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The kind of equipment used during laparoscopic surgery may have an effect on how quickly resident surgeons improve their skills.
The effects of these technologies on various general and specialized procedures have been the subject of numerous research, all of which have produced comparable results in terms of efficacy and safety. Although a minimally invasive laparoscopy represents the gold standard method in over 70% of procedures for uterine and adnexal benign diseases, there is a paucity of evidence regarding the potential advantages or disadvantages of such kinds of devices in gynecologic laparoscopy.
Based on this, the purpose of this study was to determine whether using a hemostatic surgical device affects how quickly gynecology residents learn to execute simple laparoscopic procedures and how well they perform surgically.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tissue sealers | Procedures performed using a 5 mm diameter, 35 cm length curved branch radiofrequency tissue sealer connected to a dedicated electric generator |
| |
| Bipolar forceps | Procedures performed using a 5 mm diameter, 35 cm classic rotating bipolar forceps |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laparoscopy | Procedure | Operative laparoscopies carried out according to the most recent national guidelines and following the good clinical practice of our operative unit. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Vision of the surgical field | Numeric Rate Scale (NRS) 0-10 considering 0 for "inadequate vision" and 10 for "optimal vision" | 7 days |
| Interpretation of the difficulty of the intervention | NRS 0-10 (considering 0 for "extremely easy" and 10 for "extremely difficult") | 7 days |
| Measure | Description | Time Frame |
|---|---|---|
| Overall procedural satisfaction | NRS 0-10 (considering 0 for "complicated or incomplete procedure" and 10 for "uncomplicated and satisfying intervention") | 7 days |
| Procedure time | Procedure |
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Inclusion Criteria:
Exclusion Criteria:
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Patients referred from the outpatient gynecological clinics of our unit who, according to national and international treatment guidelines, were eligible for a planned laparoscopic surgery.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Campania Luigi Vanvitelli | Naples | 80138 | Italy |
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| ID | Term |
|---|---|
| D010535 | Laparoscopy |
| ID | Term |
|---|---|
| D004724 | Endoscopy |
| D003949 | Diagnostic Techniques, Surgical |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| D019060 | Minimally Invasive Surgical Procedures |
| D013514 | Surgical Procedures, Operative |