Gynaecology Research Today is a free monthly online journal that collates and summarizes the latest research about Gynaecology, including details on pap smears, laparoscopy, ultrasound, hysteroscopy. | ||||||||
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Development and validation of a home-based, mirrored, gynecologic laparoscopy trainer.Robinson JK, Kushner DM Department of Obstetrics and Gynecology, University of Wisconsin Hospital and Clinics, Madison, Wisconsin, USA. jkrobinson@partners.org STUDY OBJECTIVE: To develop and evaluate the usefulness of a home-based laparoscopy practice tool in terms of skills acquisition and practice pattern. DESIGN: Six mirrored laparoscopy trainers were designed and built. Participants were enrolled in a prospective randomized controlled trial and performed a series of skills with a video-endoscopic training tower and laparoscopic training box in timed pre- and post-tests over 5 weeks. Control and experimental cohorts practiced skills tests in different settings with different equipment. Data analysis used the t test and Wilcoxon rank-sum test. Analysis of variance/analysis of covariance models were used for independent variables. (Canadian Task Force classification I.) SETTING: Midwestern tertiary care teaching hospital. PARTICIPANTS: Third-year medical students rotating through their obstetrics and gynecology clerkship. INTERVENTIONS: Control cohort participants (n = 13) practiced the skills in the video-endoscopic laboratory while the experimental cohort (n = 13) received mirrored training boxes and practiced at home. MEASUREMENTS AND MAIN RESULTS: Both groups demonstrated significant improvement, with a trend favoring the control group (p = .08). Randomization group and number of practice sessions were significant variables favoring the control group and experimental group, respectively. CONCLUSION: Home-based practice on a mirrored laparoscopy trainer improves hand-eye coordination in inexperienced surgeons and results in more frequent practice. Published 10 March 2006 in J Minim Invasive Gynecol, 13(2): 102-7.
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