Search results for "Surgical skills"

Neue Perspektiven der laparoskopischen Simulation: Vom Studententrainingslabor bis zur Stressevaluation

2008

Hintergrund: Die Anwendung eines LapSim®-Trainingsmodells im Studententrainingslabor sowie die objektive Evaluation von Stress in einem virtuellen Operations-Szenario bieten neue Perspektiven der laparoskopischen Simulation. Methodik: Im Studententrainingslabor erfolgte bei 28 Probanden am LapSim® Virtual-Reality (VR)-Simulator in einem Trainingscurriculum, bestehend aus 9 Einheiten, die Erfassung von Lernkurven laparoskopischer Basisfertigkeiten sowie komplexer Prozesse. In einem virtuellen Operations-Szenario wurde des Weiteren bei 18 Chirurgen eine Stressevaluation mittels eines Sympathikografen vorgenommen und dabei die laparoskopische Fehler- und Komplikationsrate erfasst. Hierbei konn…

The colovescical fistula in diverticular disease: Laparoscopic approach in two different cases

2020

Highlights • The colovescical fistula is one of the complications of diverticular disease. • It can cause typical symptoms like pneumaturia and fecaluria affecting the quality of life and sometimes leading to death, usually secondary to sepsis. • We studied two patients with clinical, radiological and endoscopic diagnosis of colovescical fistula as a consequence of diverticular disease. • We performed a totally laparoscopic treatment with colonic resection and closure of the fistula with intracorporeal sutures. • The presence of a colovescical fistula significantly increases the difficult of the laparoscopic colonic resection.

Towards Technology-Supported Surgical Training

2008

Technology offers alternatives for training surgeons with patients and also possibilities to take part in surgical learning from afar, outside the operating room (OR). Simulated and other technical training tools provide opportunities to practice surgical skills in undisturbed learning environments. In order to implement effective educational methods and create new environments for learning, we need to find out what skills a surgeon must learn and what are the elements affecting surgical performance. This paper describes a study designed to investigate surgical processes and presents an exploratory way of gathering data by combining video material with interviews. The suitability of triangu…

Expertise and Skill in Minimally Invasive Surgery

2009

New attitudes to medical ethics and demands for efficiency have brought increased attention to surgical skills and training. It is important to characterize the expertise and skill involved in the multidimensional surgical profession. At a time of change, there is a need to discuss the nature of surgical expertise, and also the prospects for resident training, with special reference to new minimally invasive techniques (MIS). In this paper, we selectively review knowledge on surgical expertise and the specific demands placed on a skilled MIS surgeon. In addition, the review contains a selection of studies from those areas that have been seen as important for the future of training in surge…

Learning Surgical Skills with Simulator Training: Residents’ Experiences and Perceptions

2011

Simulator training is becoming a more integral part of surgical psychomotor skills training for video-assisted operating techniques, which need to be practiced repeatedly and systematically. Studies concerning the implementation, realization, and potentiality of simulator training programs for hospital surgeons are needed. Also, trainees’ expectations of training, and the feasibility of combining such training with their hospital work, remain rather unknown. This paper presents important theoretical factors that influence surgical skills learning through computer-based simulator training. The curriculum and the study of learners’ training experiences are presented. Statistical analysis on p…

Training surgical skills in a simulated and authentic environment : expertise challenges in development of surgical laparoscopy practicing

2014

Training program for transanal endoscopic microsurgery.

1988

Televised endoscopy and the concept of the “assisted” endoscopic operation is of great help in teaching surgical endoscopic techniques. The use of training dummies provides a new method of training manual dexterity and surgical skills in special courses or in surgical skill laboratories. We have developed a training system for transanal endoscopic microsurgery. Operations with our technique were performed on 116 patients. Like other microsurgical techniques, our method requires a special introduction and intensive training. This paper presents our multistage, video-supported training course for teaching transanal endoscopic microsurgery. The one-day training session is divided into four ste…

Activity Theory as a Lens to Identify Challenges in Surgical Skills Training at Hospital Work Environment

2015

In this paper the concepts from activity theory (AT) are applied for identifying the challenges and contradictions emerging in surgical resident’s curriculum based training at hospital. AT is utilised as a lens to identify contradictions that cause disturbances, problems, ruptures, breakdowns, and clashes which emerge while surgical skills training is implemented in a new way at hospital. We especially aim at finding solutions for contradictions which emerge while the new and old working culture are confronted and the workers are required to balance themselves between the patient care demands and workplace learning requirements. We are using the conceptual theoretical approach to describe…