Posters

Is there a need for a mandatory passage through the surgery simulator? Comparative study of surgical results of resident doctors trained on simulator

Poster Details

First Author: A.Oulmidi MOROCCO

Co Author(s): S. Belghmaidi   J. Hakam   I. Hajji   A. Moutaouakil           

Abstract Details

Purpose:

The purpose of our study is to determine whether we find an advantage and better surgical qualities in simulator-trained surgeons before they enter the operating theatre, compared to surgeons trained without a simulator. If the answer is positive, will it then require a mandatory passage by simulator, if the latter is indeed able to better train the surgeon

Setting:

We use the Eyesi simulator, which our faculty is one of the first in Africa to have it. We compare the results of 28 surgeons who all operate in the same operating room with the same equipment and under similar conditions; patient selection was random.

Methods:

We compare in our study the results of the first 5 cataract surgeries of two groups of surgeons in our study. 1st group: 14 doctors who performed their first surgeries only after completing a 35-hour training course on a surgical simulator. 2nd group: 14 doctors who performed their first surgeries without passing through the simulator.

Results:

We note a statistically significant difference in the duration of surgery (average 35min (group2); 21min (group1). 1st group achieved a curvilignear circular rhexis with a rate of 89% compared to a success rate of 62% for 2nd group. 6 cases of stray Rhexis out of 70 cataracts operated were recorded in the group 1 (9%) 19 cases for the group2 (27%). The posterior capsule rupture rate was higher in the group without simulator training (15 cases; 21%). The average cumulative dissipated energy was lower in the simulator-trained group. The surgeon's confidence during his operating procedure was superior among simulator-trained surgeons.

Conclusions:

The use of the simulator in our case seems to be an extremely positive experience both in terms of the learning of resident physicians and their self-confidence. We find similar results in Europe and North America, where virtual reality technology has become well established. The main benefit found is the minimalization of the risks associated with intraoperative complications and the empowerment of resident physicians. we answer: YES to the question we asked ourselves at the beginning of this study: There is a need for a mandatory passage through the surgical simulator during the cataract surgery apprenticeship course.

Financial Disclosure:

None