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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
Published on: September 13, 2022
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The pelvitrainer for training in laparoscopic surgery - A prospective, multicenter, interdisciplinary study:
Johannes Ackermann1, Julia Pahls1, Jorun Baumann2
1Kiel School of Gynaecological Endoscopy, Department of Obstetrics and Gynecology, University Hospitals Schleswig-Holstein, Campus Kiel, Arnold-Heller-Str. 3 (House C), 24105, Kiel, Germany.
International Journal of Surgery (London, England)
|April 10, 2022
Summary
Pelvic trainers significantly improve surgical skills for new surgeons. Integrating these simulators into standardized training programs is crucial for long-term benefits in surgical education.
Area of Science:
- Surgical Education
- Medical Simulation
- Gynecological Endoscopy
Background:
- Minimally invasive surgery presents a steep initial learning curve for surgeons.
- Pelvic trainers (pelvitrainers) offer a safe environment for practicing surgical techniques.
- Standardizing pelvitrainer integration into training is key for lasting educational impact.
Purpose of the Study:
- To evaluate the Realsimulator 2.0 pelvitrainer within standardized gynecological endoscopy training.
- To assess the effectiveness of a structured training concept using pelvitrainers.
- To determine the long-term benefits of pelvitrainer-based surgical training.
Main Methods:
- Prospective, multicenter evaluation of the Realsimulator 2.0 in 16 training courses (2017-2020).
- Inclusion of 206 physicians in a multi-stage training concept across three centers.
- Data collection via participant completion rates, objective skill improvement, and subjective trainer/participant feedback.
Main Results:
- 180 of 206 physicians (87.4%) successfully completed the training.
- Significant objective improvement (p < 0.001) observed across all pelvitrainer exercises.
- High subjective ratings for design, camera navigation, and instrument manipulation; sustained clinical benefits confirmed at 6-month follow-up.
Conclusions:
- Pelvic trainers possess high educational value, amplified by structured training concepts.
- The benefits of pelvitrainer courses justify their inclusion in standardized surgical curricula.
- Completion of pelvitrainer training should be a prerequisite for independent surgical practice.
