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 • 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

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

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.

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)

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

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

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

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

Hernia Surgery - History Edwin Smith Papyrus

Medieval Times

Beuk repair

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

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

Anterior Abdominal Wall

Totally Extra Peritoneal

TEP anatomy

Mesh layout

Body Contour

TEP Video

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

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

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

Thank You

Murielle Brohez, MD

Murielle Brohez, MD

Presentation Transcript

Daniele Tognetto MD, Pia Leon MD, Paolo Cecchini MD, Silvia Rinaldi MD, Giuseppe Ravalico MD

A Kheirkhah MD, A Izadi MD, R Nazari MD H Hashemi MD, M Jabbarvand MD, H Hashemian MD

Dr. S.Chakravarty MBBS, MD MD

THE KINGDOM By C laire and Murielle

Megan Miller MD, Nancy Schindler MD, John Seal MD, Mark Russo MD

Ahmet ALANAY, MD Cagatay OZTURK, MD Meric ENERCAN, MD Ibrahim ORNEK, MD Mehmet TEZER, MD

Anil Verma, MD, Jalal Ghali, MD, Alessandra Meris, MD,

Hiroo Matsuse, MD; Naoto Shiba, MD; Yoshio Takano, MD;

Azmi HAMZAOGLU, MD Cagatay OZTURK, MD Ahmet ALANAY, MD Mehmet TEZER, MD Selhan KARADERELER, MD

Burcu Oktay MD , Sadık Ardıç MD, Hikmet Firat MD, Erdem Akbal MD, Ramazan Akdemir MD

Murielle Moya Steffi Ann Del Rosario Maria Barbara Gonzales Precious Rochelle Gan

HELVACIOGLU Firat , MD, SENCAN Sadik , MD, OGUZHAN Hasan, MD, YETER Celal, MD

Akiko Masai, MD, Tomoichiro Ogawa, MD Takuya Shiba, MD, Hiroshi Tsuneoka, MD

Osman Akdag, MD Mustafa Sutcu, MD Mustafa Keskin, MD

Daisuke Aizawa,MD Kazutaka Kamiya,MD Tetsuya Ikeda,MD Kimiya Shimizu,MD

Katherine Yulo, MD Ruchi Gupta, MD Renu Gandhe, MD

Don Davis, MD, Peter Ness, MD, Surekha Maddula, MD, Liliana Werner, MD, PhD, Nick Mamalis, MD

Mustafa Serinken MD, Cenker Eken MD, Kamil Tunay MD, Yalcin Golcuk MD

Madhuradhar Chegondi, MD Prithvi Sendi, MD Balagangadhar Totapally, MD