Three-step model course to teach intracorporeal laparoscopic suturing

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dc.contributor.authorMereu, Liliana
dc.contributor.authorCarri, Giada
dc.contributor.authorAlbis Florez, Edmundo Daniel
dc.contributor.authorCofelice, Vito
dc.contributor.authorPontis, Alessandro
dc.contributor.authorRomeo, Armando
dc.contributor.authorMencaglia, Luca
dc.date.accessioned2020-08-12T19:50:18Z
dc.date.available2020-08-12T19:50:18Z
dc.date.issued2013
dc.description.abstractenglishLaparoscopy requires a set of skills such as intracorporeal stitching and knotting. The aim of this study is to present an effective specialized training course for the laparoscopic suturing technique. We designed a specialized 5-day training course for laparoscopic suturing skills with theoretical and practical sessions on inanimate pelvic training. The "gladiator rule" was the method used to teach intracorporeal suturing using the right and left hand from a lateral and suprapubic access. Data on sense of depth, coordination, dexterity, traction power, and posture at the beginning and at the end of the course were compiled. Three practical evaluations were performed by each course participant. Follow-up on subsequent live laparoscopic application of intracorporeal suturing was obtained. We enrolled 44 consecutive trainees: 33 men and 11 women. We found a significant statistical improvement during the course in coordination (P=.001), dexterity (P=.000), traction power (P=.002), and posture (P=.003). Men were better than women in coordination (P=.002), dexterity (P=.000), and traction power (P=.014). No significant statistical difference in suturing skill was found in relation to age, gender, previous courses, surgical training (surgeon or resident), and dominant hand. Twenty-nine of 40 (72.5%) trainees after the course began to apply intracorporeal sutures in vivo. The present study demonstrates the utility of a 5-day suturing course in teaching laparoscopic suturing technique. The "gladiator rule" is a useful and reproducible theory to teach intracorporeal knotting. The three-step model allows the majority of the trainees to apply laparoscopic suturing in vivo.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1089/lap.2012.0131
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1557-9034
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlhttps://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/3770
dc.language.isoeng
dc.publisherMary Ann Liebertspa
dc.publisher.journalJournal of Laparoendoscopic & Advanced Surgical Techniquesspa
dc.relation.ispartofseriesJournal of Laparoendoscopic & Advanced Surgical Techniques, 1557-9034, Vol. 23, Nro. 1, 2013 p. 26-32spa
dc.relation.urihttps://www.liebertpub.com/doi/pdf/10.1089/lap.2012.0131
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2013
dc.rights.localAcceso abiertospa
dc.subject.keywordsAdultspa
dc.subject.keywordsEducation medicalspa
dc.subject.keywordsFemalespa
dc.subject.keywordsHumansspa
dc.subject.keywordsLaparoscopyspa
dc.titleThree-step model course to teach intracorporeal laparoscopic suturingspa
dc.title.translatedThree-step model course to teach intracorporeal laparoscopic suturingspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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