Warm-up on a simulator improves residents' performance in laparoscopic surgery

A randomized trial

Chi Chiung Grace Chen, Isabel C. Green, Jorie M. Colbert-Getz, Kimberly Steele, Betty Chou, Shari M. Lawson, Dana Andersen, Andrew J. Satin

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Introduction and hypothesis Our aim was to assess the impact of immediate preoperative laparoscopic warm-up using a simulator on intraoperative laparoscopic performance by gynecologic residents. Methods Eligible laparoscopic cases performed for benign, gynecologic indications were randomized to be performed with or without immediate preoperative warm-up. Residents randomized to warm-up performed a brief set of standardized exercises on a laparoscopic trainer immediately before surgery. Intraoperative performance was scored using previously validated global rating scales. Assessment was made immediately after surgery by attending faculty who were blinded to the warm-up randomization. Results We randomized 237 residents to 47 minor laparoscopic cases (adnexal/ tubal surgery) and 44 to major laparoscopic cases (hysterectomy). Overall, attendings rated upper-level resident performances (postgraduate year [PGY-3, 4]) significantly higher on global rating scales than lower-level resident performances (PGY-1, 2). Residents who performed warm-up exercises prior to surgery were rated significantly higher on all subscales within each global rating scale, irrespective of the difficulty of the surgery. Most residents felt that performing warm-up exercises helped their intraoperative performances. Conclusion Performing a brief warm-up exercise before a major or minor laparoscopic procedure significantly improved the intraoperative performance of residents irrespective of the difficulty of the case.

Original languageEnglish (US)
Pages (from-to)1615-1622
Number of pages8
JournalInternational Urogynecology Journal and Pelvic Floor Dysfunction
Volume24
Issue number10
DOIs
StatePublished - Oct 2013
Externally publishedYes

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Warm-Up Exercise
Laparoscopy
Random Allocation
Hysterectomy
Exercise

Keywords

  • Laparoscopic surgery
  • Warm-up

ASJC Scopus subject areas

  • Urology
  • Obstetrics and Gynecology

Cite this

Chen, C. C. G., Green, I. C., Colbert-Getz, J. M., Steele, K., Chou, B., Lawson, S. M., ... Satin, A. J. (2013). Warm-up on a simulator improves residents' performance in laparoscopic surgery: A randomized trial. International Urogynecology Journal and Pelvic Floor Dysfunction, 24(10), 1615-1622. https://doi.org/10.1007/s00192-013-2066-2

Warm-up on a simulator improves residents' performance in laparoscopic surgery : A randomized trial. / Chen, Chi Chiung Grace; Green, Isabel C.; Colbert-Getz, Jorie M.; Steele, Kimberly; Chou, Betty; Lawson, Shari M.; Andersen, Dana; Satin, Andrew J.

In: International Urogynecology Journal and Pelvic Floor Dysfunction, Vol. 24, No. 10, 10.2013, p. 1615-1622.

Research output: Contribution to journalArticle

Chen, Chi Chiung Grace ; Green, Isabel C. ; Colbert-Getz, Jorie M. ; Steele, Kimberly ; Chou, Betty ; Lawson, Shari M. ; Andersen, Dana ; Satin, Andrew J. / Warm-up on a simulator improves residents' performance in laparoscopic surgery : A randomized trial. In: International Urogynecology Journal and Pelvic Floor Dysfunction. 2013 ; Vol. 24, No. 10. pp. 1615-1622.
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