کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3939368 1253557 2011 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
The impact of the learning curve on adhesion formation in a laparoscopic mouse model
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
The impact of the learning curve on adhesion formation in a laparoscopic mouse model
چکیده انگلیسی

ObjectiveTo evaluate the impact of surgeon training on adhesion formation in a laparoscopic mouse model. Laparoscopic surgery and bowel manipulation was demonstrated to enhance postoperative adhesion formation.DesignProspective randomized, controlled trial.SettingUniversity laboratory research center.Animal(s)200 BALB/c and 200 Swiss female mice.Intervention(s)Adhesions were induced by opposing bipolar lesions and 60 minutes of pneumoperitoneum. Each surgeon operated on 80 mice (40 Swiss and 40 BALB/c), the only variable thus being his/her increasing experience. Some surgeons were already experienced gynecologists, others were starting their training.Main Outcome Measure(s)End points were the duration of surgery while performing the lesions. The adhesion formation was scored quantitatively (proportion and total) and qualitatively (extent, type, and tenacity) after 7 days.Result(s)With training, duration of surgery and adhesion formation decreased exponentially for all surgeons, whether experienced or not. Experienced surgeons had initially a shorter duration of surgery, less adhesion formation, and less de novo adhesions than inexperienced surgeons.Conclusion(s)These data suggest that laparoscopic skills improve with training, leading to a decrease in the duration of surgery and formation of adhesions. Therefore completion of a standardized learning curve should be mandatory when initiating adhesion formation studies both in laboratory or clinical setting.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Fertility and Sterility - Volume 96, Issue 1, July 2011, Pages 193–197
نویسندگان
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