The Experts below are selected from a list of 32667 Experts worldwide ranked by ideXlab platform
Patricia J. Culligan - One of the best experts on this subject based on the ideXlab platform.
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A live Porcine Model for robotic sacrocolpopexy training
International Urogynecology Journal, 2019Co-Authors: Khushabu Kasabwala, Ramy Goueli, Patricia J. CulliganAbstract:Introduction and hypothesisRobotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cadavers, the live Porcine Model represents a realistic, available, and cost-effective alternative. This article describes a live Porcine Model for teaching robotic sacrocolpopexy to determine whether it teaches key aspects of live human robotic sacrocolpopexy to the learner.MethodsThis robotic sacrocolpopexy Model was created using the Da Vinci Xi or Si robotic system on domestic pigs under general anesthesia. The main steps of the Model include: (1) creating the Porcine “cervix” and (2) performing robotic sacrocolpopexy. The Model was evaluated with a survey given to 18 board-certified surgeons who attended the training course between December 2016 and April 2018.ResultsAll of the participants reported improvements in their economy of motion, tissue handling ability, suturing efficiency, and overall performance of robotic sacrocolpopexy. Furthermore, a majority of participants were likely to incorporate aspects of the Model into their practice (88.8%) and recommend the Model to colleagues (94.2%).ConclusionsThe Porcine Model provides a feasible tool for teaching robotic sacrocolpopexy to physicians.
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A live Porcine Model for robotic sacrocolpopexy training
International urogynecology journal, 2019Co-Authors: Khushabu Kasabwala, Ramy Goueli, Patricia J. CulliganAbstract:Introduction and hypothesis Robotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cadavers, the live Porcine Model represents a realistic, available, and cost-effective alternative. This article describes a live Porcine Model for teaching robotic sacrocolpopexy to determine whether it teaches key aspects of live human robotic sacrocolpopexy to the learner.
Khushabu Kasabwala - One of the best experts on this subject based on the ideXlab platform.
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A live Porcine Model for robotic sacrocolpopexy training
International Urogynecology Journal, 2019Co-Authors: Khushabu Kasabwala, Ramy Goueli, Patricia J. CulliganAbstract:Introduction and hypothesisRobotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cadavers, the live Porcine Model represents a realistic, available, and cost-effective alternative. This article describes a live Porcine Model for teaching robotic sacrocolpopexy to determine whether it teaches key aspects of live human robotic sacrocolpopexy to the learner.MethodsThis robotic sacrocolpopexy Model was created using the Da Vinci Xi or Si robotic system on domestic pigs under general anesthesia. The main steps of the Model include: (1) creating the Porcine “cervix” and (2) performing robotic sacrocolpopexy. The Model was evaluated with a survey given to 18 board-certified surgeons who attended the training course between December 2016 and April 2018.ResultsAll of the participants reported improvements in their economy of motion, tissue handling ability, suturing efficiency, and overall performance of robotic sacrocolpopexy. Furthermore, a majority of participants were likely to incorporate aspects of the Model into their practice (88.8%) and recommend the Model to colleagues (94.2%).ConclusionsThe Porcine Model provides a feasible tool for teaching robotic sacrocolpopexy to physicians.
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A live Porcine Model for robotic sacrocolpopexy training
International urogynecology journal, 2019Co-Authors: Khushabu Kasabwala, Ramy Goueli, Patricia J. CulliganAbstract:Introduction and hypothesis Robotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cadavers, the live Porcine Model represents a realistic, available, and cost-effective alternative. This article describes a live Porcine Model for teaching robotic sacrocolpopexy to determine whether it teaches key aspects of live human robotic sacrocolpopexy to the learner.
Karin Wollschlaeger - One of the best experts on this subject based on the ideXlab platform.
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Laparoscopic Major Vascular Injury Simulation Using a Synthetic Compared With Porcine Model.
Obstetrics & Gynecology, 2017Co-Authors: Magdy P. Milad, Farah A. Alvi, Michael T. Breen, Cynthia Brincat, Peter J. Frederick, Christina Lewicky-gaupp, Mark Lewis, Bryan Rone, Kimberly Swan, Karin WollschlaegerAbstract:BACKGROUND Major vascular injury training may improve clinical skills and reduce patient morbidity during gynecologic laparoscopy; thus, reliable Models for simulation should be identified. METHOD Two laparoscopic major vascular injury simulations using synthetic or live Porcine Models were constructed. The primary surgeon was given the opportunity to complete both simulations. After obtaining peritoneal access, the surgeon quickly encountered a major vascular injury. Degrading vital signs and estimated blood loss coupled with the replay of a human heartbeat that increased in volume and intensity were provided to heighten tension during the synthetic simulation. EXPERIENCE Twenty-two gynecologic surgery educators evaluated the simulations. Educators considered the Porcine Model superior to the synthetic Model with regard to tissue handling. The synthetic Model simulation was found to be equivalent to the Porcine Model on how likely the simulation would be able to improve performance in a clinical setting. Educators were more likely to implement the synthetic simulation over the Porcine simulation. CONCLUSION The synthetic Model was found to be more feasible and as effective as the Porcine Model to simulate and teach the initial management steps of major vascular injury at laparoscopy by gynecologic educators.
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Laparoscopic Major Vascular Injury Simulation Using a Synthetic Compared With Porcine Model.
Obstetrics and gynecology, 2017Co-Authors: Magdy P. Milad, Farah A. Alvi, Michael T. Breen, Cynthia Brincat, Peter J. Frederick, Christina Lewicky-gaupp, Mark Lewis, Bryan Rone, Kimberly Swan, Karin WollschlaegerAbstract:Major vascular injury training may improve clinical skills and reduce patient morbidity during gynecologic laparoscopy; thus, reliable Models for simulation should be identified. Two laparoscopic major vascular injury simulations using synthetic or live Porcine Models were constructed. The primary surgeon was given the opportunity to complete both simulations. After obtaining peritoneal access, the surgeon quickly encountered a major vascular injury. Degrading vital signs and estimated blood loss coupled with the replay of a human heartbeat that increased in volume and intensity were provided to heighten tension during the synthetic simulation. Twenty-two gynecologic surgery educators evaluated the simulations. Educators considered the Porcine Model superior to the synthetic Model with regard to tissue handling. The synthetic Model simulation was found to be equivalent to the Porcine Model on how likely the simulation would be able to improve performance in a clinical setting. Educators were more likely to implement the synthetic simulation over the Porcine simulation. The synthetic Model was found to be more feasible and as effective as the Porcine Model to simulate and teach the initial management steps of major vascular injury at laparoscopy by gynecologic educators.
Carlo Caruso - One of the best experts on this subject based on the ideXlab platform.
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Resident Training in Laparoscopic Colorectal Surgery: Role of the Porcine Model
World Journal of Surgery, 2012Co-Authors: Marco La Torre, Carlo CarusoAbstract:Background Laparoscopic colorectal surgery (LCRS) is an effective option for the treatment of various colorectal conditions. However, its implementation in surgical practice is still limited, and there are no clear guidelines for residency training requirements or evaluation of the level of expertise. The aim of this study was to assess the level of practical expertise of senior residents regarding LCRS in an animal Porcine Model. Methods At the Department of Biosciences of Rome, Tecnopolo of Castel Romano, 50 senior residents underwent training sessions on a Porcine Model under the direction of attending laparoscopic surgeons. A total of 20 residents underwent box trainer preparation before starting the surgical procedure on the animal Model; and a group of 6 repeated the course 3 months after the first session. Results Overall, 90 % of the residents needed help during the surgical procedures, and only 9 residents (18 %) showed a high level of confidence when performing the surgery. Video-trainer preparation helped residents increase their laparoscopic ability ( p = 0.04). Residents who attended two training courses showed significant improvement regarding the duration of the procedures, rate of complications, and the need of a tutor. Conclusions The study demonstrated that the experience of senior surgical residents in regard to performing LCRS is less than ideal. A national training program should carefully consider the present quality of training in Italy and attempt to develop and integrate alternative methods for teaching laparoscopic surgery, perhaps by having an animal Model laboratory.
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Resident training in laparoscopic colorectal surgery: role of the Porcine Model.
World journal of surgery, 2012Co-Authors: Marco La Torre, Carlo CarusoAbstract:Background Laparoscopic colorectal surgery (LCRS) is an effective option for the treatment of various colorectal conditions. However, its implementation in surgical practice is still limited, and there are no clear guidelines for residency training requirements or evaluation of the level of expertise. The aim of this study was to assess the level of practical expertise of senior residents regarding LCRS in an animal Porcine Model.
Ramy Goueli - One of the best experts on this subject based on the ideXlab platform.
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A live Porcine Model for robotic sacrocolpopexy training
International Urogynecology Journal, 2019Co-Authors: Khushabu Kasabwala, Ramy Goueli, Patricia J. CulliganAbstract:Introduction and hypothesisRobotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cadavers, the live Porcine Model represents a realistic, available, and cost-effective alternative. This article describes a live Porcine Model for teaching robotic sacrocolpopexy to determine whether it teaches key aspects of live human robotic sacrocolpopexy to the learner.MethodsThis robotic sacrocolpopexy Model was created using the Da Vinci Xi or Si robotic system on domestic pigs under general anesthesia. The main steps of the Model include: (1) creating the Porcine “cervix” and (2) performing robotic sacrocolpopexy. The Model was evaluated with a survey given to 18 board-certified surgeons who attended the training course between December 2016 and April 2018.ResultsAll of the participants reported improvements in their economy of motion, tissue handling ability, suturing efficiency, and overall performance of robotic sacrocolpopexy. Furthermore, a majority of participants were likely to incorporate aspects of the Model into their practice (88.8%) and recommend the Model to colleagues (94.2%).ConclusionsThe Porcine Model provides a feasible tool for teaching robotic sacrocolpopexy to physicians.
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A live Porcine Model for robotic sacrocolpopexy training
International urogynecology journal, 2019Co-Authors: Khushabu Kasabwala, Ramy Goueli, Patricia J. CulliganAbstract:Introduction and hypothesis Robotic sacrocolpopexy is an effective and durable technique for pelvic organ prolapse repair. However, the learning curve for this procedure has underscored the need for an effective surgical training module. Given the cost, infection risk, poor tissue compliance, and scarcity of human cadavers, the live Porcine Model represents a realistic, available, and cost-effective alternative. This article describes a live Porcine Model for teaching robotic sacrocolpopexy to determine whether it teaches key aspects of live human robotic sacrocolpopexy to the learner.
