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ORIGINAL ARTICLE
Year : 2019  |  Volume : 14  |  Issue : 3  |  Page : 202-205

The effectiveness of box trainers in improving laparoscopic suturing skills in surgery


1 Department of Surgery, J.N. Medical College, Wardha, Maharashtra, India
2 Department of Pharmacology, J.N. Medical College, Wardha, Maharashtra, India
3 Department of Anatomy, J.N. Medical College, Wardha, Maharashtra, India

Correspondence Address:
Dr. Varsha Gajbhiye
Department of Pharmacology, J.N. Medical College, Wardha, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_88_19

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Background: Simulation training is an integral part of the laparoscopic training curriculum. To recognize the role of laparoscopy in modern surgery, residency programs rapidly incorporated it into their training regimen. Box trainers are useful to practice laparoscopic skills. Laparoscopy requires a long-learning curve. The simulation training model gives opportunities to practice the procedures efficiently until competency is achieved without exposing the live patient to undue risk. Hence, this study was conducted to assess the overall effectiveness of the box training to improve the skills in laparoscopic suturing. Materials and Methods: This was a prospective and observational study conducted over a period of 6 months including 30 residents of the surgery department. The department of surgery has an indoor laboratory that consists of an isolated room with two box-trainers. Participants were given a task to perform suturing by using box trainers for 2 h/week for 6 months. For the quantitative and qualitative assessment, a direct observation checklist was prepared, i.e., task-specific checklist having a maximum score of 15. Each participant performed a suturing task. Pre- and posttraining score was calculated and was compared to see the efficacy of the box trainers. Results: Around 30 participants’ surgery, residents were enrolled. Twenty-six male and 4 female residents were included in the training, with the age of all residents ranges from 26 to 30 years. The mean pretraining score was 3.1667, and it is improved significantly to 12.3667 after training. The unpaired t-test was calculated (20.5050). The two-tailed P is less than 0.0001; hence, it is statistically significant. Conclusions: This study proves the efficacy of box trainers in improving laparoscopic suturing skills.


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