1. Proceedings
  2. I3M
  3. 2019
  4. IWISH
  5. 10.46354/i3m.2019.iwish.007

Puppet mentoring: a new simulation scenario for learning surgical abilities

  • a Marco Frascio  , 
  • b Gianni Vercelli  , 
  • c Gregorio Santori  , 
  • d Simone Marcutti  , 
  • e Marco Chirico  , 
  • f Cesare Stabilini  , 
  • g Rosario Fornaro , 
  • h Domenico Soriero  , 
  • i Gianluca Marcocci  , 
  • j Michele Minuto 
  • a,c,d,,e,f,g,h,i,jDipartimento di Scienze Chirurgiche (DISC), University of Genoa, Italy
  • bDipartimento Di Informatica, Bioingegneria, Robotica E Ingegneria Dei Sistemi (DIBRIS), Università degli Studi di Genova.
Cite as
Frascio M., Mascherini M., Batistotti P., Cortese K., Fornaro R. (2019). A model of pilot study to assess the risk of exposure to surgical smokes for operating room personnel. Proceedings of the 8th International Workshop on Innovative Simulation for Healthcare (IWISH 2019), pp. 44-48. DOI: https://doi.org/10.46354/i3m.2019.iwish.007

Abstract

Surgical simulators are now able to teach in a way that the learning curve of young surgeons can progress in a lab faster than when using other teaching models (cadaveric or animal) or real patients. The impact of surgical simulators is confirmed by the fact that, in the US, standardized training courses are needed to acquire the Board of Surgery certification. The virtual simulator set up at the University of Genoa (eLaparo4D) is based on two key features: a convincing haptic feedback and a limited cost. Nevertheless, the main issue of eLaparo4D is the “simplicity” of the virtual scenario. To improve it, a new model of simulation is proposed in this project: the “puppet mentoring”, that might enhance its characteristics. The “puppet mentoring” is based on the recording of the movements of the surgeon in the real clinical scenario, that are transferred to the virtual machine. The apprentice, in his learning session, could be led through the operation by the simulator itself, in a scenario and in a way is the same of the real one.

References

  1. Alaker M, Wynn GR, Arulampalam T. 2016. Virtual reality training in laparoscopic surgery: A
    systematic review and meta-analysis. International Journal of Surgery 29:85-94.
  2. Belykh E, Miller EJ, Lei T, Chapple K, Byvaltsev VA, Spetzler RF, Nakaji P, Preul MC. 2017. Face,
    Content, and Construct Validity of an Aneurysm Clipping Model Using Human Placenta. World
    Neurosurgery 105:952-960.
  3. Bjerrum F, Strandbygaard J, Rosthøj S, Grantcharov T, Ottesen B, Sorensen JL. 2017. Evaluation of procedural simulation as a training and assessment tool in general surgery-Simulating a Laparoscopic Appendectomy. Journal of Surgical Education 74(2): 243-250.
  4. Cohrs RJ, Martin T, Ghahramani P, Bidaut L, Higgins PJ, Shahzad A. 2015. Translational medicine
    definition by the European society for translational medicine. New Horizons in Translational Medicine 2: 86–88.
  5. Fornaro R, Frascio M, Denegri A, Stabilini C, Impenatore M, Mandolfino F, Lazzara F, Gianetta
    E. 2009. Chron's disease and cancer. Annali Italiani di Chirurgia 80(2): 119-125.
  6. Fornaro R, Frascio M, Stabilini C, Sticchi C, Barberi A, Denegri A, Ricci B, Azzinnaro A, Lazzara F,
    Gianetta E. 2008. Crohn's disease surgery: problems of postoperative recurrence. Chirurgia italiana 60(6):761-781
  7. Frascio M, Mandolfino F, Santori G, Minuto M, Stabilini C, Torre GC, Marcocci G, Sguanci M.
    2016. Training in laparoscopic surgery: face validity of a low-cost virtual simulator. International
    Educational Scientific Research Journal 2:46-50.
  8. Grantcharov TP, Reznick RK. 2008. Teaching procedural skills. BMJ 336 (7653): 1129-31.
  9. King N, Kunac A, Johnsen E, Gallina G, Merchant AM. 2016. Design and validation of a cost-effective physical endoscopic simulator for fundamentals of endoscopic surgery training. Surgical Endoscopy 30:4871–4879.
  10. Kostusiak M, Hart M, Barone GD, Hofmann R, Kirollos R, Santarius T, Trivedi R. 2017.
    Methodological shortcomings in the literature evaluating the role and applications of 3D training for surgical trainees. Medical Teacher 39:1168- 1173.
  11. Kowalewski KF, Hendrie JD, Schmidt MW, Garrow CR, Bruckner T, Proctor T, Paul S, Adigüzel D,
    Bodenstedt S, Erben A, Kenngott H, Erben Y, Speidel S, Müller-Stich BP, Nickel F. 2017.
    Development and validation of a sensor- and expert model-based training system for laparoscopic surgery: the iSurgeon. Surgical Endoscopy 31(5):2155-2165.
  12. Kurashima Y, Hirano S. 2017. Systematic review of the implementation of simulation training in surgical residency curriculum. Surgery Today 47(7): 777- 782
  13. Loukas C, Nikiteas N, Schizas D, Lahanas V, Georgiou E. 2012. A head-to-head comparison between virtual reality and physical reality simulation training for
    basic skills acquisition. Surgical Endoscopy 26 (9):2550-2558.
  14. Mandolfino, F, Sguanci M, Minuto M, Vercelli G, Marcocci G, Frascio M. 2016. Construction and
    validation of a low-cost laparoscopic simulator. In: 5th International Workshop on Innovative
    Simulation for Health Care, IWISH 2016. p. 1-10
  15. McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Wayne DB. 2012. Translational educational
    research: a necessity for effective health-care improvement. Chest 142: 1097-1103.
  16. Minuto M, Marcocci G, Soriero D, Santori G, Sguanci M, Mandolfino F, Casaccia M, FornaroR, Stabilini C, Vercelli G, Marcutti S, Gaudina M, Stratta F, Frascio M. 2018. Validation of a Simulator Set Up Entirely in an Academic Setting: Low-Cost Surgical Trainer Rather than High-Cost Videogame. Biomedical Journal Scientific &Technical Research 5(3):1-7.
  17. Mohammadi Y, Lerner MA, Sethi AS, Sundaram CP. 2010. Comparison of Laparoscopy Training Using the Box Trainer Versus the Virtual Reality. Journal of the Society of Laparoendoscopic Surgeons 2(14): 205-212.
  18. Munz Y, Kumar BD, Moorthy K, Bann S, Darzi A. 2004. Laparoscopic virtual reality and box trainers: is one superior to the other? Surgical Endoscopy
    And Other Interventional Techniques 3(18):485- 494.
  19. Nagendran M, Gurusamy KS, Aggarwal R, Loizidou M, Davidson BR. 2013. Virtual reality training for surgical trainees in laparoscopic surgery. The Cochrane Database of Systematic Reviews 8: CD006575
  20. Perino E, Sguanci M, Mandolfino F, Minuto M, Vercelli G, Gaudina M, Marcutti S, Rumolo V,
    Marcocci G, Frascio M. 2015. Low-cost laparoscopic training platform: Primary validation
    process. In: 8th International Workshop on Applie  Modeling and Simulation, P215-P221,
  21. Roberts KE, Bell RL, Duffy AJ. 2006. Evolution of surgical skills training. World Journal of
    Gastroenterology 12 (20): 3219-3224.
  22. Sguanci M, Mandolfino F, Casaccia M, Gaudina M, Vercelli G, Minuto M, Stabilini C, Torre GC, Frascio M. 2014. Low-Cost Laparoscopic Simulation: Genoa Operative Advanced
    Laparoscopic Simulator “G.O.A.L.S.” for acquiring laparoscopic abilities. In: SESAM 2014 Book of
    Abstracts: page 164 (a).
  23. Sguanci M, Mandolino F, Casaccia M, Gaudina M,  ellanti E, Minuto M, Frascio M. 2015.
    Laparoscopic Skills Simulator: A gradual structured training program for acquiring laparoscopic abilities. International Journal Of Privacy And Health Information Management 3:42-60
  24. Shanmugan S, Leblanc F, Senagore AJ, Ellis CN, Stein SL, Khan S, Delaney CP, Champagne BJ. 2014. Virtual reality simulator training for laparoscopic colectomy: what metrics have construct validity? Disease Colon Rectum 57(2):210-214.
  25. Stabilini C, Bracale U, Pignata G, Frascio M, Casaccia M, Pelosi P, Signori A, Testa T, Rosa GM, Morelli N, Fornaro R, Palombo D, Perotti S, Bruno MS, Imperatore M, Righetti C, Pezzato S, Lazzara F, Gianetta E. 2013. Laparoscopic bridging vs. anatomic open reconstruction for midline abdominal hernia mesh repair [LABOR]: Single-blinded, multicenter, randomized, controlled trial on longterm functional results. Trials 14(1):357.
  26. Stefanidis D, Hope WW, Korndorffer JR Jr, Markley S, Scott DJ. 2010. Initial laparoscopic basic skills training shortens the learning curve of laparoscopic suturing and is cost-effective. Journal of the American College of Surgeons 210(4):436-440.
  27. Tavakol M, Mohagheghi MA, Dennick R. 2008. Assessing the skills of surgical residents using
    simulation. Journal Surgical Education 65(2):77-83. US Food and Drug Administration, Center for Devices and Radiological Health, Medical Devices Advisory Committee, Circulatory System Devices Panel meeting. Available at: http://www.fda.gov/ohrms/dockets/ac/04/transcripts/
    4033t1.htm. Accessed February 14, 2018
  28. Våpenstad C, Buzink SN. 2013. Procedural virtual reality simulation in minimally invasive surgery. Surgical Endoscopy 27(2):364-77.
  29. Zendejas B, Brydges R, Hamstra SJ, Cook DA. 2013. State of the Evidence on Simulation-Based Training for Laparoscopic Surgery. A Systematic Review. Annals of Surgery 257:586–593.