A5101453260- Surgical Simulation and Training
- Cardiac, Anesthesia and Surgical Outcomes
- Anatomy and Medical Technology
- Simulation-Based Education in Healthcare
- Innovations in Medical Education
- Bariatric Surgery and Outcomes
- Hospital Admissions and Outcomes
- Coronary Interventions and Diagnostics
- Intraocular Surgery and Lenses
- Minimally Invasive Surgical Techniques
- Acute Myocardial Infarction Research
- Augmented Reality Applications
- Cardiac Imaging and Diagnostics
- Patient Safety and Medication Errors
- Body Contouring and Surgery
- Colorectal Cancer Surgical Treatments
- Ophthalmology and Visual Impairment Studies
- Cardiac Arrhythmias and Treatments
- Corneal surgery and disorders
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac Arrest and Resuscitation
- Atrial Fibrillation Management and Outcomes
- Gallbladder and Bile Duct Disorders
- Aortic aneurysm repair treatments
- Pelvic and Acetabular Injuries
Essex Cardiothoracic Centre
2015-2025
Thomas Jefferson University Hospital
2017-2025
Southend University Hospital NHS Foundation Trust
1997-2025
Imperial College Healthcare NHS Trust
2008-2024
Thomas Jefferson University
2017-2023
Mahatma Gandhi Medical College and Research Institute
2019-2023
Laboratoire Lorrain de Recherche en Informatique et ses Applications
2023
Bankstown Lidcombe Hospital
2020-2023
Southend Hospital
2006-2022
Middle Tennessee State University
1995-2022
In Brief Objective: The aim of this study was to compare learning curves for laparoscopic cholecystectomy (LC) after training on a proficiency based virtual reality (VR) curriculum with that traditionally trained group. Summary Background Data: Simulator-based has been shown improve technical performance during real procedures, although research date not proven the persistence effect over subsequent cases. Material and Methods: Twenty novice surgeons underwent baseline skills testing...
To develop an evidence-based virtual reality laparoscopic training curriculum for novice surgeons to achieve a proficient level of skill prior participating in live cases.Technical skills surgery must be acquired within competency-based that begins the surgical laboratory. Implementation this program necessitates definition validity, learning curves and proficiency criteria on tool.The study recruited 40 surgeons, classified into experienced (performed >100 cholecystectomies) or groups (<10...
GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns patients newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non–vitamin K antagonist oral anticoagulant (NOAC), became available. This study sought to describe phase baseline data and compare these pre-NOAC era collected during 1. During 2,...
To assess the effects of mental practice on surgical performance.Increasing concerns for patient safety have highlighted a need alternative training strategies outside operating room. Mental (MP), "the cognitive rehearsal task before performance," has been successful in sport and music to enhance skill. This study investigates whether MP enhances performance laparoscopic surgery.After baseline skills testing, 20 novice surgeons underwent an evidence-based virtual reality curriculum. After...
In Brief Objective: To review the current state of simulation use in surgery and to offer direction for future research implementation evidence-based findings. Background: Simulation-based training (SBT) has surged recent years. Although several new simulators curricula have become available, their optimization into surgical been lagging. Methods: Members Association Surgical Education Simulation Committee with expertise interpret literature describe status surgery, identify challenges its...
Background: BDI is the most common serious complication of laparoscopic cholecystectomy. To address this problem, a multi-society consensus conference was held to develop evidenced-based recommendations for safe cholecystectomy and prevention BDI. Methods: Literature reviews were conducted 18 key questions across 6 broad topics around directed by steering group subject experts from 5 surgical societies (Society Gastrointestinal Endoscopic Surgeons, Americas Hepato-Pancreato-Biliary...
Transcatheter aortic-valve implantation (TAVI) is associated with procedure-related stroke. Cerebral embolic protection (CEP) devices may reduce embolization to the cerebral circulation and hence incidence of We conducted a randomized, controlled trial across 33 centers in United Kingdom. randomly assigned 7635 participants aortic stenosis 1:1 ratio undergo TAVI CEP device (CEP group) or without (control group). The primary outcome was stroke within 72 hours after before discharge from...
OBJECTIVE--To evaluate the incidence of intraoperative and early postoperative complications (up to two months after implant) endocardial permanent pacemaker insertion in all patients under-going a first implant at referral centre. METHODS--Prospective evaluation implantation procedures performed from April 1992 January 1994 carried out by completion standard audit form implant. Patients9 demographic data, medical history, details hardware used, any were noted. Follow up information was also...
Training within a proficiency-based virtual reality (VR) curriculum may reduce errors during real surgical procedures. This study used scientific methodology for development of VR training laparoscopic cholecystectomy.Inexperienced (had performed fewer than ten cholecystectomies), intermediate (20-50) and experienced (more 100) surgeons were recruited. Construct validity was defined as the ability to differentiate between three levels experience, based on simulator-derived metrics nine basic...
To assess the impact of warm-up on laparoscopic performance in operating room (OR).Implementation simulation-based training into clinical practice remains limited despite evidence to show that improvement skills is transferred OR. The aim this study was evaluate a short virtual reality program OP.Sixteen Laparoscopic Cholecystectomies were performed by 8 surgeons Participants randomized group which received preprocedure using simulator and no group. After initial cholecystectomy all served...
To compare the visual outcome and subjective symptoms in patients who had implantation of AcrySof ReSTOR multifocal intraocular lens (IOL) (Alcon Laboratories) with those received SA60AT monofocal IOL cataract surgery.Southend Hospital, Essex, United Kingdom.Eighty eyes 40 after extraction. They were closely paired age, sex, ocular findings during same period. The distance near acuities compared, patient satisfaction their vision, symptoms, spectacle dependence was assessed using a...
Surgical excellence is traditionally defined in terms of technical performance, with little regard for the importance interpersonal communication and leadership skills. Studies aviation industry have stressed role human factors causing error and, an attempt to reduce occurrence adverse events, led organisation simulation based training scenarios. Similar strategies recently been employed surgical team development a simulated operating theatre project. This enables non-technical performance...
In Brief Objective: To determine the feasibility, validity, inter-rater, and intertest reliability of 4 previously published video-based rating scales, for technical skills assessment on a benchmark laparoscopic procedure. Summary Background Data: Assessment is crucial to demonstration maintenance competent healthcare practitioners. Traditional methods are prone subjectivity through lack proven validity reliability. Methods: Nineteen surgeons (6 novice 13 experienced) performed median 2...
To assess the use of a synchronized video-based motion tracking device for objective, instant, and automated assessment laparoscopic skill in operating room.The technical skills is fundamental to recognition proficient surgical practice. It necessary demonstrate validity, reliability, feasibility any tool be applied objective measurement performance.Nineteen subjects, divided into 13 experienced (performed >100 cholecystectomies) 6 inexperienced <10 LCs) surgeons completed LCs on 53 patients...