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Simulator Versus Box Trainer on Laparoscopic Suturing

Not Applicable
Completed
Conditions
Simulation Training, Laparoscopy
Interventions
Other: Virtual reality simulator
Other: Box trainer
Device: Simbionix
Registration Number
NCT02770937
Lead Sponsor
The University of Hong Kong
Brief Summary

This is prospective randomized controlled study to compare the proficiency of novices in acquiring laparoscopic suturing skills following either training in a virtual reality simulator or box trainer.

Detailed Description

Participants will be randomized into three groups by computer-generated sequence to the virtual reality simulator, box trainer and control groups. They will be shown a video demonstration and given simple instructions on laparoscopic suturing and intracorporeal knot tying at the beginning of the training. Both the virtual reality simulator and box trainer groups will be allowed a maximum of 4 hours of training (2 sessions of 2 hours each). The participants could terminate training at any time point during the 4-hour if they felt competent to perform the task.The control group will not receive any further training.

They will then be asked to perform laparoscopic suturing (which would involve needle loading and insertion via 2 pre-marked circles, and knot tying which includes at least 2 single throws) on a box trainer. Participants will be asked to complete a modified GOALS questionnaire at the end (which will take around 5 minutes) to evaluate their experiences and assess their own proficiency. The procedure will also be recorded (with a number identifying the participant only) and assessment will be performed when the study is completed by 2 experienced laparoscopic gynecologists blinded to the participants who will review the recorded procedure. The time to complete each task, total procedural time and proficiency will be assessed, which will be compared against the participants' own evaluation.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
36
Inclusion Criteria

All trainees and interns working in the Department of Obstetrics and Gynecology who have (i) no laparoscopic experience or (ii) laparoscopic experience but no laparoscopic suturing experience, will be invited to participate in the study.

  • Older than the age of legal consent (i.e. 18 years old)
  • Willing and able to participate after the study has been explained
Exclusion Criteria
  • Cannot understand English, Cantonese or Putonghua

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Virtual reality simulatorVirtual reality simulatorThe virtual reality simulator group will receive a maximum of 4 hours of training (2 sessions, 2 hours each) using the Simbionix simulator on laparoscopic suturing.
Virtual reality simulatorSimbionixThe virtual reality simulator group will receive a maximum of 4 hours of training (2 sessions, 2 hours each) using the Simbionix simulator on laparoscopic suturing.
Box trainerBox trainerThe box trainer group will receive a maximum of 4 hours of training (2 sessions, 2 hours each) using the Simbionix simulator on box trainer.
Box trainerSimbionixThe box trainer group will receive a maximum of 4 hours of training (2 sessions, 2 hours each) using the Simbionix simulator on box trainer.
Primary Outcome Measures
NameTimeMethod
Objective scoreWithin 3 months after completion of training and assessment

Scored by 2 experienced gynecological laparoscopists

Surgeon's preference (modified GOALS questionnaire score)Within 10 days after completion of training
The time to complete taskwithin 10 days after completion of training
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Queen Mary Hospital

🇭🇰

Hong Kong, Hong Kong

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