Simulation in Pediatric Video Surgery: Training with Simple and Reproducible Exercises Elaborated by Residents

• Published in: Journal of laparoendoscopic & advanced surgical techniques. Part A Vol. 29; no. 10; p. 1362
• Main Authors: Teixeira, Douglas Fagundes, Carvalho, Tais Soares, Alcântara, Melina Capraro, Ribeiro, Anna Carolina Borges, Antunes, Amanda Ginani, Gadelha, Aluisio Augusto Belmino, Aquino, Adria Karina Farias de, Carvalho, Ingrid Lorrane Ferreira de, Sabbaga, Cesar Cavalli, Schultz, Karin Lucilda, Amarante, Antônio Carlos Moreira, Amado, Fernando Antônio Bersani, E Silva, Elisangela de Mattos
• Format: Journal Article
• Language: English
• Published: United States 01-10-2019
• Subjects: Child; Clinical Competence; General Surgery - education; Humans; Internship and Residency; Pediatrics - education; Simulation Training - methods; Surveys and Questionnaires; simulation training; video surgery in residency; simulation in pediatric surgery; video surgery; surgical simulation
• ISSN: 1557-9034
• DOI: 10.1089/lap.2019.0207

Most residents do not have a defined program for simulation training in video surgery in Brazil. The training takes place for the most part
or in short courses. The goal of this article is to describe and evaluate a set of exercises using low-cost materials, created by the residents themselves, to enable basic skills training in video surgery.
Seven exercises were elaborated aiming to simulate main maneuvers performed in video surgery. The residents were guided by a written and video description showing the execution of the exercises, performed the exercises, and answered a questionnaire. After 3 weeks of free training, the residents performed the exercises and answered the questionnaire again.
Seven residents started the study; however, 6 completed the two steps. Among the participants, 83% received
video surgery training, and only 2 (33%) received some supervised simulation training in minimally invasive surgery before this time. All participants considered the set of seven exercises representative of the actual skills in video surgery. There was no difficulty in acquiring the materials or in assembling them to carry out the training. All the participants had a shorter training time than initially proposed, on average 1 day/week for 20 minutes.
A simple set of exercises can be elaborated by the residents themselves and make feasible the simulated training in video surgery even without the availability of sophisticated and expensive materials. The presence of a tutor and the scheduling of exclusive training seem necessary for more satisfactory results.