Evaluation of Surgical Simulator for Practicing a Vascular Anastomosis
Recruitment status was Not yet recruiting
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Education, Medical |
Device: Surgical simulator to practice vascular anastomosis |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Educational/Counseling/Training |
| Official Title: | Benefits of a Surgical Skills Lab Vascular Anastomosis Simulator: A Randomized Controlled Trial |
- Quality of final vascular anastomosis based on validated scale
- 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
| Estimated Enrollment: | 40 |
| Study Start Date: | May 2006 |
| Estimated Study Completion Date: | September 2007 |
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.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts 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
Contacts and Locations| Contact: Mackenzie A Quantz, MD, FRCSC | (519) 685-8500 ext 33144 | maquantz@uwo.ca |
| Contact: Pavan K Koka, BSc, MD | (519) 636-7990 | hkoka@uwo.ca |
| Canada, Ontario | |
| Kelman Advanced Centre for Learning, The University of Western Ontario | Not yet recruiting |
| London, Ontario, Canada, N6A | |
| Contact: Mackenzie A Quantz, MD, FRCSC (519) 685-8500 ext 33144 maquantz@uwo.ca | |
| Principal Investigator: Mackenzie A Quantz, MD, FRCSC | |
| Principal Investigator: Pavan K Koka, BSc, MD | |
| Sub-Investigator: Gordon Campbell, BSc,MSc,PhD | |
| Principal Investigator: | Mackenzie A Quantz, MD, FRCSC | University of Western Ontario, Canada |
| Principal Investigator: | Pavan K Koka, BSc, MD | University of Western Ontario, Canada |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00318279 History of Changes |
| Other Study ID Numbers: | R-05-826, PSI#06-09 |
| Study First Received: | April 24, 2006 |
| Last Updated: | April 24, 2006 |
| Health Authority: | Canada: Health Canada |
Keywords provided by Lawson Health Research Institute:
|
Surgical education Vascular anastomosis Surgical Education Simulator Randomized controlled trial |
ClinicalTrials.gov processed this record on May 16, 2013