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Effect of a Simulation Warm up on Laparoscopic Efficiency in the Operating Room
Date Presented
2012 ASL Abstract
Objective
The objective of the study was to evaluate whether a brief warm-up on a laparoscopic trainer immediately prior to surgery improves intra-operative efficiency in Gynecology residents.
Study Design
In this randomized controlled trial, Gynecology residents will be randomized to practice, or to not practice laparoscopic suturing for 10-15 minutes immediately before performing a total laparoscopic hysterectomy. During closure of the vaginal cuff, the residents were timed for each suture they placed and tied in the vaginal cuff. The residents served as their own controls because each time they perform a TLH, they were randomized to practice or not.
Results
Residents were randomized to practice 10 times, performing a total of 32 knots. They were randomized to not practice 12 times, performing a total of 36 knots. There was nearly even distribution of residents by PGY level in each group. The average time to perform one laparoscopic knot was 4.20 minutes in the practice group, and 5.54 minutes in the no practice group (p=.0267).
Conclusion
A brief warm up on the laparoscopic trainer immediately prior to surgery improves laparoscopic efficiency in the operating room as measured by knot tying times.
Topics:
2012, Resident, Residency Director, Patient Care, GME, Simulation, Minimally Invasive Surgery,
