Contribution of simulation in paediatric laparoscopic surgery: improving suturing skills before performing a laparoscopic procedure in children
Abstract Introduction Mastering paediatric laparoscopic surgery competency (PLSC) is technically challenging. The present study aimed to determine whether the inter-academic PLSC degree (IAD_PLSC) practical training program enables trainees to improve their skills. Methods This retrospective study i...
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2024-12-01
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| Online Access: | https://doi.org/10.1186/s12909-024-06346-6 |
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| author | Valeska Bidault-Jourdainne Jean Breaud Liza Ali Isabelle Talon François Becmeur Alaa El Ghoneimi Matthieu Peycelon |
| author_facet | Valeska Bidault-Jourdainne Jean Breaud Liza Ali Isabelle Talon François Becmeur Alaa El Ghoneimi Matthieu Peycelon |
| author_sort | Valeska Bidault-Jourdainne |
| collection | DOAJ |
| description | Abstract Introduction Mastering paediatric laparoscopic surgery competency (PLSC) is technically challenging. The present study aimed to determine whether the inter-academic PLSC degree (IAD_PLSC) practical training program enables trainees to improve their skills. Methods This retrospective study included trainees enrolled in the IAD_PLSC program in 2021 and 2022 which included two separate 12 h-sessions. Trainees practiced to perform intracorporeal laparoscopic knots (ILK) using 5- and 3-mm instruments on a pelvi-trainer simulator; Peg Transfer (PT) was used as a dexterity test; final marks added the adapted Objective Structured Assessment of Technical Skills (OSATS) score (out of 40) and time to complete ILK. ILK was considered a success in case the OSATS score > 27/40. Results A total of 43 trainees completed the IAD_PLSC program. N = 37 (86.0%) mastered the ILK (OSATS score > 27/40) using 5-mm instruments at the end of session 1 and N = 33 (76.7%) at the end of session 2 (p = 0.41). There was no significant improvement in the median [interquartile range, IQR] OSATS score (32 [30–36] vs. 32 [28–34], p = 0.19), but the median [IQR] knot completion time improved significantly (184 s [161–268] vs. 166 s [128–218], p = 0.002). There was a significant correlation between the knot completion time and PT time at the end of session 1 (ρ = 0.58, 95% confidence interval, CI [0.31;0.76], p < 0.0002) and session 2 (ρ = 0.78, 95%CI [0.62;0.87], p < 0.0001). When using 3-mm instruments, N = 34 (79.1%) of trainees mastered the ILK at the end of session 2. The median [IQR] OSATS score significantly improved between the end of the two sessions (22 [21–24] vs. 31 [28–33], p < 0.0001), but there was no significant correlation between OSATS score or knot completion time and PT time, at the end of both sessions. Conclusion A nation-wide training program in paediatric laparoscopic surgery provides valuable practical training of intracorporeal suturing for residents in pediatric surgery and urology. |
| format | Article |
| id | doaj-art-651d06a522e34aaba9ae3248255ecf95 |
| institution | OA Journals |
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| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
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| series | BMC Medical Education |
| spelling | doaj-art-651d06a522e34aaba9ae3248255ecf952025-08-20T02:30:56ZengBMCBMC Medical Education1472-69202024-12-012411810.1186/s12909-024-06346-6Contribution of simulation in paediatric laparoscopic surgery: improving suturing skills before performing a laparoscopic procedure in childrenValeska Bidault-Jourdainne0Jean Breaud1Liza Ali2Isabelle Talon3François Becmeur4Alaa El Ghoneimi5Matthieu Peycelon6Urovisceral Paediatric Surgery Department, HFME, Civil Hospices of LyonVisceral Surgery Department, Lenval Paediatric University Hospital, Lenval Foundation for ChildrenPaediatric visceral surgery and urology Department, Robert-Debré University Hospital, C.R.M.R. MARVU, APHPVisceral Paediatric Surgery Department, Hautepierre Hospital, Strasbourg University HospitalVisceral Paediatric Surgery Department, Hautepierre Hospital, Strasbourg University HospitalPaediatric visceral surgery and urology Department, Robert-Debré University Hospital, C.R.M.R. MARVU, APHPPaediatric visceral surgery and urology Department, Robert-Debré University Hospital, C.R.M.R. MARVU, APHPAbstract Introduction Mastering paediatric laparoscopic surgery competency (PLSC) is technically challenging. The present study aimed to determine whether the inter-academic PLSC degree (IAD_PLSC) practical training program enables trainees to improve their skills. Methods This retrospective study included trainees enrolled in the IAD_PLSC program in 2021 and 2022 which included two separate 12 h-sessions. Trainees practiced to perform intracorporeal laparoscopic knots (ILK) using 5- and 3-mm instruments on a pelvi-trainer simulator; Peg Transfer (PT) was used as a dexterity test; final marks added the adapted Objective Structured Assessment of Technical Skills (OSATS) score (out of 40) and time to complete ILK. ILK was considered a success in case the OSATS score > 27/40. Results A total of 43 trainees completed the IAD_PLSC program. N = 37 (86.0%) mastered the ILK (OSATS score > 27/40) using 5-mm instruments at the end of session 1 and N = 33 (76.7%) at the end of session 2 (p = 0.41). There was no significant improvement in the median [interquartile range, IQR] OSATS score (32 [30–36] vs. 32 [28–34], p = 0.19), but the median [IQR] knot completion time improved significantly (184 s [161–268] vs. 166 s [128–218], p = 0.002). There was a significant correlation between the knot completion time and PT time at the end of session 1 (ρ = 0.58, 95% confidence interval, CI [0.31;0.76], p < 0.0002) and session 2 (ρ = 0.78, 95%CI [0.62;0.87], p < 0.0001). When using 3-mm instruments, N = 34 (79.1%) of trainees mastered the ILK at the end of session 2. The median [IQR] OSATS score significantly improved between the end of the two sessions (22 [21–24] vs. 31 [28–33], p < 0.0001), but there was no significant correlation between OSATS score or knot completion time and PT time, at the end of both sessions. Conclusion A nation-wide training program in paediatric laparoscopic surgery provides valuable practical training of intracorporeal suturing for residents in pediatric surgery and urology.https://doi.org/10.1186/s12909-024-06346-6SimulationHands-on trainingPaediatric surgeryPaediatric urologyLaparoscopyOSATS |
| spellingShingle | Valeska Bidault-Jourdainne Jean Breaud Liza Ali Isabelle Talon François Becmeur Alaa El Ghoneimi Matthieu Peycelon Contribution of simulation in paediatric laparoscopic surgery: improving suturing skills before performing a laparoscopic procedure in children BMC Medical Education Simulation Hands-on training Paediatric surgery Paediatric urology Laparoscopy OSATS |
| title | Contribution of simulation in paediatric laparoscopic surgery: improving suturing skills before performing a laparoscopic procedure in children |
| title_full | Contribution of simulation in paediatric laparoscopic surgery: improving suturing skills before performing a laparoscopic procedure in children |
| title_fullStr | Contribution of simulation in paediatric laparoscopic surgery: improving suturing skills before performing a laparoscopic procedure in children |
| title_full_unstemmed | Contribution of simulation in paediatric laparoscopic surgery: improving suturing skills before performing a laparoscopic procedure in children |
| title_short | Contribution of simulation in paediatric laparoscopic surgery: improving suturing skills before performing a laparoscopic procedure in children |
| title_sort | contribution of simulation in paediatric laparoscopic surgery improving suturing skills before performing a laparoscopic procedure in children |
| topic | Simulation Hands-on training Paediatric surgery Paediatric urology Laparoscopy OSATS |
| url | https://doi.org/10.1186/s12909-024-06346-6 |
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