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Evaluation of Surgical Simulator for Practicing a Vascular Anastomosis

Benefits of a Surgical Skills Lab Vascular Anastomosis Simulator: A Randomized Controlled Trial

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00318279
Enrollment
40
Registered
2006-04-26
Start date
2006-05-31
Completion date
2007-09-30
Last updated
2018-11-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Education, Medical

Keywords

Surgical education, Vascular anastomosis, Simulator, Randomized controlled trial

Brief summary

To determine if practicing an aorto-saphenous vein anastomosis on a low-fidelity surgical simulator allows trainees to produce a higher quality anastomosis in a shorter period of time, than a group that only learns by watching a video.

Detailed description

For many years, surgical training has been considered an apprenticeship, where the training experiences of residents, have been in real operative settings on living patients. We propose a study to demonstrate that - a low-fidelity simulation of an aorta-proximal vein graft anastomosis as in heart bypass surgery, using anatomical replicates (a special hydrogel polymer with properties similar to human vascular tissue) - is an effective, low-cost simulator for learning this surgical skill, and will provide the trainee with the ability to perform a better anastomosis in a shorter period of time. Hypothesis: Practicing an aorto-saphenous vein anastomosis on a low-fidelity surgical simulator will advance the trainees' learning curve. This will allow trainees to produce a higher quality anastomosis in a shorter period of time, than a group that only learns by watching a video and will lead to enhanced patient safety.

Interventions

DEVICESurgical simulator to practice vascular anastomosis

Sponsors

London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
DOUBLE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* 1st year surgical resident at The University of Western Ontario * Anastomosis naive - the subject must not have performed a human vascular anastomosis in the past (it is acceptable if they have observed one being performed in the past)

Exclusion criteria

* Completed a human vascular anastomosis as the primary operator/surgeon in the past

Design outcomes

Primary

MeasureTime frame
Quality of final vascular anastomosis based on validated scale

Secondary

MeasureTime frame
Global rating of operative skill based on validated scale (final anastomosis)
Time taken to complete final anastomosis
Time taken to complete initial and final anastomosis (experimental group only)
Anastomotic leakage for final anastomosis
Anastomotic patency for final anastomosis

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026