A Prospective Study on a Suture Force Feedback Device for Training and Evaluating Junior Surgeons in Anastomotic Surgical Closure.

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-06-21 DOI:10.1177/15533506241264382
S Dinesh, S Poonguzhali, M Satish Devakumar, S Jeswanth
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引用次数: 0

Abstract

Background: Surgical reconstruction is a crucial stage in various surgeries, including pancreaticoduodenectomy, as it can significantly affect the surgical results. The objective was to design a suture force feedback (SFF) device that can precisely measure the suture force during surgical closures. Afterward, the device was used to train junior surgeons in surgical closure techniques.

Methods: The SFF was used to capture the suture force data of experienced surgeons. This data was utilized to train and assess junior surgeons. The SFF device had 2 tactile-based force sensors that measured the applied force. Whenever the applied force was not within the optimal force range, the device provided feedback to the surgeon. A workshop was conducted to train junior surgeons in surgical closure techniques to improve their suturing skills.

Results: Thirty-seven junior surgeons were enrolled in this training, of whom only 24 completed the 30-day training program. The pre-assessment results revealed that the force exerted by junior surgeons during suture knot-tying was uneven compared with that of the experienced surgeons, with a significant difference in the force exerted per knot throw (P = 0.005. Before the training program, junior surgeons applied a force of 3.89 ± 0.43 N, which was more than twice the force applied by experienced surgeons (1.75 ± 0.12 N). However, after completing the 30-day training program, their force improved to 2.35 ± 0.13 N.

Conclusions: The SFF device was shown to be an encouraging training tool for improving the surgical closure dexterity and technique of the participating junior surgeons.

一项关于缝合力反馈装置的前瞻性研究,用于培训和评估吻合口手术缝合的初级外科医生。
背景:手术重建是包括胰十二指肠切除术在内的各种外科手术的关键阶段,因为它会对手术效果产生重大影响。研究的目的是设计一种缝合力反馈(SFF)装置,它能精确测量手术缝合时的缝合力。之后,利用该装置对初级外科医生进行手术缝合技术培训:方法:使用 SFF 采集经验丰富的外科医生的缝合力数据。方法:使用 SFF 采集经验丰富的外科医生的缝合力数据,并利用这些数据对初级外科医生进行培训和评估。SFF 设备有两个基于触觉的力传感器,用于测量施加的力。只要施力不在最佳施力范围内,设备就会向外科医生提供反馈。为了提高外科医生的缝合技术,我们举办了一个培训班,对外科医生进行手术缝合技术培训:37 名初级外科医生参加了培训,其中只有 24 人完成了为期 30 天的培训计划。培训前的评估结果显示,与经验丰富的外科医生相比,初级外科医生在缝合打结时用力不均匀,每次打结的用力差异显著(P = 0.005)。培训前,初级外科医生的施力为 3.89 ± 0.43 N,是经验丰富的外科医生施力(1.75 ± 0.12 N)的两倍多。然而,在完成 30 天的培训计划后,他们的施力提高到了 2.35 ± 0.13 N:事实证明,SFF 装置是一种令人鼓舞的培训工具,可提高参与培训的初级外科医生的手术闭合灵巧性和技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
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