Review
Computer Science, Information Systems
Gokcen Tonbul, Damla Topalli, Nergiz Ercil Cagiltay
Summary: This study aims to review the current approaches for classifying surgical skill levels and identifying skill training tools and measurement methods through a literature review. The existing surgical skill assessment approaches have been summarized, revealing various classification approaches and inconsistencies. To improve simulation-based training programs, a standardized interdisciplinary approach should be developed, specific skills for each surgical procedure should be identified, and appropriate measures for assessing these skills in simulation-based training environments should be refined.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2023)
Article
Surgery
Mia S. Turbati, Matthew Goldblatt, Jon C. Gould, Rana M. Higgins
Summary: This study validates the SimNow resident robotic basic simulation curriculum and provides insights into the learner's experience. Results show that performance metrics are significantly different between novices and competent/expert surgeons, but not between competent and expert surgeons. Clinical training level does not affect the experience and mental workload, except for the ability of competent and expert surgeons to better assess clinical application.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Eric Walser, Chris J. Zhang, Sayra Cristancho, Lorelei Lingard, Michael Ott
Summary: This study examined the perception of stakeholders in surgical education regarding trainee workload. The results showed that both residents and faculty had accurate perception of task categories but lower perception of individual tasks. Furthermore, both groups underestimated the time spent on indirect patient care.
Review
Clinical Neurology
Krystal L. Tomei, Tiffany R. Hodges, Ellie Ragsdale, Tyler Katz, Marjorie Greenfield, Jennifer A. Sweet
Summary: Establishing a diverse neurosurgical workforce involves increasing the recruitment of women in neurosurgery. The impact of pregnancy on female neurosurgeons' training and career trajectory poses challenges for recruitment and retention. A recent survey evaluated the perception and experience of female neurosurgeons regarding childbearing and identified recommendations for family leave policies. This review aims to address best practices for pregnant neurosurgery residents and their training programs, aiming to improve their well-being while considering the impact on education and the training environment for colleagues.
JOURNAL OF NEUROSURGERY
(2023)
Article
Education, Scientific Disciplines
Conor Toale, Marie Morris, Dara O. Kavanagh
Summary: This study examines the factors associated with the acceptable use of simulation-based assessment in surgical training, through the perceptions and experiences of various stakeholder representatives. The findings can inform the development of simulation-based assessment curricula in surgical training.
Review
Surgery
Marcello D'Andrea, Antonio Musio, Roberto Colasanti, Lorenzo Mongardi, Dalila Fuschillo, Giorgio Lofrese, Luigino Tosatto
Summary: This study aimed to validate a simplified, ready-to-use, reusable, ergonomic bypass simulator for microanastomosis training. Through surgical practice and evaluation of 12 novice and 2 expert neurosurgeons, it was found that their operational efficiency and skills improved in different types of surgeries.
FRONTIERS IN SURGERY
(2023)
Article
Surgery
Koki Ebina, Takashige Abe, Madoka Higuchi, Jun Furumido, Naoya Iwahara, Masafumi Kon, Kiyohiko Hotta, Shunsuke Komizunai, Yo Kurashima, Hiroshi Kikuchi, Ryuji Matsumoto, Takahiro Osawa, Sachiyo Murai, Teppei Tsujita, Kazuya Sase, Xiaoshuai Chen, Atsushi Konno, Nobuo Shinohara
Summary: The study aimed to characterize the motions of laparoscopic surgical instruments among participants with different levels of surgical experience in a wet-lab training setting. Results showed that applying a Hem-o-lok clip strongly reflected the level of surgical experience, and zone-metrics may be a promising tool to assess surgical expertise. The findings suggest that motion capture systems can help objectively evaluate surgical skills and provide feedback to trainees in real-time.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Clinical Neurology
Faith C. Robertson, Christopher J. Stapleton, Jean-Valery C. E. Coumans, Federico Nicolosi, Manuela Vooijs, Sarah Blitz, Francesco Guerrini, Giannantonio Spena, Carlo Giussani, Cesare Zoia, Brian Nahed
Summary: Surgical skills laboratories using simulators can improve technical skills and deepen understanding of anatomy. A pilot training module using spaced repetition learning concepts showed significant improvement in technical indicators, especially for early-stage residents.
JOURNAL OF NEUROSURGERY
(2023)
Article
Medicine, Research & Experimental
Luke Jakubowski, Brittany A. Leader, Stacey L. Ishman, Robert Chun, Sergey S. Tarima, Sanjay Parikh, Margaret Skinner, Marc Thorne, Robert Weatherly, Gregory Wiet, David J. Brown
Summary: The study demonstrates that the competency of residents in performing tonsillectomy is correlated with the number of previous procedures and their assessment scores, while the objective structured assessment tool can effectively provide feedback on their performance.
Article
Clinical Neurology
Michelle J. Clarke, Katrin Frimannsdottir
Summary: This study aims to understand neurosurgery residents' perceptions of summative feedback and the factors influencing it. The study found that trainees prioritize formative feedback and criticized the vagueness and misalignment with practice of summative feedback. Barriers to implementing summative feedback include its perceived veracity, high interrater variability, and inconsistent adoption of a developmental progression model. Gender bias was also noted in the degree of feedback provided and language used.
NEUROSURGICAL FOCUS
(2022)
Article
Education & Educational Research
Vera Hillemans, Xander van de Mortel, Otmar Buyne, Bas H. Verhoeven, Sanne M. B. I. Botden
Summary: This study aimed to investigate the construct validity of a low-cost, easily accessible tracking technique for basic open suturing tasks. The findings showed significant differences in time, distance, and motion smoothness between novice and expert groups in all four suturing tasks when tracking index finger movements using SurgTrac software on a simulator.
MEDICAL EDUCATION ONLINE
(2023)
Article
Neurosciences
Jean Francois Uhl, Albert Sufianov, Camillo Ruiz, Yuri Iakimov, Huerta Jose Mogorron, Manuel Encarnacion Ramirez, Guillermo Prat, Barbara Lorea, Matias Baldoncini, Evgeniy Goncharov, Issael Ramirez, Jose Rafael Cerda Cespedes, Renat Nurmukhametov, Nicola Montemurro
Summary: This study demonstrates the use of 3D printed models in the training of surgeons for cranioplasty surgery in craniosynostosis patients. The models provide a realistic and controlled environment for surgeons to practice different techniques and visualize the anatomy and pathology. Training on 3D printed models may enhance surgeons' confidence and competence in performing complex craniosynostosis surgeries.
Review
Surgery
Dhivya Suresh, Abdullatif Aydin, Stuart James, Kamran Ahmed, Prokar Dasgupta
Summary: This review provides an update on the role of augmented reality (AR) in surgical training and investigates its impact on performance measures. The study found that the Microsoft HoloLens showed the most promising results and improved performance measures in surgical trainees. However, further research is needed to validate the use of AR in surgical training for other simulator models.
SURGICAL INNOVATION
(2023)
Article
Clinical Neurology
Andrew S. Jack, Vivien K. -Y. Chan, Vivek Mehta, Line Jacques
Summary: This study investigated PNSP training at neurosurgical centers in the US and Canada, finding a disparity in self-reported competence and exposure between senior and junior residents. There were differences in PNC quality between different types, but training level and time-to-completion were not correlated with quality grading.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2022)
Article
Surgery
Guoqiao Chen, Shengxi Jin, Qiming Xia, Zhifei Wang, Zhaoqi Shi, Guojun Chen, Yucai Hong, Xiaoxiao Fan, Hui Lin
Summary: This study reviews and analyzes the changes in surgical simulation training worldwide using bibliometric analysis. The main focuses during the study periods were laparoscopic skill, three-dimensional printing, and virtual reality. Additionally, 348 publications on robotic surgery training were identified. The study provides insights into the current status and future research focuses in the field of surgical simulation training in a global context.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Clinical Neurology
Eric Y. Montgomery, Mark N. Pernik, Zachary D. Johnson, Luke J. Dosselman, Zachary K. Christian, Palvasha R. Deme, Emmanuel A. Adeyemo, Umaru Barrie, Olatunde Badejo, Nick A. Stewart, Ruta Uttarkar, Owoicho Adogwa, Najib El Tecle, Salah G. Aoun, Carlos A. Bagley
Summary: This retrospective case control study aimed to determine risk factors associated with chronic opioid use after spine surgery. The results showed that black race, preoperative narcotics or anxiety/depression medication use, and long lumbar or thoracic spine surgery were associated with script renewal at 3 months postoperatively. Younger age, preoperative narcotics use, and lumbar fusion involving 4 or more levels were associated with script renewal at 12 months postoperatively. However, perioperative opioid utilization and PCA usage were not directly associated with script renewal.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Umaru Barrie, Eric Y. Montgomery, Erica Ogwumike, Mark N. Pernik, Ivan Y. Luu, Emmanuel A. Adeyemo, Zachary K. Christian, Derrek Edukugho, Zachary D. Johnson, Kathryn Hoes, Najib El Tecle, Kristen Hall, Salah G. Aoun, Carlos A. Bagley
Summary: This study investigates the association between socioeconomic status (SES) and surgical outcomes in spine surgery. The findings suggest that low household income is associated with higher rates of opioid consumption and poorer postoperative outcomes.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Mark N. Pernik, William H. Hicks, Omar S. Akbik, Madelina L. Nguyen, Ivan Luu, Jeffrey Traylor, Palvasha R. Deme, Luke J. Dosselman, Kristen Hall, Sarah A. Wingfield, Salah G. Aoun, Carlos A. Bagley
Summary: This study aimed to evaluate the association of psoas muscle mass defined sarcopenia with perioperative outcomes in geriatric patients undergoing elective spine surgery. The results showed that preoperative psoas muscle surface area was associated with increased need for intensive care and postoperative blood transfusion. This measurement could be included in geriatric preoperative risk assessment algorithms.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Zachary D. Johnson, Scott W. Connors, Zachary Christian, Olatunde Badejo, Emmanuel Adeyemo, Mark N. Pernik, Umaru Barrie, James P. Caruso, Benjamin Kafka, Om J. Neeley, Kristen Hall, Tarek Y. El Ahmadieh, Nader S. Dahdaleh, Joan S. Reisch, Salah G. Aoun, Carlos A. Bagley
Summary: The aim of this study was to develop a clinical tool to risk-stratify patients undergoing spine surgery based on their likelihood to have high postoperative analgesic requirements. The PAIN Score was developed and validated to identify patients at high risk for high opioid consumption postoperatively. This information can be used to individualize a multi-modal analgesic regimen.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Omar S. Akbik, Nadeem Al-Adli, Mark N. Pernik, William H. Hicks, Kristen Hall, Salah G. Aoun, Carlos A. Bagley
Summary: This study compared different preoperative indices in adult spinal deformity surgery and found that the modified frailty index-11 (mFI-11) better correlated with outcomes compared to other indices. Preoperative Oswestry Disability Index (ODI) remained a significant predictor of postoperative change in ODI.
GLOBAL SPINE JOURNAL
(2023)
Article
Clinical Neurology
Michael B. Cloney, Benjamin Hopkins, Ekamjeet Dhillon, Najib El Tecle, Tyler R. Koski, Nader S. Dahdaleh
Summary: This retrospective cohort study analyzed the effect of chemoprophylactic anticoagulation on venous thromboembolic events (VTEs) in lumbar surgery patients. The study found that chemoprophylaxis significantly reduced the incidence of VTEs in patients undergoing instrumented lumbar fusions, but had no significant effect in patients undergoing noninstrumented lumbar decompression.
Review
Clinical Neurology
Gina Watanabe, Paolo Palmisciano, Andie Conching, Christian Ogasawara, Vishan Ramanathan, Yara Alfawares, Othman Bin-Alamer, Ali S. Haider, Hussam Abou-Al-Shaar, Rishi Lall, Salah G. Aoun, Giuseppe E. Umana
Summary: Degenerative spine surgery in patients with PD is challenging, with complications and revisions occurring in up to a third of treated patients. Surgery should be offered when other treatment options have proved ineffective and is typically reserved for patients with myelopathy or significant disability. Successful outcomes depend on strong interdisciplinary support to control the movement disorder before and after surgery.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
James P. Caruso, Ammar Adenwalla, Carlos A. Bagley, Salah G. Aoun
OPERATIVE NEUROSURGERY
(2023)
Article
Clinical Neurology
Umaru Barrie, Raghuram V. Reddy, Mahmoud Elguindy, Donald Detchou, Omar Akbik, Corinne M. Fotso, Salah G. Aoun, Carlos A. Bagley
Summary: This study compared perioperative outcomes of obese versus non-obese adult patients who underwent degenerative scoliosis spine surgery. The results showed that obese patients had more preoperative risk factors, longer operation time, greater blood loss, higher complications, delayed walking postoperatively, and lower discharge rates. Therefore, systematic measures should be taken to improve perioperative outcomes.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2023)
Review
Oncology
Darsh S. Shah, Raghuram V. Reddy, Yuecel Dogruel, Mohamed Z. Asfour, Ahmad Pour-Rashidi, Ali S. Haider, Mayur Sharma, Salah G. Aoun, Giuseppe E. Umana, Paolo Palmisciano
Summary: This systematic review examines clinical data on calcified spinal meningiomas, finding them to be a rare but challenging surgical condition. Most patients are female and present with lower extremity weakness and/or paresthesia. The tumors predominantly occur in the thoracic spine, either on the dorsal or ventral side relative to the spinal cord. Accurate surgical planning is crucial for reducing postoperative complications.
JOURNAL OF NEURO-ONCOLOGY
(2023)
Review
Biochemistry & Molecular Biology
Edgar Petrosyan, Jawad Fares, Maciej S. Lesniak, Tyler R. Koski, Najib E. El Tecle
Summary: The global aging population has contributed to an increase in adult degenerative scoliosis (ADS), a spinal deformity that affects mainly females. ADS is characterized by intervertebral disc and facet joint degeneration, causing spinal imbalance, severe pain, and neurological deficits, thus reducing quality of life. Despite improved management, the molecular mechanisms underlying ADS remain unclear. This study investigates the molecular mechanisms of ADS, focusing on angiogenesis, inflammation, extracellular matrix remodeling, osteoporosis, sarcopenia, and biomechanical stress. The limitations and challenges in the field are discussed, along with the potential translational applications that may arise from a better understanding of these mechanisms.
TRENDS IN MOLECULAR MEDICINE
(2023)
Article
Clinical Neurology
Michael Cloney, Vineeth Thirunavu, Anastasios Roumeliotis, Hooman Azad, Nathan Shlobin, Kevin Swong, Najib El Tecle, Nader S. Dahdaleh
Summary: Type II fracture morphology and fracture angle > 10o significantly increase nonunion among nonoperatively managed isolated traumatic odontoid fractures, but fracture comminution and displacement > 3 mm do not.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2023)
Article
Clinical Neurology
Nader S. Dahdaleh, Najib El-Tecle, Michael B. Cloney, Nathan A. Shlobin, Tyler R. Koski, Jean Paul Wolinsky
Summary: The craniovertebral junction (CVJ) can be affected by various pathological states, some of which can be treated by general or specialized surgeons, while others require a multidisciplinary approach. It is crucial to have in-depth knowledge of the anatomy and biomechanics of this junction to ensure successful diagnosis and treatment. This report presents a case-based approach to managing CVJ pathologies, highlighting key concepts.
WORLD NEUROSURGERY
(2023)
Meeting Abstract
Critical Care Medicine
Ranier Reyes, Nurose Karim, Spencer Septien, Salah Aoun, Carlos Bagley, Venkatesh Aiyagari
CRITICAL CARE MEDICINE
(2023)
