尸体动手训练模型对经闭孔尿道中段悬吊带手术的手术技能和信心的影响。
The effect of cadaveric hands-on training model on surgical skills and confidence for transobturator tape surgery.
作者信息
Selçuk İlker, Tatar İlkan, Huri Emre
机构信息
Clinic of Gynecologic Oncology, University of Health Sciences, Ankara Zekai Tahir Burak Women’s Health Training and Research Hospital, Ankara, Turkey
Department of Anatomy, Hacettepe University Faculty of Medicine, Ankara, Turkey
出版信息
J Turk Ger Gynecol Assoc. 2019 Nov 28;20(4):243-246. doi: 10.4274/jtgga.galenos.2018.2018.0043. Epub 2018 Nov 5.
OBJECTIVE
To demonstrate the role of cadaveric hands-on training model on surgical skills and confidence levels of surgeons during transobturator tape (TOT) surgery.
MATERIAL AND METHODS
A pre-test and post-test evaluation to measure skills during the practice of the steps of TOT surgery was performed on a total of 15 postgraduate urologists and gynecologists during a urogynecologic cadaveric dissection course. The course was shaped with regard to theoretical lessons, full pelvic cadaveric dissection and TOT surgery on cadavers.
RESULTS
Good handling of the TOT needle, identifying the right place for groin incision, adequate size of groin incision, identifying the right place for incision at the anterior vagina, dissection of bladder pillars from the vagina, identifying the right place at the vaginal foramina for TOT needle exit, and good placement of mesh were reviewed. The post-test scores were statistically significant for all parameters and also for self confidence level (p<0.001).
CONCLUSION
Cadaveric workshops are important landmarks of surgical education to improve surgical skills, and gain experience and confidence.
目的
探讨尸体实践训练模型在经闭孔尿道中段悬吊带术（TOT）手术中对外科医生手术技能及信心水平的作用。
材料与方法
在泌尿妇科尸体解剖课程中，对15名泌尿外科和妇科研究生进行了TOT手术步骤练习期间的技能前测和后测评估。该课程涵盖理论课程、全盆腔尸体解剖以及尸体上的TOT手术。
结果
评估内容包括TOT针的良好操作、确定腹股沟切口的正确位置、腹股沟切口的合适大小、确定阴道前壁切口的正确位置、从阴道分离膀胱柱、确定TOT针在阴道孔的正确穿出位置以及补片的良好放置。所有参数的后测分数以及自信心水平均具有统计学意义（p<0.001）。
结论
尸体解剖工作坊是外科教育的重要标志，有助于提高手术技能、积累经验并增强信心。
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