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Cau M, Sandoval J, Arguel A, Breque C, Huet N, Cau J, Laribi MA. Toward Optimal Learning of the Gesture in Laparoscopic Surgery: Methodology and Performance. J Clin Med 2022; 11:jcm11051398. [PMID: 35268489 PMCID: PMC8911446 DOI: 10.3390/jcm11051398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Revised: 02/27/2022] [Accepted: 03/01/2022] [Indexed: 02/01/2023] Open
Abstract
Classical surgical education has to face both a forensic reality and a technical issue: to train a learner in more complex techniques in an increasingly short time. Moreover, surgical training is still based on an empirical hierarchical relationship in which learners must reproduce a sequence of actions in a situation of strong emotional pressure. However, the effectiveness of learning and its quality are linked to the emotional states in which learners find themselves. Among these emotions, epistemic confusion can be found that arises in complex learning situations where there is a cognitive imbalance related to the comprehension of the task, and which results from a rupture between the pre-established patterns of the learner and the new learning task. Although one knows that confusion can have a beneficial or a negative impact on learning, depending on whether it is well regulated or not, the factors that can influence it positively are still poorly understood. Thus, the objective of this experiment is to assess the impact of confusion on the learning of a surgical procedure in an augmented reality context and to determine if this impact varies according to the feedback given to the learners and according to the occurrence of disruptive events. Medical externs were recruited (N = 15) who were required to perform a suturing task on a simulator and whose performance was measured using a Motion Capture (MoCap) system. Even though the statistical analyzes did not allow a conclusion to be reached, the protocol already established makes it possible to consider a longer-term study that will allow (by increasing the number of sessions and the number of participants) more significant results to be obtained in order to develop new surgical learning protocols. This preliminary study opens a new field of research on the influence of epistemic emotions, and more particularly of confusion, which is likely to upset traditional surgical teaching, and is based on negative conditioning and strong emotions with negative valence as well as stress and coercion.
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Affiliation(s)
- Marine Cau
- CLLE, CNRS, UMR5263, University of Toulouse, 31058 Toulouse, France; (M.C.); (N.H.)
| | - Juan Sandoval
- Department GMSC, Pprime Institute, CNRS—University of Poitiers—ENSMA, UPR 3346, 86073 Poitiers, France; (J.S.); (C.B.)
| | - Amaël Arguel
- CLLE, CNRS, UMR5263, University of Toulouse, 31058 Toulouse, France; (M.C.); (N.H.)
- Correspondence: (A.A.); (M.A.L.)
| | - Cyril Breque
- Department GMSC, Pprime Institute, CNRS—University of Poitiers—ENSMA, UPR 3346, 86073 Poitiers, France; (J.S.); (C.B.)
| | - Nathalie Huet
- CLLE, CNRS, UMR5263, University of Toulouse, 31058 Toulouse, France; (M.C.); (N.H.)
| | - Jerome Cau
- Groupe GIE Sainte Marguerite, Vascular Laparoscopic Surgery, 71 Boulevard Robespierre, 83000 Toulon, France;
| | - Med Amine Laribi
- Department GMSC, Pprime Institute, CNRS—University of Poitiers—ENSMA, UPR 3346, 86073 Poitiers, France; (J.S.); (C.B.)
- Correspondence: (A.A.); (M.A.L.)
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Alnahhal KI, Jarmi T, Hakaim AG, Farres H. Renal artery revascularization using the inferior mesenteric artery as an inflow source with a long-term follow-up. JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES 2021; 7:223-225. [PMID: 33997558 PMCID: PMC8095123 DOI: 10.1016/j.jvscit.2021.02.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 02/21/2021] [Indexed: 11/24/2022]
Abstract
This case describes a 72-year-old woman with a history of chronic kidney disease stage III presented with bilateral renal artery stenosis with a progressively atrophied right kidney. At the time of surgery, the atrophied kidney was nonfunctional. Therefore, the patient underwent unilateral renal artery revascularization via the inferior mesenteric artery as an inflow. A 7-year follow-up revealed improvement in the kidney function and stabilization of blood pressure, which was controlled with less number of antihypertensive medications. In brief, open surgical correction of the renal artery stenosis using the inferior mesenteric artery as an inflow source can retrieve renal function in selected hypertensive patients with ischemic nephropathy.
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Affiliation(s)
- Khaled I Alnahhal
- Division of Vascular Surgery, Department of Surgery, Mayo Clinic Florida, Jacksonville, Fla
| | - Tambi Jarmi
- Division of Transplant Nephrology, Department of Internal Medicine, Mayo Clinic Florida, Jacksonville, Fla
| | - Albert G Hakaim
- Division of Vascular Surgery, Department of Surgery, Mayo Clinic Florida, Jacksonville, Fla
| | - Houssam Farres
- Division of Vascular Surgery, Department of Surgery, Mayo Clinic Florida, Jacksonville, Fla
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Inferior Mesenteric to Renal Artery Transposition for Revascularization of a Solitary Functioning Kidney. Ann Vasc Surg 2015; 29:1321.e5-8. [DOI: 10.1016/j.avsg.2015.03.051] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2015] [Accepted: 03/12/2015] [Indexed: 11/18/2022]
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Shao P, Qin C, Meng X, Li J, Ju X, Li P, Yin C. Hybrid Laparoscopic Technique for Renal Artery Takayasu Arteritis. Eur J Vasc Endovasc Surg 2011; 42:803-8. [DOI: 10.1016/j.ejvs.2011.09.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2011] [Accepted: 09/08/2011] [Indexed: 10/16/2022]
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