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Comparison of suturing models: the effect on perception of basic surgical skills
Alejandro Rafael Gonzalez-Navarro1, Alejandro Quiroga-Garza1,2, Adriana Sharai Acosta-Luna1
1Departamento de Anatomia Humana. Francisco I. Madero and Jose E. Gonzalez sin número, Colonia Mitras Centro Monterrey, Universidad Autónoma de Nuevo León, Facultad de Medicina, 64460, Monterrey, Nuevo León, Mexico.
Background:
Acquisition of Basic Surgical Skills (BSS) are essential for medical students. The objective was to determine it's fidelity impact.
Methods:
Using four suturing models (SM) (pigskin, sponge, commercial pad, and orange), SM-quality and student-SM interaction were evaluated. After a 1-h class, participants were divided into groups and randomly assigned exercises in SM in 15-min intervals. The experiment included completing three individual simple stitches and a 3-stitch continuous suture in each SM.
Results:
Eighty-two medical students participated. Suturing quality was better in pigskin and sponge, which were also the preferred models (p < 0.001). Significant differences in quality between the insertion and exit point, and firmness of knots (p < 0.05) in both simple and continuous sutures, as well as between length and distance in continuous ones (p < 0.001) were identified.
Conclusions:
Acquisition and quality of BSS are influenced by the intrinsic characteristics of SM. An adequate degree of resistance, consistency, and elasticity are necessary.
