MEDICAL SIMULATION IN MASTERING THE OPERATIVE TECHNIQUE FOR TREATMENT OF ECTOPIC PREGNANCY

• Main Authors: Ye. A. Kolesnikova, A. Sh. Makhmutkhodzhaev, Ye. G. Ripp
• Format: Article
• Language: English
• Published: Siberian State Medical University (Tomsk) 2014-12-01
• Series: Bûlleten' Sibirskoj Mediciny
• Subjects: gynecology; laparoscopy; simulators in health care; ectopic pregnancy
• Online Access: https://bulletin.tomsk.ru/jour/article/view/156

The purpose of this study is to introduce a new educational method for gynecologists to master the technique of laparoscopic surgery in case of ectopic pregnancy. This method involves using a computer Simulation Platform “Lap mentor” (Simbionix, USA).Thirty gynecologists, who had no experience of independent performance of laparoscopic gynecological surgery, were randomized into 2 groups of 15 people. Laparoscopic technique in both groups was mastered by performing operations in different clinical variants of ectopic pregnancy on a computer simulator. But doctors from the second group, according to the proposed learning method, also performed additional exercises aimed at developing specific laparoscopic skills (work with the camera, control of one or two instruments, separation of tissue using scissors and endosurgical monopolar electrodes).Comparison of groups at the final tests showed that gynecologists whose training included exercises to develop skills in laparoscopy showed significantly greater success in the performance of control tasks. All surgical techniques doctors performed faster and it took themless time to perform the operation than for their counter parts in the comparison group. Along with this movements of gynecologists from the second group were more precise and accurate, accompanied by a smaller number of vascular and organs injures than in the comparison group.Thus, application of the proposed method of mastering the laparoscopic skills in gynecology, including the performance of special training exercises with virtual operations, can significantly improve the surgical technique of specialists and their professional competence. Skills, obtained using this educational method, are of higher quality compared with the experience gained by simply repeating the operation on a computer simulator.