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Murielle Brohez, MD

Minimal Invasive Surgery. Murielle Brohez, MD. Digital Century. Video Games: an Advantage for Young MIS Surgeons. Positive Effects from Previous Studies. Early Studies evaluated psychomotor skills Video gamers showed: superior eye-hand coordination faster reaction times

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Murielle Brohez, MD

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  1. Minimal Invasive Surgery Murielle Brohez, MD

  2. Digital Century

  3. Video Games:an Advantage for Young MIS Surgeons

  4. Positive Effects from Previous Studies Early Studies evaluated psychomotor skills Video gamers showed: • superior eye-hand coordination • faster reaction times • superior spatial visualization skills • increased capacity for visual attention and spatial distribution Griffith, Voloschin, Gibb, Bailey; Perceptual and Motor Skills,19832. Yuji H; Perceptual and Motor Skills, 1996 3. Dorval, Pepin; Perceptual and Motor

  5. The Impact of Video Games on Training SURGEONS in the 21st CenturyRosser Jr, MD; et al. • Arch Surg. 2007;142(2):181-186. • Video games are extensively integratedinto popular culture • Anecdotal observations of young surgeonssuggest that video game play contributes to performance excellencein laparoscopic surgery • Hypothesis  There is a potential link between video gameplay and laparoscopic surgical skill and suturing

  6. Design  Cross-sectional analysis of the performance ofsurgical residents and attending physicians participating inthe Rosser Top Gun Laparoscopic Skills and Suturing Program(Top Gun) • Participants  Thirty-three residents and attending physiciansparticipating in Top Gun from May 10 to August 24, 2002.

  7. Main Outcome Measures  The primary outcome measures werecompared between participants' laparoscopic skills and suturingcapability, video game scores, and video game experience. • Results  • Video Game players 33% better (P<.005) • More than 3 h/wk >42 % better (P<.01) • Current video game players 32% fewererrors (P=.04), performed 24% faster (P<.04), and scored26% better overall (time and errors) (P<.005)

  8. Conclusions • Video game skill correlates with laparoscopicsurgical skills • Training curricula that include video gamesmay help thin the technical interface between surgeons and screen-mediatedapplications, such as laparoscopic surgery • Video games maybe a practical teaching tool to help train surgeons

  9. Benefits of Laparoscopy • Benefits of laparoscopy are mostly derived postoperatively •  pain • attenuated stress response • earlier return to ambulation after lap procedures   postoperative complications + quicker return to full activity

  10. Historical Background • 1929 - Heinz Kalk, a german gastroenterologist • Up to 1970 – Jurgen Nord, USF • 1987 – Phillipe Mouret, Lyons France

  11. Hernia • More than 600,000 hernias are repaired annually in the United States

  12. Hernia Surgery - History Edwin Smith Papyrus

  13. Medieval Times

  14. Beuk repair

  15. Techniques of Traditional Open Repair -Lucas-Championnière 1881 -Bassini 1889 -Lotheissen 1898 -McVay 1942 -Shouldice 1945 -Lichtenstein 1987

  16. Laparoscopic Repair • ? Less pain • ? Can it be done

  17. Anterior Abdominal Wall

  18. Totally Extra Peritoneal

  19. TEP anatomy

  20. Mesh layout

  21. Body Contour

  22. TEP Video

  23. TEP • Indications: • Recurrent • Bilateral • Active lifestyle • Contraindications: • Strangulated • Hypotensive/sepsis

  24. TEP post-op • SDS • Minimal narcotic intake • Return to work 3-5 days • Return to golf / running 3-5 days • Return to full activity within 10-15 days

  25. MIS at SOMC • Hernias • Appendectomy • Cholecysctetomy • Colectomy • Anti-reflux Surgery – Nissen Fudoplication • Diagnostic Laparoscopy • Lysis of Adhesions • Biopsies

  26. Thank You

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