Surgeon estimation of retropubic trocar position in blind 3D space.
Biomedical engineering
Midurethral sling
Patient safety
Surgical education
Surgical simulation
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
24
01
2023
accepted:
24
03
2023
pubmed:
11
5
2023
medline:
11
5
2023
entrez:
11
5
2023
Statut:
ppublish
Résumé
Retropubic midurethral sling surgery involves the blind passage of trocars near vital organs. We quantified the proximity of surgeons' mental representation of trocar position relative to actual position using a pelvis simulation platform. We hypothesized that novice surgeons, compared with experts, would estimate the trocar's location to be further from the actual location. Novice and expert surgeons performed bilateral retropubic trocar passes of a Gynecare TVT trocar (#810041B-#810,051) on the simulation platform. We measured the trocar tip's position using a motion capture system, and recorded vocalizations when they perceived contacting the bone and crossing three landmark-oriented planes. We calculated differences (∆ A total of 34 trials, including 22 expert and 12 novice trials, were performed by six participants. ∆ Novices were similar to expert surgeons in their estimation of the trocar's location and may have relied more heavily on anticipatory mechanisms to compensate for lack of experience. Teaching surgeons should make sure the novice surgeon trocar pass starts posterior to the bone.
Identifiants
pubmed: 37166488
doi: 10.1007/s00192-023-05541-1
pii: 10.1007/s00192-023-05541-1
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2439-2445Subventions
Organisme : NIBIB NIH HHS
ID : 1R21EB025272-01A1
Pays : United States
Organisme : NIBIB NIH HHS
ID : 1R21EB025272-01A1
Pays : United States
Informations de copyright
© 2023. The International Urogynecological Association.
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