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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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
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      dt: May2019
      vid: 133
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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          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
        affil: Department of Obstetrics and Gynecology and Carolinas Simulation Center, Atrium Health, Charlotte, North Carolina
      sug:
        subj:
          Surgery, Gynecologic Education
          Pelvic Organ Prolapse Surgery
          Robotic Surgical Procedures Education
          Task Performance and Analysis
          Human
          Adult
          Female
          Models, Educational
          Computer Simulation
          Male
          Middle Age
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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