Robotic Sacrocolpopexy Simulation Model and Associated Hierarchical Task Analysis.

Background: There are limited robotic dry lab training resources that include presacral dissection with vaginal and sacral mesh attachment for robotic sacrocolpopexy. Our objective was to create a simulation model to resemble the anatomy encountered during robotic sacrocolpopexy. Additionally, we so...

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Detalles Bibliográficos
Publicado en:Obstetrics & Gynecology Vol. 133; no. 5; pp. 905 - 910
Autores principales: Myers, Erinn M. MD, Anderson-Montoya, Brittany L. PhD, Fasano, Heather T. MS, Vilasagar, Smitha MD, Tarr, Megan E. MD, MS, Myers, Erinn M, Anderson-Montoya, Brittany L, Fasano, Heather T, Vilasagar, Smitha, Tarr, Megan E
Formato: research Journal Article
Publicado: Lippincott Williams & Wilkins May2019
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Background: There are limited robotic dry lab training resources that include presacral dissection with vaginal and sacral mesh attachment for robotic sacrocolpopexy. Our objective was to create a simulation model to resemble the anatomy encountered during robotic sacrocolpopexy. Additionally, we sought to outline the steps required to complete a robotic sacrocolpopexy by performing a hierarchical task analysis. With the results of the hierarchical task analysis, we assessed the model's ability to provide an adequate platform for completion of robotic sacrocolpopexy procedural steps.Method: This observational simulation study was divided into two phases. Phase 1 included model development. Phase 2 involved development of the hierarchical task analysis and assessment of the model.Experience: After model creation, six experts each performed a robotic sacrocolpopexy using the model. Overall, experts agreed that the model replicated opening the peritoneum, presacral dissection, suturing on the anterior and posterior vagina, and presacral mesh attachment.Conclusion: We demonstrate construction and use of a robotic sacrocolpopexy simulation model to aid surgeons in training. Further, the hierarchical task analysis provides a method to assess the model's ability to replicate each step of robotic sacrocolpopexy.