The British journal of surgery
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Randomized Controlled Trial Comparative Study
Influence of visual force feedback on tissue handling in minimally invasive surgery.
Force feedback might improve surgical performance during minimally invasive surgery. This study sought to determine whether training with force feedback shortened the tissue-handling learning curve, and examined the influence of real-time visual feedback compared with postprocessing feedback. ⋯ The tissue-handling skills of medical students improved significantly when they were given force feedback of their performance. This effect was seen mainly during the knot-tying phase of the suturing task.
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Randomized Controlled Trial Comparative Study
Oncological outcome of malignant colonic obstruction in the Dutch Stent-In 2 trial.
The Stent-In 2 trial randomized patients with malignant colonic obstruction to emergency surgery or stent placement as a bridge to elective surgery. The aim of this study was to compare the oncological outcomes. ⋯ ISRCTN46462267 ( http://www.controlled-trials.com).
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Randomized Controlled Trial
Randomized clinical trial of the impact of surgical ward-care checklists on postoperative care in a simulated environment.
Complications are a common and accepted risk of surgery. Failure to optimize the management of patients who suffer postoperative morbidity may result in poorer surgical outcomes. This study aimed to evaluate a checklist-based tool to improve and standardize care of postoperative complications. ⋯ Checklist use resulted in significantly improved standardization, evidence-based management of postoperative complications, and quality of ward rounds. Simulation-based piloting aided appropriate use of checklists and staff engagement. Checklists represent a low-cost intervention to reduce rates of failure to rescue and to improve patient care.