Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study
Epiduroscopy is a type of spinal intervention that visualizes the epidural space through the sacral hiatus using a fiberoptic scope. However, it is technically difficult to perform compared to conventional interventions and susceptible to complications. Surgery simulator has been shown to be a promi...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2020/5428170 |
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| _version_ | 1832547143550763008 |
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| author | Jong Joo Lee Junho Ko Yeomin Yun Seong-Wook Jang Yoon Ha Yoon Sang Kim Dong Ah Shin |
| author_facet | Jong Joo Lee Junho Ko Yeomin Yun Seong-Wook Jang Yoon Ha Yoon Sang Kim Dong Ah Shin |
| author_sort | Jong Joo Lee |
| collection | DOAJ |
| description | Epiduroscopy is a type of spinal intervention that visualizes the epidural space through the sacral hiatus using a fiberoptic scope. However, it is technically difficult to perform compared to conventional interventions and susceptible to complications. Surgery simulator has been shown to be a promising modality for medical education. To develop the epiduroscopy simulator and prove its usefulness for epiduroscopy training, we performed a case-control study including a total of 20 physicians. The participants were classified as the expert group with more than 30 epiduroscopy experiences and the beginner group with less experience. A virtual simulator (EpiduroSIM™, BioComputing Lab, KOREATECH, Cheonan, Republic of Korea) for epiduroscopy was developed by the authors. The performance of the participants was measured by three items: time to reach a virtual target, training score, and number of times the dura and nerve are violated. The training score was better in the expert group (75.00 vs. 67.50; P<0.01). The number of violations was lower in the expert group (3.50 vs. 4.0; P<0.01). The realism of the epidural simulator was evaluated to be acceptable in 40%. Participants improved their simulator skills through repeated attempts. The epiduroscopy simulator helped participants understand the anatomical structure and actual epiduroscopy. |
| format | Article |
| id | doaj-art-4677fa940b9346c7a7c65219006cca7c |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-4677fa940b9346c7a7c65219006cca7c2025-02-03T06:45:58ZengWileyPain Research and Management1203-67651918-15232020-01-01202010.1155/2020/54281705428170Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot StudyJong Joo Lee0Junho Ko1Yeomin Yun2Seong-Wook Jang3Yoon Ha4Yoon Sang Kim5Dong Ah Shin6Department of Neurosurgery, Bundang Jesaeng Hospital, Seongnam, Republic of KoreaBioComputing Laboratory, Institute for Bioengineering Application Technology, Department of Computer Science and Engineering, Korea University of Technology and Education (KOREATECH), Cheonan, Republic of KoreaDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Republic of KoreaBioComputing Laboratory, Institute for Bioengineering Application Technology, Department of Computer Science and Engineering, Korea University of Technology and Education (KOREATECH), Cheonan, Republic of KoreaDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Republic of KoreaBioComputing Laboratory, Institute for Bioengineering Application Technology, Department of Computer Science and Engineering, Korea University of Technology and Education (KOREATECH), Cheonan, Republic of KoreaDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, Republic of KoreaEpiduroscopy is a type of spinal intervention that visualizes the epidural space through the sacral hiatus using a fiberoptic scope. However, it is technically difficult to perform compared to conventional interventions and susceptible to complications. Surgery simulator has been shown to be a promising modality for medical education. To develop the epiduroscopy simulator and prove its usefulness for epiduroscopy training, we performed a case-control study including a total of 20 physicians. The participants were classified as the expert group with more than 30 epiduroscopy experiences and the beginner group with less experience. A virtual simulator (EpiduroSIM™, BioComputing Lab, KOREATECH, Cheonan, Republic of Korea) for epiduroscopy was developed by the authors. The performance of the participants was measured by three items: time to reach a virtual target, training score, and number of times the dura and nerve are violated. The training score was better in the expert group (75.00 vs. 67.50; P<0.01). The number of violations was lower in the expert group (3.50 vs. 4.0; P<0.01). The realism of the epidural simulator was evaluated to be acceptable in 40%. Participants improved their simulator skills through repeated attempts. The epiduroscopy simulator helped participants understand the anatomical structure and actual epiduroscopy.http://dx.doi.org/10.1155/2020/5428170 |
| spellingShingle | Jong Joo Lee Junho Ko Yeomin Yun Seong-Wook Jang Yoon Ha Yoon Sang Kim Dong Ah Shin Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study Pain Research and Management |
| title | Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study |
| title_full | Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study |
| title_fullStr | Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study |
| title_full_unstemmed | Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study |
| title_short | Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study |
| title_sort | feasibility of the epiduroscopy simulator as a training tool a pilot study |
| url | http://dx.doi.org/10.1155/2020/5428170 |
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