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Total Laparoscopic Hysterectomy: Evaluation of an Evidence-Based Educational Strategy Using a Novel Simulated Suture and Knot-Tying Challenge, the “Holiotomy”
Joint Authors
O'Hanlan, Katherine A.
Beingesser, Kelli R.
Dibble, Suzanne L.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-09
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The purpose of this study was to evaluate perceptions of skills and practice patterns of gynecologists attending a course on total laparoscopic hysterectomy (TLH).
This course employed extensive use of pelvic trainer boxes to accomplish the Holiotomy Challenge.
The “Holiotomy Challenge” entailed suturing two plastic pieces with six figure-of-N sutures tied with four square knots each.
Methods.
A survey was administered before the course and 3 months later.
Data were analyzed by paired t-tests, McNemar’s Chi Squares, and ANCOVAs with significance set P<.05.
Results.
At baseline, 216 surgeons and at 3 months 102 surgeons returned the survey.
Surgeons’ self-perceptions of their skills significantly increased from 6.24 to 7.28.
Their reports of their surgical practice at home revealed significantly increased rates of minimally invasive procedures, from 42% to 54%.
Significantly more surgeons reported having the ability to close the vagina, or a small cystotomy or enterotomy.
Participation in the cadaver lab and presence of their practice partner did not impact these rates.
Conclusions.
A comprehensive course employing laparoscopic surgical simulation focused on basic surgical skills essential to TLH has a positive impact on attendees' self-rated skill level and rate of laparoscopic approaches.
Many had begun performing TLH after the course.
American Psychological Association (APA)
O'Hanlan, Katherine A.& Beingesser, Kelli R.& Dibble, Suzanne L.. 2012. Total Laparoscopic Hysterectomy: Evaluation of an Evidence-Based Educational Strategy Using a Novel Simulated Suture and Knot-Tying Challenge, the “Holiotomy”. Minimally Invasive Surgery،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-1001303
Modern Language Association (MLA)
O'Hanlan, Katherine A.…[et al.]. Total Laparoscopic Hysterectomy: Evaluation of an Evidence-Based Educational Strategy Using a Novel Simulated Suture and Knot-Tying Challenge, the “Holiotomy”. Minimally Invasive Surgery No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-1001303
American Medical Association (AMA)
O'Hanlan, Katherine A.& Beingesser, Kelli R.& Dibble, Suzanne L.. Total Laparoscopic Hysterectomy: Evaluation of an Evidence-Based Educational Strategy Using a Novel Simulated Suture and Knot-Tying Challenge, the “Holiotomy”. Minimally Invasive Surgery. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-1001303
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1001303