Banca de DEFESA: HAROLDO ADRIAN GUSMAO DE MACEDO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : HAROLDO ADRIAN GUSMAO DE MACEDO
DATA : 02/09/2019
HORA: 10:30
LOCAL: Sala Araken, 2º andar do prédio de Toco-Ginecologia, anexo à MEJC
TÍTULO:

Does laparoscopic simulator training improve laparoscopic skills of gynecology and obstretics residents?

PALAVRAS-CHAVES:

Simulation training; laparoscopy; teaching; internship and residency.

PÁGINAS: 45
GRANDE ÁREA: Ciências da Saúde
ÁREA: Medicina
RESUMO:

Introduction: laparoscopy is currently consolidated as a minimally invasive surgical technique, presenting, in relation to analogous conventional surgeries, gains in postoperative results being standard procedure for several surgeries. The laparoscopic training presents peculiarities that hinder the acquisition of their abilities and it has a long learning curve. Objective: to evaluate whether laparoscopic simulator training is effective for the development of laparoscopic skills in gynecological and obstetrical residents. Methodology: prospective non-randomized, quasi-experimental study, in which participants were trained, in the same content and period of time, in laparoscopic intracorporeal suture, utilizing the gladiator technique, described by Armando Romeo, using E-Knot laparoscopic model. The Global Operative Assessment of Laparoscopic Skills (GOALS) was used as an evaluation tool, generating a score for each evaluation. The participants, besides conducting their self-assessments, were assessed by two independent evaluators. The data obtained were statistically analyzed using the non-parametric techniques of Wilcoxon and Friedman. Data collection was performed at the Maternidade Escola Januário Cicco/Universidade Federal do Rio Grande do Norte (MEJC/UFRN) during the period from January to February, 2019. Results: the provided training demonstrated statistically significant laparoscopic skill gains by the Wilcoxon test, with a mean difference of 2.5 to 5.167 points in the total GOALS score. However, when analyzing the criteria individually, the item tissue handling did not reach p-value < 0.05 for one of the evaluators. There was no statistically significant difference between the GOALS scores obtained by the pre-intervention assessment between the evaluators by the Friedman test, but there was divergence in all post-training items, except for tissue handling. Conclusion: training in intracorporeal suture simulator by the Armando Romeo technique was effective for laparoscopic skills gains evaluated by GOALS. Conclusion: training in an intracorporeal suture simulator using the Armando Romeo technique was effective for gains in laparoscopic skills assessed by GOALS.

MEMBROS DA BANCA:
Externo ao Programa - 2328351 - GUSTAVO MAFALDO SOARES
Presidente - 2171948 - PAULO JOSE DE MEDEIROS
Externo à Instituição - RICARDO NEY OLIVEIRA COBUCCI - UnP