Cargando…
The Effect on Performance Time and Quality of the Knots after Mono or Bimanual Training of Laparoscopic Intracorporeal Knot Tying according to the Gladiator Rule Technique
Objective To assess whether the monomanual or bimanual training of laparoscopic suture following the same technique may interfere with the knots' performance time and/or quality. Methods A prospective observational study involving 41 resident students of gynecology/obstetrics and general surger...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda
2018
|
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309443/ https://www.ncbi.nlm.nih.gov/pubmed/29775972 http://dx.doi.org/10.1055/s-0038-1649494 |
_version_ | 1785066445143539712 |
---|---|
author | Asencio, Fernanda de Almeida Ribeiro, Helizabet Abdala Salomão Ayroza Romeo, Armando Wattiez, Arnauld Ribeiro, Paulo Augusto Galvão Ayroza |
author_facet | Asencio, Fernanda de Almeida Ribeiro, Helizabet Abdala Salomão Ayroza Romeo, Armando Wattiez, Arnauld Ribeiro, Paulo Augusto Galvão Ayroza |
author_sort | Asencio, Fernanda de Almeida |
collection | PubMed |
description | Objective To assess whether the monomanual or bimanual training of laparoscopic suture following the same technique may interfere with the knots' performance time and/or quality. Methods A prospective observational study involving 41 resident students of gynecology/obstetrics and general surgery who attended a laparoscopic suture training for 2 days. The participants were divided into two groups. Group A performed the training using exclusively their dominant hand, and group B performed the training using both hands to tie the intracorporeal knot. All participants followed the same technique, called Romeo Gladiator Rule. At the end of the course, the participants were asked to perform three exercises to assess the time it took them to tie the knots, as well as the quality of the knots. Results A comparative analysis of the groups showed that there was no statistically significant difference (p = 0.334) between them regarding the length of time to tie one knot. However, when the time to tie 10 consecutive knots was compared, group A was faster than group B (p = 0.020). A comparison of the knot loosening average, in millimeters, revealed that the knots made by group B loosened less than those made by group A, but there was no statistically significant difference regarding the number of knots that became untied. Conclusion This study demonstrated that the knots from group B showed better quality than those from group A, with lower loosening measures and more strength necessary to untie the knots. The study also demonstrated that group A was faster than B when the time to tie ten consecutive knots was compared. |
format | Online Article Text |
id | pubmed-10309443 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Thieme Revinter Publicações Ltda |
record_format | MEDLINE/PubMed |
spelling | pubmed-103094432023-07-27 The Effect on Performance Time and Quality of the Knots after Mono or Bimanual Training of Laparoscopic Intracorporeal Knot Tying according to the Gladiator Rule Technique Asencio, Fernanda de Almeida Ribeiro, Helizabet Abdala Salomão Ayroza Romeo, Armando Wattiez, Arnauld Ribeiro, Paulo Augusto Galvão Ayroza Rev Bras Ginecol Obstet Objective To assess whether the monomanual or bimanual training of laparoscopic suture following the same technique may interfere with the knots' performance time and/or quality. Methods A prospective observational study involving 41 resident students of gynecology/obstetrics and general surgery who attended a laparoscopic suture training for 2 days. The participants were divided into two groups. Group A performed the training using exclusively their dominant hand, and group B performed the training using both hands to tie the intracorporeal knot. All participants followed the same technique, called Romeo Gladiator Rule. At the end of the course, the participants were asked to perform three exercises to assess the time it took them to tie the knots, as well as the quality of the knots. Results A comparative analysis of the groups showed that there was no statistically significant difference (p = 0.334) between them regarding the length of time to tie one knot. However, when the time to tie 10 consecutive knots was compared, group A was faster than group B (p = 0.020). A comparison of the knot loosening average, in millimeters, revealed that the knots made by group B loosened less than those made by group A, but there was no statistically significant difference regarding the number of knots that became untied. Conclusion This study demonstrated that the knots from group B showed better quality than those from group A, with lower loosening measures and more strength necessary to untie the knots. The study also demonstrated that group A was faster than B when the time to tie ten consecutive knots was compared. Thieme Revinter Publicações Ltda 2018-05-18 2018-05 /pmc/articles/PMC10309443/ /pubmed/29775972 http://dx.doi.org/10.1055/s-0038-1649494 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Asencio, Fernanda de Almeida Ribeiro, Helizabet Abdala Salomão Ayroza Romeo, Armando Wattiez, Arnauld Ribeiro, Paulo Augusto Galvão Ayroza The Effect on Performance Time and Quality of the Knots after Mono or Bimanual Training of Laparoscopic Intracorporeal Knot Tying according to the Gladiator Rule Technique |
title | The Effect on Performance Time and Quality of the Knots after Mono or Bimanual Training of Laparoscopic Intracorporeal Knot Tying according to the Gladiator Rule Technique |
title_full | The Effect on Performance Time and Quality of the Knots after Mono or Bimanual Training of Laparoscopic Intracorporeal Knot Tying according to the Gladiator Rule Technique |
title_fullStr | The Effect on Performance Time and Quality of the Knots after Mono or Bimanual Training of Laparoscopic Intracorporeal Knot Tying according to the Gladiator Rule Technique |
title_full_unstemmed | The Effect on Performance Time and Quality of the Knots after Mono or Bimanual Training of Laparoscopic Intracorporeal Knot Tying according to the Gladiator Rule Technique |
title_short | The Effect on Performance Time and Quality of the Knots after Mono or Bimanual Training of Laparoscopic Intracorporeal Knot Tying according to the Gladiator Rule Technique |
title_sort | effect on performance time and quality of the knots after mono or bimanual training of laparoscopic intracorporeal knot tying according to the gladiator rule technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10309443/ https://www.ncbi.nlm.nih.gov/pubmed/29775972 http://dx.doi.org/10.1055/s-0038-1649494 |
work_keys_str_mv | AT asenciofernandadealmeida theeffectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique AT ribeirohelizabetabdalasalomaoayroza theeffectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique AT romeoarmando theeffectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique AT wattiezarnauld theeffectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique AT ribeiropauloaugustogalvaoayroza theeffectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique AT asenciofernandadealmeida effectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique AT ribeirohelizabetabdalasalomaoayroza effectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique AT romeoarmando effectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique AT wattiezarnauld effectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique AT ribeiropauloaugustogalvaoayroza effectonperformancetimeandqualityoftheknotsaftermonoorbimanualtrainingoflaparoscopicintracorporealknottyingaccordingtothegladiatorruletechnique |