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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2022, Number 2

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An Med Asoc Med Hosp ABC 2022; 67 (2)

Videogames roll in skills acquisition in total laparoscopic hysterectomy on a virtual reality simulator

Felgueres HA, Padilla-Correa M, Correa-Castillo M, Correa-Castillo C, García MLD, Barroso VJG

Language: Spanish
References: 14
Page: 94-99
PDF size: 249.67 Kb.


ABSTRACT

Introduction: Medical technology promotes new tools such as virtual reality, facilitating medical training and trying to be as close to reality as possible to reduce the margin of error when performing procedures on patients for the first time. Objective: To evaluate the role of videogames in the acquisition of skills in laparoscopic total hysterectomy in a virtual reality simulator, comparing specialists vs. residents. Material and methods: Prospective, descriptive, observational study in a private sector gynecology and obstetrics center, including doctors divided into two groups (A; specialists, n = 15 and B; residents, n = 12). Initially, they all performed two basic warm-up exercises and later a single laparoscopic total hysterectomy practice in the LAP Mentor 3D SYSTEMS simulator (Simbionix, USA). Variables that were analyzed: colpotomy precision, surgical time, number of movements, length of trajectory of the instrument, respect for tissues, appropriate use of camera and experience with use of videogames. Descriptive statistics were performed with measures of central tendency and dispersion. Results: A significant difference was demonstrated in the number of movements performed with the dominant hand (643 vs 426.5, p = 0.041); the rest of the variables did not show statistically significant differences. Conclusions: The history of videogame use in medical residents facilitates the acquisition of laparoscopic surgical skills and reduces the number of movements of the dominant hand; in addition to matching the performance of the procedure with previously experienced medical specialists.


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EVIDENCE LEVEL

III




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