Effect of Preoperative Warm-up Exercise Before Laparoscopic Gynecological Surgery: A Randomized Trial

Journal of Surgical Education
Stephan PolterauerChristoph Grimm

Abstract

Laparoscopic surgical procedures require a high level of cognitive and psychomotoric skills. Thus, effective training methods to acquire an adequate level of expertise are crucial. The aim of this study was to investigate the effect of preoperative warm up training on surgeon׳s performance during gynecologic laparoscopic surgery. In this randomized controlled trial, surgeons performed a preoperative warm up training using a virtual reality simulator before laparoscopic unilateral salpingo-oophorectomy. Serving as their own controls, each subject performed 2 pairs of laparoscopic cases, each pair consisting of 1 case with and 1 without warm up before surgery. Surgeries were videotaped and psychomotoric skills were rated using objective structured assessment of technical skills (OSATS) and the generic error rating tool by a masked observer. Perioperative complications were assessed. Statistical analysis was performed using a mixed model, and mean OSATS scores were compared between both the groups. In total, data of 10 surgeons and 17 surgeries were available for analysis. No differences between educational level and surgical experiences were observed between the groups. Mean standard error psychomotoric and task-specific OSATS sc...Continue Reading

Associated Clinical Trials

Oct 23, 2012·Stephan Polterauer

References

May 17, 2008·BMJ : British Medical Journal·Teodor P Grantcharov, Richard K Reznick
Jun 17, 2008·Fertility and Sterility·Eva-Katrin BentzClemens B Tempfer
May 16, 2009·BMJ : British Medical Journal·Christian R LarsenBent S Ottesen
May 21, 2010·Annals of Surgery·Dan CalatayudTeodor Grantcharov
May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Radu MoldovanuCostel Bradea
Aug 11, 2012·Simulation in Healthcare : Journal of the Society for Simulation in Healthcare·Jamie KroftRichard Pittini
Nov 23, 2012·ANZ Journal of Surgery·Maree K WestonPeter J Hewett
Feb 26, 2013·Surgical Endoscopy·Esther M BonrathTeodor P Grantcharov
Aug 26, 2014·Surgical Endoscopy·Gamal AbdallaKimberley E Steele

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Citations

Apr 3, 2021·The Journal of Surgical Research·Jason D KellyThomas S Lendvay

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