Participants achieving a score of 112 of 160 performed a laparoscopic ovariectomy in a live dog, supervised by an instructor in the room. Two evaluators scored video recordings of each procedure using the rubric. Participants' opinions about the simulator were collected with a survey. RESULTS All participants scored above the threshold (range, 126-151) and successfully completed laparoscopic ovariectomy in a live dog, with an average of 10 of 17 participants requiring verbal guidance and 5 of 17 participants requiring intervention from the instructor. Interrater concordance was excellent for the rubrics used to score performance on the simulator (R = 0.91) and in vivo (R = 0.81). All participants agreed that the simulator should be used to assess trainee readiness prior to surgery in a live dog. CONCLUSION Participants achieving a score of at least 126 of 160 on the simulator were able to perform a laparoscopic ovariectomy in a live dog under supervision. The scoring system for the simulator had excellent interrater concordance. CLINICAL SIGNIFICANCE This simulator and scoring system can be used in laparoscopic training programs to assess readiness for progression to the operative setting.
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Affiliation(s)
| | - Dominique J Griffon
- College of Veterinary Medicine, Western University of Health Sciences, Pomona, California
| | - Philip H Kass
- School of Veterinary Medicine, University of California, Davis, California
| | - Maria A Fahie
- College of Veterinary Medicine, Western University of Health Sciences, Pomona, California
| | - Paul Gordon-Ross
- College of Veterinary Medicine, Western University of Health Sciences, Pomona, California
| | - Ohad Levi
- College of Veterinary Medicine, Western University of Health Sciences, Pomona, California
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Erickson AK, Fox-Alvarez WA, Regier PJ, Case JB. In vitro holding strength of the laparoscopic Miller's knot compared with open Miller's knot, open surgeon's throw, and laparoscopic surgeon's throw in a vascular pedicle model. Vet Surg 2020; 49:1563-1570. [PMID: 32645239 DOI: 10.1111/vsu.13479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Revised: 05/12/2020] [Accepted: 05/30/2020] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To compare in vitro knot holding strength of the laparoscopic Miller's knot (LMK), open Miller's knot (MK), open surgeon's throw (Sx), and laparoscopic surgeon's throw (LSx) in a vascular pedicle model when used as the first throw for vascular ligation. STUDY DESIGN Experimental study. SAMPLE POPULATION Ten constructs each of the Miller's knot and surgeon's throw performed openly and laparoscopically with 2-0 polyglyconate suture. METHODS Knot holding strengths of the LMK, MK, LSx, and Sx knots were evaluated on balloon dilation catheters used as vascular pedicle models. Laparoscopic knots were tied in a laparoscopic box trainer. Knot constructs were pressure tested to failure. Results were compared by Kruskal-Wallis and Steel-Dwass comparisons. RESULTS Both MK and LMK had mean leakage pressures above 300 mm Hg. The MK leaked at higher pressure than all other knots, including the LMK (P < .001). The LMK leaked at greater pressures compared with the Sx and the LSx (P < .001). No difference was detected between leaking pressures of the Sx and the LSx (P = .226), with both leaking at pressures below 40 mm Hg. CONCLUSION The LMK created a more secure first throw compared with the Sx and leaked at supraphysiologic pressures. CLINICAL SIGNIFICANCE The LMK has excellent knot holding strength on a vascular pedicle model and may be further evaluated for clinical application.
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Affiliation(s)
- Andrea K Erickson
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
| | - W Alexander Fox-Alvarez
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
| | - Penny J Regier
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
| | - J Brad Case
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida
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Oviedo-Peñata CA, Tapia-Araya AE, Lemos JD, Riaño-Benavides C, Case JB, Maldonado-Estrada JG. Validation of Training and Acquisition of Surgical Skills in Veterinary Laparoscopic Surgery: A Review. Front Vet Sci 2020; 7:306. [PMID: 32582781 PMCID: PMC7283875 DOI: 10.3389/fvets.2020.00306] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Accepted: 05/05/2020] [Indexed: 02/06/2023] Open
Abstract
At present, veterinary laparoscopic surgery training is lacking in experiences that provide a controlled and safe environment where surgeons can practice specific techniques while receiving experts' feedback. Surgical skills acquired using simulators must be certified and transferable to the operating room. Most models for practicing laparoscopic skills in veterinary minimally invasive surgery are general task trainers and consist of boxes (simulators) designed for training human surgery. These simulators exhibit several limitations, including anatomic species and procedural differences, as well as general psychomotor training rather than in vivo skill recreation. In this paper, we review the existing methods of training, evaluation, and validation of technical skills in veterinary laparoscopic surgery. Content includes global and specific scales, and the conditions a structured curriculum should meet for improving the performance of novice surgeons during and after training. A focus on trainee-specific assessment and tailored-technical instruction should influence training programs. We provide a comprehensive analysis of current theories and concepts related to the evaluation and validation of simulators for training laparoscopic surgery in small animal surgery. We also highlight the need to develop new training models and complementary evaluation scales for the validation of training and acquisition of basic and advanced skills in veterinary laparoscopic surgery.
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Affiliation(s)
- Carlos A Oviedo-Peñata
- Tropical Animal Production Research Group, Faculty of Veterinary Medicine and Zootechny, University of Cordoba, Monteria, Colombia.,Surgery and Theriogenology Branch OHVRI-Group, College of Veterinary Medicine, University of Antioquia, Medellin, Colombia
| | | | - Juan D Lemos
- Bioinstrumentation and Clinical Engineering Research Group (GIBIC), Bioengineering Department, Engineering Faculty, Universidad de Antioquia, Medellín, Colombia
| | - Carlos Riaño-Benavides
- Surgery and Theriogenology Branch OHVRI-Group, College of Veterinary Medicine, University of Antioquia, Medellin, Colombia
| | - J Brad Case
- Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL, United States
| | - Juan G Maldonado-Estrada
- Surgery and Theriogenology Branch OHVRI-Group, College of Veterinary Medicine, University of Antioquia, Medellin, Colombia
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Chen CY, Elarbi M, Ragle CA, Fransson BA. Development and evaluation of a high-fidelity canine laparoscopic ovariectomy model for surgical simulation training and testing. J Am Vet Med Assoc 2019; 254:113-123. [DOI: 10.2460/javma.254.1.113] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Levi O, Shettko DL, Battles M, Schmidt PL, Fahie MA, Griffon DJ, Gordon-Ross P, Hendrickson DA. Effect of Short- Versus Long-Term Video Game Playing on Basic Laparoscopic Skills Acquisition of Veterinary Medicine Students. JOURNAL OF VETERINARY MEDICAL EDUCATION 2018; 46:184-194. [PMID: 30565981 DOI: 10.3138/jvme.0617-077r2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
The objective of this study was to investigate the effect of playing video games on the performance of basic laparoscopic skills. The study was an experimental pre-test-post-test comparison group design. Fifty-two students (31 from the Western University of Health Sciences College of Veterinary Medicine and 21 from the Colorado State University College of Veterinary Medicine) completing their first or second year of the veterinary curriculum were randomized into two intervention groups. The intervention consisted of playing the video game Marble Mania on a Nintendo Wii. group L (long) played 18 hours over 6 weeks and group S (short) played 3 hours during the last week of the 6-week intervention period. Before and after the intervention, basic laparoscopic skills for both groups were assessed using a modified McGill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS) instrument. Participants performed two laparoscopic tasks. Results showed that the performance of students improved in both group S and L (p < .05) on both laparoscopic tasks. Both groups showed statistically significant improvement in their post-intervention scores (group L, N = 25, z = -3.711, p < .001, r = 0.742; group S, N = 27, z = -3.016, p < .003, r = 0.580). There was no significant difference in the degree of improvement between group S and group L. The results suggest that playing Marble Mania on a Wii for any time duration could be an effective method for veterinary medicine students to improve basic laparoscopic skills, and indicate the needs for additional studies.
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Maurin M, Pozzi A, Bleedorn J, McNally TP, Cuddy LC. Teaching and proficiency assessment for arthroscopy in veterinary surgery: A 2017 survey of diplomates and residents of the American and European College of Veterinary Surgeons. Vet Surg 2018; 47:E70-E78. [DOI: 10.1111/vsu.12951] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Accepted: 07/21/2018] [Indexed: 11/30/2022]
Affiliation(s)
| | - Antonio Pozzi
- Vetsuisse FacultyUniversity of Zürich Zürich Switzerland
| | - Jason Bleedorn
- Department of Surgical Sciences, School of Veterinary MedicineUniversity of Wisconsin‐Madison Madison Wisconsin
| | | | - Laura C. Cuddy
- Veterinary Specialists Ireland, Summerhill County Meath Ireland
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Chen CY, Ragle CA, Lencioni R, Fransson BA. Comparison of 2 training programs for basic laparoscopic skills and simulated surgery performance in veterinary students. Vet Surg 2017; 46:1187-1197. [DOI: 10.1111/vsu.12729] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2016] [Revised: 04/21/2017] [Accepted: 06/01/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Chi-Ya Chen
- Department of Veterinary Clinical Sciences; Washington State University; Pullman Washington
| | - Claude A. Ragle
- Department of Veterinary Clinical Sciences; Washington State University; Pullman Washington
| | - Rachael Lencioni
- Department of Veterinary Clinical Sciences; Washington State University; Pullman Washington
| | - Boel A. Fransson
- Department of Veterinary Clinical Sciences; Washington State University; Pullman Washington
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