E-Posters-10091

10091_Balgobin

Pdf Summary

The article discusses the impact of gynecology-specific port positions on the performance of the Fundamentals of Laparoscopic Surgery (FLS) task by OB/GYN trainees. The study found that advanced laparoscopic procedures like sacrocolpopexy require different surgeon positioning and port placements, which create complex angles and altered ergonomics that increase the difficulty of laparoscopic suturing beyond what is taught in the basic FLS training. <br /><br />To assess the trainees' ability to perform the FLS extracorporeal suturing task with gynecologic surgery-specific surgeon and port positions, a modified FLS box trainer was used. The trainees performed the task from three different positions and trocar arrangements: standard, contralateral, and ipsilateral. The participants were scored based on time, accuracy, incision approximation, and knot integrity.<br /><br />The study involved 15 residents and two expert surgeons. Task times were similar among all port arrangements. However, accuracy errors were more likely to occur with the ipsilateral port arrangement, suggesting a longer learning curve for this positioning. Both experts performed proficiently on all tasks without errors.<br /><br />Post-test surveys revealed that both contralateral and ipsilateral ports were rated as more difficult than the standard FLS port. The standard port position was considered the easiest and most comfortable. The residents agreed that training with different port positions would be useful for surgical training.<br /><br />Based on the findings, there may be transferability of technical skills between standard FLS and gynecology-specific surgeon and port positioning. However, further study is needed to determine the value of incorporating gynecology-specific simulation training into existing surgical training curricula for this task.

Keywords

gynecology-specific port positions

FLS task

OB/GYN trainees

laparoscopic procedures

surgeon positioning

port placements

laparoscopic suturing

trainees' ability

trocar arrangements

simulation training