Winn Heather M, Tunitsky-Bitton Elena, O'Meara Amanda, Myers Erinn M, Anderson-Montoya Brittany L, Tarr Megan E
From the Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Atrium Health, Charlotte, NC.
Division of Urogynecology, Department of Obstetrics and Gynecology, Hartford Hospital, Hartford, CT.
Urogynecology (Phila). 2025 Feb 1;31(2):123-130. doi: 10.1097/SPV.0000000000001583. Epub 2024 Oct 14.
Proper training is necessary to develop the highly specialized skills required to safely perform laparoscopic sacrocolpopexy. Currently, there is no validated training model for laparoscopic sacrocolpopexy that includes dissection of the presacral space, both vaginal and presacral mesh attachments, and peritoneal closure.
This study aimed to create a procedure specific hierarchical task analysis for laparoscopic sacrocolpopexy and then develop and validate a corresponding laparoscopic sacrocolpopexy pelvic training model for the simulation environment.
This was an observational simulation study that was divided into 5 phases: (1) development of hierarchical task analysis, (2) model construction, (3) participant recruitment and simulation testing, (4) reliability and validity testing, and (5) creation of a standard passing performance measure.
Construct, face, and content validity were established for this model. According to the participating experts, the model was able to replicate the steps of presacral dissection, anterior vaginal and sacral mesh attachment, and peritoneal closure. Thirteen trainees and 5 experts completed the simulation, and all "agreed" or "strongly agreed" that the model seemed useful for improving suturing technique and learning the procedure. Additionally, a passing performance measure was determined through contrasting groups methodology.
We developed a novel, reusable, and validated training model that can be utilized as a training resource for the many critical skills necessary to safely and efficiently perform laparoscopic sacrocolpopexy.
进行安全的腹腔镜骶骨阴道固定术需要适当的培训，以培养所需的高度专业化技能。目前，尚无经过验证的腹腔镜骶骨阴道固定术培训模型，该模型应包括骶前间隙的解剖、阴道和骶前网片的附着以及腹膜关闭。
本研究旨在为腹腔镜骶骨阴道固定术创建特定于手术的分层任务分析，然后为模拟环境开发并验证相应的腹腔镜骶骨阴道固定术盆腔训练模型。
这是一项观察性模拟研究，分为5个阶段：（1）分层任务分析的开发，（2）模型构建，（3）参与者招募和模拟测试，（4）可靠性和有效性测试，以及（5）创建标准通过性能指标。
该模型建立了结构效度、表面效度和内容效度。根据参与的专家的说法，该模型能够复制骶前解剖、阴道前壁和骶骨网片附着以及腹膜关闭的步骤。13名学员和5名专家完成了模拟，所有人都“同意”或“强烈同意”该模型似乎有助于提高缝合技术和学习该手术。此外，通过对比组方法确定了通过性能指标。
我们开发了一种新颖、可重复使用且经过验证的训练模型，可作为安全有效地进行腹腔镜骶骨阴道固定术所需的许多关键技能的训练资源。
