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Suturing training in Augmented Reality: gaining proficiency in suturing skills faster

Identifieur interne : 000739 ( PascalFrancis/Corpus ); précédent : 000738; suivant : 000740

Suturing training in Augmented Reality: gaining proficiency in suturing skills faster

Auteurs : S. M. B. I. Botden ; I. H. J. T. De Hingh ; J. J. Jakimowicz

Source :

RBID : Pascal:09-0434386

Descripteurs français

English descriptors

Abstract

Background Providing informative feedback and setting goals tends to motivate trainees to practice more extensively. Augmented Reality simulators retain the benefit of realistic haptic feedback and additionally generate objective assessment and informative feedback during the training. This study researched the performance curve of the adapted suturing module on the ProMIS Augmented Reality simulator. Methods Eighteen novice participants were pretrained on the MIST-VR to become acquainted with laparoscopy. Subsequently, they practiced 16 knots on the suturing module, of which the assessment scores were recorded to evaluate the gain in laparoscopic suturing skills. The scoring of the assessment method was calculated from the "time spent in the correct area" during the knot tying and the quality of the knot. Both the baseline knot and the knot at the top of the performance curve were assessed by two independent objective observers, by means of a standardized evaluation form, to objectify the gain in suturing skills. Results There was a statistically significant difference between the scores of the second knot (mean 72.59, standard deviation (SD) 16.28) and the top of the performance curve (mean 95.82, SD 3.05; p < 0.001, paired t-test). The scoring of the objective observers also differed significantly (mean 11.83 and 22.11, respectively; SD 3.37 and 3.89, respectively; p < 0.001) (interobserver reliability Cronbach's alpha = 0.96). The median amount of repetitions to reach the top of the performance curve was eight, which also showed significant differences between both the assessment score (mean 88.14, SD 13.53, p < 0.001) and scoring of the objective observers of the second knot (mean 20.51, SD 4.14; p < 0.001). Conclusions This adapted suturing module on the ProMIS Augmented Reality laparoscopic simulator is a potent tool for gaining laparoscopic suturing skills.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0930-2794
A02 01      @0 SUREEX
A03   1    @0 Surg. endosc.
A05       @2 23
A06       @2 9
A08 01  1  ENG  @1 Suturing training in Augmented Reality: gaining proficiency in suturing skills faster
A11 01  1    @1 BOTDEN (S. M. B. I.)
A11 02  1    @1 DE HINGH (I. H. J. T.)
A11 03  1    @1 JAKIMOWICZ (J. J.)
A14 01      @1 Department of Surgery, Catharina Hospital, Michelangelolaan 2 @2 5623 EJ Eindhoven @3 NLD @Z 1 aut. @Z 2 aut. @Z 3 aut.
A14 02      @1 Faculty of Industrial Design Engineering, Delft University of Technology @2 Delft @3 NLD @Z 2 aut.
A20       @1 2131-2137
A21       @1 2009
A23 01      @0 ENG
A43 01      @1 INIST @2 21220 @5 354000171150730300
A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
A45       @0 19 ref.
A47 01  1    @0 09-0434386
A60       @1 P
A61       @0 A
A64 01  1    @0 Surgical endoscopy
A66 01      @0 USA
C01 01    ENG  @0 Background Providing informative feedback and setting goals tends to motivate trainees to practice more extensively. Augmented Reality simulators retain the benefit of realistic haptic feedback and additionally generate objective assessment and informative feedback during the training. This study researched the performance curve of the adapted suturing module on the ProMIS Augmented Reality simulator. Methods Eighteen novice participants were pretrained on the MIST-VR to become acquainted with laparoscopy. Subsequently, they practiced 16 knots on the suturing module, of which the assessment scores were recorded to evaluate the gain in laparoscopic suturing skills. The scoring of the assessment method was calculated from the "time spent in the correct area" during the knot tying and the quality of the knot. Both the baseline knot and the knot at the top of the performance curve were assessed by two independent objective observers, by means of a standardized evaluation form, to objectify the gain in suturing skills. Results There was a statistically significant difference between the scores of the second knot (mean 72.59, standard deviation (SD) 16.28) and the top of the performance curve (mean 95.82, SD 3.05; p < 0.001, paired t-test). The scoring of the objective observers also differed significantly (mean 11.83 and 22.11, respectively; SD 3.37 and 3.89, respectively; p < 0.001) (interobserver reliability Cronbach's alpha = 0.96). The median amount of repetitions to reach the top of the performance curve was eight, which also showed significant differences between both the assessment score (mean 88.14, SD 13.53, p < 0.001) and scoring of the objective observers of the second knot (mean 20.51, SD 4.14; p < 0.001). Conclusions This adapted suturing module on the ProMIS Augmented Reality laparoscopic simulator is a potent tool for gaining laparoscopic suturing skills.
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C02 02  X    @0 002B24E06
C03 01  X  FRE  @0 Endoscopie @5 04
C03 01  X  ENG  @0 Endoscopy @5 04
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C03 02  X  FRE  @0 Laparoscopie @5 07
C03 02  X  ENG  @0 Laparoscopy @5 07
C03 02  X  SPA  @0 Laparoscopia @5 07
C03 03  X  FRE  @0 Simulation @5 08
C03 03  X  ENG  @0 Simulation @5 08
C03 03  X  SPA  @0 Simulación @5 08
C03 04  X  FRE  @0 Evaluation performance @5 09
C03 04  X  ENG  @0 Performance evaluation @5 09
C03 04  X  SPA  @0 Evaluación prestación @5 09
C03 05  X  FRE  @0 Médecine @5 13
C03 05  X  ENG  @0 Medicine @5 13
C03 05  X  SPA  @0 Medicina @5 13
C03 06  X  FRE  @0 Chirurgie endoscopique @5 30
C03 06  X  ENG  @0 Endoscopic surgery @5 30
C03 06  X  SPA  @0 Cirugía endoscópica @5 30
C03 07  X  FRE  @0 Traitement @5 31
C03 07  X  ENG  @0 Treatment @5 31
C03 07  X  SPA  @0 Tratamiento @5 31
N21       @1 313
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 09-0434386 INIST
ET : Suturing training in Augmented Reality: gaining proficiency in suturing skills faster
AU : BOTDEN (S. M. B. I.); DE HINGH (I. H. J. T.); JAKIMOWICZ (J. J.)
AF : Department of Surgery, Catharina Hospital, Michelangelolaan 2/5623 EJ Eindhoven/Pays-Bas (1 aut., 2 aut., 3 aut.); Faculty of Industrial Design Engineering, Delft University of Technology/Delft/Pays-Bas (2 aut.)
DT : Publication en série; Niveau analytique
SO : Surgical endoscopy; ISSN 0930-2794; Coden SUREEX; Etats-Unis; Da. 2009; Vol. 23; No. 9; Pp. 2131-2137; Bibl. 19 ref.
LA : Anglais
EA : Background Providing informative feedback and setting goals tends to motivate trainees to practice more extensively. Augmented Reality simulators retain the benefit of realistic haptic feedback and additionally generate objective assessment and informative feedback during the training. This study researched the performance curve of the adapted suturing module on the ProMIS Augmented Reality simulator. Methods Eighteen novice participants were pretrained on the MIST-VR to become acquainted with laparoscopy. Subsequently, they practiced 16 knots on the suturing module, of which the assessment scores were recorded to evaluate the gain in laparoscopic suturing skills. The scoring of the assessment method was calculated from the "time spent in the correct area" during the knot tying and the quality of the knot. Both the baseline knot and the knot at the top of the performance curve were assessed by two independent objective observers, by means of a standardized evaluation form, to objectify the gain in suturing skills. Results There was a statistically significant difference between the scores of the second knot (mean 72.59, standard deviation (SD) 16.28) and the top of the performance curve (mean 95.82, SD 3.05; p < 0.001, paired t-test). The scoring of the objective observers also differed significantly (mean 11.83 and 22.11, respectively; SD 3.37 and 3.89, respectively; p < 0.001) (interobserver reliability Cronbach's alpha = 0.96). The median amount of repetitions to reach the top of the performance curve was eight, which also showed significant differences between both the assessment score (mean 88.14, SD 13.53, p < 0.001) and scoring of the objective observers of the second knot (mean 20.51, SD 4.14; p < 0.001). Conclusions This adapted suturing module on the ProMIS Augmented Reality laparoscopic simulator is a potent tool for gaining laparoscopic suturing skills.
CC : 002B01; 002B24E06
FD : Endoscopie; Laparoscopie; Simulation; Evaluation performance; Médecine; Chirurgie endoscopique; Traitement
ED : Endoscopy; Laparoscopy; Simulation; Performance evaluation; Medicine; Endoscopic surgery; Treatment
SD : Endoscopía; Laparoscopia; Simulación; Evaluación prestación; Medicina; Cirugía endoscópica; Tratamiento
LO : INIST-21220.354000171150730300
ID : 09-0434386

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Pascal:09-0434386

Le document en format XML

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<div type="abstract" xml:lang="en">Background Providing informative feedback and setting goals tends to motivate trainees to practice more extensively. Augmented Reality simulators retain the benefit of realistic haptic feedback and additionally generate objective assessment and informative feedback during the training. This study researched the performance curve of the adapted suturing module on the ProMIS Augmented Reality simulator. Methods Eighteen novice participants were pretrained on the MIST-VR to become acquainted with laparoscopy. Subsequently, they practiced 16 knots on the suturing module, of which the assessment scores were recorded to evaluate the gain in laparoscopic suturing skills. The scoring of the assessment method was calculated from the "time spent in the correct area" during the knot tying and the quality of the knot. Both the baseline knot and the knot at the top of the performance curve were assessed by two independent objective observers, by means of a standardized evaluation form, to objectify the gain in suturing skills. Results There was a statistically significant difference between the scores of the second knot (mean 72.59, standard deviation (SD) 16.28) and the top of the performance curve (mean 95.82, SD 3.05; p < 0.001, paired t-test). The scoring of the objective observers also differed significantly (mean 11.83 and 22.11, respectively; SD 3.37 and 3.89, respectively; p < 0.001) (interobserver reliability Cronbach's alpha = 0.96). The median amount of repetitions to reach the top of the performance curve was eight, which also showed significant differences between both the assessment score (mean 88.14, SD 13.53, p < 0.001) and scoring of the objective observers of the second knot (mean 20.51, SD 4.14; p < 0.001). Conclusions This adapted suturing module on the ProMIS Augmented Reality laparoscopic simulator is a potent tool for gaining laparoscopic suturing skills.</div>
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<SO>Surgical endoscopy; ISSN 0930-2794; Coden SUREEX; Etats-Unis; Da. 2009; Vol. 23; No. 9; Pp. 2131-2137; Bibl. 19 ref.</SO>
<LA>Anglais</LA>
<EA>Background Providing informative feedback and setting goals tends to motivate trainees to practice more extensively. Augmented Reality simulators retain the benefit of realistic haptic feedback and additionally generate objective assessment and informative feedback during the training. This study researched the performance curve of the adapted suturing module on the ProMIS Augmented Reality simulator. Methods Eighteen novice participants were pretrained on the MIST-VR to become acquainted with laparoscopy. Subsequently, they practiced 16 knots on the suturing module, of which the assessment scores were recorded to evaluate the gain in laparoscopic suturing skills. The scoring of the assessment method was calculated from the "time spent in the correct area" during the knot tying and the quality of the knot. Both the baseline knot and the knot at the top of the performance curve were assessed by two independent objective observers, by means of a standardized evaluation form, to objectify the gain in suturing skills. Results There was a statistically significant difference between the scores of the second knot (mean 72.59, standard deviation (SD) 16.28) and the top of the performance curve (mean 95.82, SD 3.05; p < 0.001, paired t-test). The scoring of the objective observers also differed significantly (mean 11.83 and 22.11, respectively; SD 3.37 and 3.89, respectively; p < 0.001) (interobserver reliability Cronbach's alpha = 0.96). The median amount of repetitions to reach the top of the performance curve was eight, which also showed significant differences between both the assessment score (mean 88.14, SD 13.53, p < 0.001) and scoring of the objective observers of the second knot (mean 20.51, SD 4.14; p < 0.001). Conclusions This adapted suturing module on the ProMIS Augmented Reality laparoscopic simulator is a potent tool for gaining laparoscopic suturing skills.</EA>
<CC>002B01; 002B24E06</CC>
<FD>Endoscopie; Laparoscopie; Simulation; Evaluation performance; Médecine; Chirurgie endoscopique; Traitement</FD>
<ED>Endoscopy; Laparoscopy; Simulation; Performance evaluation; Medicine; Endoscopic surgery; Treatment</ED>
<SD>Endoscopía; Laparoscopia; Simulación; Evaluación prestación; Medicina; Cirugía endoscópica; Tratamiento</SD>
<LO>INIST-21220.354000171150730300</LO>
<ID>09-0434386</ID>
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