Introduction: We investigated the impact of learning style on novices’ acquisition of minimally invasive surgical (MIS) basic skills. Methods: One hundred five novice medical students underwent text-based (TB), video-based (VB), or faculty-tutored (FT) single session instruction in three basic MIS skills tasks on a box trainer. Pre-session, participants completed a validated questionnaire related to learning […]
INTRODUCTION: Traditional insertion of a ventriculoperitoneal shunt (VPS) involves a small laparotomy incision. In addition to significant postoperative discomfort, the laparotomy portion of the procedure affects hospital stay and convalescence. Moreover, laparotomy incision may also contribute to wound /shunt infections and incisional hernias. Although laparoscopic approach to VPS has been reported, it has not been […]
Background: Natural Orifice Transluminal Endoscopic Surgery (NOTES) is evolving as a surgical modalitybut requires more outcome data and elucidation of technical challenges. Simulation training has reached the forefront of surgical education and has also been applied to emerging techniques. Training as part of teams is an important component of simulation. With NOTES, new interactions between […]
Introduction:The purpose of this study is to determine if the subjective sensation of dysphagia can be objectively characterized using esophageal function testing.Dysphagia is one of the most difficult symptoms to diagnose and to treat unless a patient has achalasia. Esophageal function testing (EFT) now combines standard manometry, which measures pressures in the esophagus, with multichannel […]
Introduction: Nissen Fundoplication is an effective treatment of gastroesophageal reflux disease. Recurrent reflux symptoms may occur due to the mechanical failure of the fundoplication. Patients who fail medical management will require surgical revision. The safety and efficacy of laparoscopic reoperation for the recurrent hiatal hernia or slipped fundoplication depend on the surgeon’s skills and experience. […]