Be prepared! Impact of structured video-assisted coaching on performance in a simulated bleeding exercise during laparoscopic surgery.

Details

Serval ID
serval:BIB_148C8CEB2155
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Be prepared! Impact of structured video-assisted coaching on performance in a simulated bleeding exercise during laparoscopic surgery.
Journal
Surgical endoscopy
Author(s)
Chatziisaak D., Sparn M., Krstic D., Bauci G., Warschkow R., Brunner W., Schmied B., Hahnloser D., Bischofberger S.
ISSN
1432-2218 (Electronic)
ISSN-L
0930-2794
Publication state
Published
Issued date
10/2024
Peer-reviewed
Oui
Volume
38
Number
10
Pages
6120-6127
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Bleeding during laparoscopic surgery is stressful and requires immediate efficient management. Skills for complication management are rarely trained. This study aims to investigate the impact of video-assisted coaching on laparoscopic skills acquisition and performance in emergency bleeding situations.
Participants faced simulated emergency scenarios during laparoscopy involving bleeding management in porcine aorta/kidney specimens. Four sequences were conducted over two days, with a structured video-assisted coaching provided between sequences. Performance was assessed using the Global Operative Assessment of Laparoscopic Skills (GOALS) score. The study involved 27 participants attending the advanced colorectal surgery module at the 40th Annual Davos Course in 2023.
54 video sequences were analyzed. Structured video-assisted coaching improved the GOALS sum score by 0.36 (95%CI: 0.21-0.50, P < 0.001) in contrast to simple repetition (0.05 with 95%CI: -0.43 to 0.53, P = 0.826). This association was observed for depth of perception (P < 0.001), bimanual dexterity (P < 0.001), tissue handling (P < 0.001), overall performance (P < 0.001), and efficiency (P < 0.001). Autonomy did not significantly improve (P = 0.55). Findings were consistent regardless of age, gender, and overall laparoscopic experience of the participants. However, a weaker effect of structured video-assisted coaching was observed in participants with experience in laparoscopic surgery.
Structured video-assisted coaching improved performance in laparoscopic skills in complex and stress-inducing bleeding scenarios. The findings of this study support the incorporation of video-assisted coaching and complication management exercises into surgical training curricula.
Keywords
Laparoscopy/methods, Laparoscopy/education, Clinical Competence, Humans, Swine, Animals, Simulation Training/methods, Video Recording, Female, Male, Mentoring/methods, Blood Loss, Surgical/prevention & control, Adult, GOALS score, Laparoscopic training, Skill acquisition, Structured video-assisted coaching
Pubmed
Web of science
Open Access
Yes
Create date
30/08/2024 15:18
Last modification date
11/10/2024 19:14
Usage data