doi: 10.1016/j.ejogrb.2016.02.003.ĭiesen DL, Erhunmwunsee L, Bennett KM, Ben-David K, Yurcisin B, Ceppa EP, Omotosho PA, Perez A, Pryor A. A diploma programme in gynaecological endoscopic surgery. Gynaecological endoscopic surgical education and assessment. Hand-eye coordination Intra-corporeal knot tying Laparoscopy Learning curve Training.Ĭampo R, Wattiez A, Tanos V, Di Spiezio SA, Grimbizis G, Wallwiener D, Brucker S, Puga M, Molinas R, O'Donovan P, Deprest J, Van BY, Lissens A, Herrmann A, Tahir M, Benedetto C, Siebert I, Rabischong B, De Wilde RL. This study demonstrates that pre-training in HEC with both the DH and the NDH shortens the LICK learning curve. All groups reached a similar plateau but with a different decay, G1 reaching this plateau faster than the others groups. For LICK, all groups started from a similar point, but immediately after HEC training and before LICK training, G1 scored better than the others. In G1, the DH curve started from a lower point than the NDH curve, but both curves reached a similar plateau at comparable speeds.
For HEC with the DH, G1 and G2 started from a similar point, but G1 reached a lower plateau at a higher speed. For both HEC and LICK, the group learning curves fitted better to the two-phase exponential decay model. The scores were plotted and non-linear regression models were used to fit the learning curves to one- and two-phase exponential decay models for each participant (individual curves) and for each group (group curves). The score was based on the time taken for task completion system. In phase 5, a final test was performed ( T 3, three repetitions). In phase 4, participants underwent a standardized training program for LICK (60 repetitions).
In phase 3, a post HEC/pre LICK training test was performed ( T 2, three repetitions). In phase 2, participants underwent different training programs for HEC (60 repetitions): G1 with both the dominant hand (DH) and the non-dominant hand (NDH), G2 with the DH only, G3 none. In phase 1, a baseline test was performed ( T 1, three repetitions). Participants were allocated in three groups. The study was performed in a private center in Asunción, Paraguay, by 60 residents/specialists in gynaecology with no experience in laparoscopic surgery.
This randomized controlled trial (RCT) was performed to evaluate the effect of different pre-training programs in hand-eye coordination (HEC) upon the learning curve of LICK.
Training of basic laparoscopic psychomotor skills improves both acquisition and retention of more advanced laparoscopic tasks, such as laparoscopic intra-corporeal knot tying (LICK).