TITLE

A New Surgical Trainer (BOPT) Improves Skill Transfer for Anastomotic Techniques in Gastrointestinal Surgery into the Operating Room: A Prospective Randomized Trial

AUTHOR(S)
Lauscher, Johannes C.; Ritz, Jörg-Peter; Stroux, Andrea; Buhr, Heinz; Gröne, Jörn
PUB. DATE
September 2010
SOURCE
World Journal of Surgery;Sep2010, Vol. 34 Issue 9, p2017
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
A multifunctional skill trainer (Berlin Operation Trainer, BOPT) allows realistic training of conventional gastrointestinal (GI) surgical techniques. The aim of this prospective randomized study was to evaluate the training success and the potential for transfer of anastomotic techniques in GI surgery into the operating room using the BOPT. Thirty-six surgical residents and surgeons in their subspecialty fellowship were classified as novices and experts according to their surgical experience and randomized into either a group that trained on standard training devices ( n = 19) or a group that trained on the BOPT ( n = 17). The participants performed an intestinal anastomosis with a single-layer running suture with BOPT (+BOPT) or without BOPT (−BOPT) at the beginning (point in time 1, PIT 1) and at the end of 4 days of surgical training (PIT 2). To simulate a real operation, the anastomosis at PIT 2 was performed in the open situs of an intubated domestic pig. The performance of the intestinal anastomoses was documented with video and photos. The time to perform the anastomosis and the quality of the anastomosis technique (total enterorrhaphy score) were rated independently by two surgeons using 17 defined quality criteria. The +BOPT group was faster than the control group (–BOPT group) (operating time = 192.4 ± 53.8 vs. 221.3 ± 47.8 s; P = 0.064) and had a higher score (12.1 ± 2.0 vs. 10.2 ± 2.6 points; P = 0.032) at PIT 2. Participants with an improved video and photo enterorrhaphy score had trained more frequently with the BOPT (+BOPT group) (14/19, 73.7%; P < 0.0005). The participants in the BOPT group showed a significant improvement in performance from PIT 1 to PIT 2 with respect to speed ( P = 0.049), the quality of the suture (video enterorrhaphy score; P = 0.026), the completed anastomosis (photo enterorrhaphy score; P = 0.021), and the total enterorrhaphy score (video and photo enterorrhaphy score; P = 0.039) compared to the control group without BOPT. There were no significant differences in improvement between novices and experts. The training using the Berlin Operation Trainer (BOPT) with respect to training success and the potential to transfer to GI surgery the suture and anastomosis techniques learned seems to be significantly superior to standard surgery modules, independent of the surgeon’s training status. The BOPT is a useful tool for training conventional gastrointestinal surgery techniques.
ACCESSION #
52760324

 

Related Articles

  • Prospective, Blinded Evaluation of Accuracy of Operative Reports Dictated by Surgical Residents. Novitsky, Yuri W.; Sing, Ronald F.; Kercher, Kent W.; Griffo, Martha L.; Matthews, Brent D.; Heniford, B. Todd // American Surgeon;Aug2005, Vol. 71 Issue 8, p627 

    Incomplete or inaccurate operative notes result in delayed, reduced, or denied reimbursement. Deficient reports may be more common when dictated by the surgical residents. We performed a blinded study to assess the accuracy of residents' dictations and their effect on the appropriate level of...

  • Different types of anastomotic methods: a review of literature. Mooloughi, Shadi; Joudi, Marjan; Dalili, Alimohamad; Dalili, Amin // Reviews in Clinical Medicine;Autumn2015, Vol. 2 Issue 4, p174 

    Constructing successful anastomosis is an important concept in gastrointestinal tract surgeries, which can be affected by various factors such as preoperative bowel condition, intra- and postoperative complications, bleeding and the device characteristics. Suturing, stapling and compression...

  • Face, content and construct validity of a new realistic trainer for conventional techniques in digestive surgery. Gröne, Jörn; Lauscher, Johannes C.; Buhr, Heinz G.; Ritz, Joerg-Peter // Langenbeck's Archives of Surgery;Jun2010, Vol. 395 Issue 5, p581 

    Surgical simulation modules for “open” surgery are limited in contrast to well-studied and validated laparoscopic trainers. In this study, face, content and construct validity of a devised simulation module (Berlin Operation Trainer, BOPT) for handsewn anastomoses in digestive...

  • Development, Validation and Operating Room-Transfer of a Six-Step Laparoscopic Training Program for the Vesicourethral Anastomosis. Klein, Jan; Teber, Dogu; Frede, Tom; Stock, Christian; Hruza, Marcel; Gözen, Ali; Seemann, Othmar; Schulze, Michael; Rassweiler, Jens // Journal of Endourology;Mar2013, Vol. 27 Issue 3, p349 

    Purpose: Development and full validation of a laparoscopic training program for stepwise learning of a reproducible application of a standardized laparoscopic anastomosis technique and integration into the clinical course. Materials and Methods: The training of vesicourethral anastomosis (VUA)...

  • Anastomosentechniken am GastrointestinaItrakt. Laukötter, M.G.; Senninger, N. // Der Chirurg;Dec2013, Vol. 84 Issue 12, p1085 

    The correct suture technique for anastomoses of the gastrointestinal (GI) tract is a major task in the daily practice of surgery and a basic requirement for a successful operation. This article provides an overview of the surgical principles and techniques involved in the creation of intestinal...

  • Predictors of septic shock following gastrointestinal anastomotic leaks: Only signposts, no destination. Barreto, Savio G.; Chaudhary, Adarsh // Indian Journal of Critical Care Medicine;Sep/Oct2013, Vol. 17 Issue 5, p273 

    The authors discuss the study conducted by A. Choudhuri and R. Uppal R. which presents an audit from the Intensive Care Unit (ICU) of a tertiary referral care center on the predictors of septic shock following gastrointestinal anastomotic leaks. They say that the study was not the first to...

  • Unnecessary Gastric Decompression in Distal Elective Bowel Anastomoses in Children: A Randomized Study. Davila-Perez, Roberto; Bracho-Blanchet, Eduardo; Tovilla-Mercado, Jose Manuel; Hernandez-Plata, Jose Alejandro; Reyes-Lopez, Alfonso; Nieto-Zermeño, Jaime // World Journal of Surgery;May2010, Vol. 34 Issue 5, p947 

    The goal of this study was to investigate the role of nasogastric drainage in preventing postoperative complications in children with distal elective bowel anastomosis. Nasogastric drainage has been used as a routine measure after gastrointestinal surgery in children and adults to hasten bowel...

  • Influence of non-surgical risk factors on anastomotic leakage after major gastrointestinal surgery: Audit from a tertiary care teaching institute. Choudhuri, Anirban Hom; Uppal, Rajeev; Kumar, Mritunjay // International Journal of Critical Illness & Injury Science;Oct-Dec2013, Vol. 3 Issue 4, p246 

    Context: The occurence of anastomotic leakage after gastointestinal resection and anastomosis is associated with significant mortality and morbidity. Aims: There is dearth of evidence in the literature on the influence of various non-surgical factors in causing anastomotic leakage although many...

  • Across the OR table. Goldberg, Joel H. // RN;Feb91, Vol. 54 Issue 2, p48 

    Focuses on the views of operating room nurses on surgeons and vice-versa. Reasons why nurses respect or do not respect physicians; Things that surgeons dislike about nurses. INSET: Humor in the OR.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics