Vaginal Hysterectomy
Conditions
Keywords
vaginal surgery techniques, gynecological procedures, mid-urethral slings (MUS), simulation training
Brief summary
Simulation training with the Miya Model will improve Operating Room performance of Vaginal Hysterectomy (VH) in novice surgeons and this phase of the study is designed to test that.
Detailed description
Vaginal Hysterectomy (VH) is the desired hysterectomy technique of The American College of Obstetricians and Gynecologists (ACOG) since it is associated with less morbidity, quicker recovery and lower costs than laparoscopic and abdominal hysterectomy. Despite its well documented advantages, numbers nationwide in the US are declining. Of all minimally invasive hysterectomy procedures, the vaginal approach has been the only one demonstrating a consistent decrease in use from 25% of cases in 1998 to 17% of cases in 2010. A large part of this is due to inadequate training for this technique. There currently is no standardized curriculum for teaching VH, and training varies widely between residency programs. It is widely held that simulation training for surgical procedures improves outcome, but there is a need to validate this for vaginal surgery training.
Interventions
OTHERMiyamodel Training
standardized training by performing five hysterectomies on the Miyamodel with a trainer who is a sub-PI at each institution
Sponsors
Wake Forest University Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
Participants will perform five hysterectomies on the Miya Model with a trainer who is a sub-PI at each institution, with each of these training sessions filmed and then scored by blinded experts - o Residents in the simulation arm will train until they reach a score of 27 on the modified Vagina Surgical Skills Index (VSSI)
Intervention model description
Study participants will be residents at participating institutions who agree to participate in the study.
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* residents at participating Institutions * residents have performed ten or fewer vaginal hysterectomies
Exclusion criteria
* having had prior training dedicated to vaginal hysterectomy * having performed eleven or more vaginal hysterectomies in the OR
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Vaginal Surgical Skills Index (VSSI) scores - Control Group | Month 2 | compare scores between the control and intervention group to see if the standardized simulation training improves OR performance - Range 0 - 40; higher score indicates better performance |
| Vaginal Surgical Skills Index (VSSI) scores - Intervention Group | Month 2 | compare scores between the control and intervention group to see if the standardized simulation training improves OR performance - Range 0 - 40; higher score indicates better performance |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORLeslie Kammire, MD
Wake Forest University Health Sciences
Outcome results
None listed