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Simulation in Hand Surgery: A Literature Review

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Abstract

Background

Due to duty hour regulations, patient safety and inadequate operative time simulation have become a necessary part of surgical education and training in residency. Currently, there is no formal adoption of simulators for the use of surgical education or assessment in hand surgery. This literature review analyzes that the simulation techniques established thus far in hand surgery.

Methods

A comprehensive literature search was performed on PubMed. Search results were filtered by title and abstract to isolate articles that were relevant to simulation in hand surgery. Articles that were nonspecific to the hand, non-English and cadaveric were excluded. Additional articles were identified through references from the initial search.

Results

A total of 1192 articles were yielded from the initial query. After the application of the inclusion criteria, this was narrowed down to 28 articles. Another 8 additional articles were excluded as they did not pertain to the hand although the simulators could be adapted for hand surgery. A total of 20 articles were included in this study.

Conclusions

Surgical simulation is a growing and essential field of surgical education. Simulators in hand surgery are limited and require further research and validation. Like other surgical subspecialties, hand surgery may benefit from the adoption of an official simulation curriculum for the assessment of residents and enhancement of technical skills.

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References

  1. ACGME https://www.acgme.org/What-We-Do/Accreditation/Clinical-Experience-and-Education-formerly-Duty-Hours/History-of-Duty-Hours. Accessed

  2. Philibert I, Nasca T, Brigham T, Shapiro J (2013) Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? Annu Rev Med 64:467–483

    Article  CAS  Google Scholar 

  3. Carlin AM, Gasevic E, Shepard AD (2007) Effect of the 80-hour work week on resident operative experience in general surgery. Am J Surg 193(3):326–329

    Article  Google Scholar 

  4. Thomas MP (2013) The role of simulation in the development of technical competence during surgical training: a literature review. Int J Med Educ 4:48–58

    Article  Google Scholar 

  5. Ziv A, Small SD, Wo PR (2000) Patient safety and simulation-based medical education. Med Teach 22(5):489–495

    Article  Google Scholar 

  6. Agha RA, Fowler AJ (2015) The role and validity of surgical simulation. Int Surg 100(2):350–357

    Article  Google Scholar 

  7. Bradley P (2006) The history of simulation in medical education and possible future directions. Med Educ 40(3):254–262

    Article  Google Scholar 

  8. Badash I, Burtt K, Solorzano CA, Carey JN (2016) Innovations in surgery simulation: a review of past, current and future techniques. Ann Transl Med 4:453

    Article  Google Scholar 

  9. Massoth C, Röder H, Ohlenburg H et al (2019) High-fidelity is not superior to low-fidelity simulation but leads to overconfidence in medical students. BMC Med Educ. https://doi.org/10.1186/s12909-019-1464-7

    Article  PubMed  PubMed Central  Google Scholar 

  10. Kneebone RL, Kidd J, Nestel D et al (2005) Blurring the boundaries: scenario-based simulation in a clinical setting. Med Educ 39(6):580–587

    Article  CAS  Google Scholar 

  11. Surgery TABo. General Requirments for Board Certification. http://www.absurgery.org/default.jsp?certhandce. Accessed

  12. Rhodes ND, Wilson PA, Southern SJ (2001) The flexor-tendon repair simulator. Br J Plast Surg 54:373–374

    Article  CAS  Google Scholar 

  13. Hoeyberghs JL, Flemming AFS (1994) Flexor tendon repair in perfect safety. Eur J Plast Surg 17(4):215–217

    Article  Google Scholar 

  14. Tare M (2004) Dental rolls: a suitable model for practising tendon repair techniques. J Hand Surg Br 29(5):506–507

    Article  Google Scholar 

  15. Juma AM, Vuppalapati G, Martin J (2004) A see-through in vitro tendon repair model. Plast Reconstr Surg 113(3):1097–1098

    Article  Google Scholar 

  16. Wright TC, Widdowson D, Khan M, Tiernan E, Hormbrey E (2006) A cost-effective training tool for flexor tendon repair: pig’s trotters. J Plast Reconstr Aesthet Surg 59(1):107–108

    Article  CAS  Google Scholar 

  17. Kamath J, Chandra G, Kamath R, Kumar A, Bhardwaj P (2009) Flexor tendon repair simulator. Tech Hand Up Extrem Surg 13:117–118

    Article  Google Scholar 

  18. Ingraham JM, Weber RA (2009) Utilizing a simulated tendon to teach tendon repair technique. Hand (N Y). 4:150–155

    Article  CAS  Google Scholar 

  19. Hasham S, Khandwala A, Southern SJ (2005) Soft-tissue simulator: helping trainees with fracture fixation. Plast Reconstr Surg 115:957

    Article  CAS  Google Scholar 

  20. Brichacek M, Diaz-Abele J, Shiga S, Petropolis C (2018) Three-dimensional printed surgical simulator for Kirschner wire placement in hand fractures. Plast Reconstr Surg Glob Open 6(3):e1706

    Article  Google Scholar 

  21. Wu YY, Rajaraman M, Guth J et al (2018) A high-fidelity tactile hand simulator as a training tool to develop competency in percutaneous pinning in residents. J Am Acad Orthop Surg Glob Res Rev 2(7):e028

    PubMed  PubMed Central  Google Scholar 

  22. Maier J, Weiherer M, Huber M, Palm C (2019) Imitating human soft tissue on basis of a dual-material 3D print using a support-filled metamaterial to provide bimanual haptic for a hand surgery training system. Quant Imaging Med Surg 9:30–42

    Article  Google Scholar 

  23. Lazarus P, Pire E, Sapa C et al (2017) Design and evaluation of a new synthetic wrist procedural simulator (Wristsim((R))) for training of distal radius fracture fixation by volar plating. Hand Surg Rehabil 36(4):275–280

    Article  CAS  Google Scholar 

  24. Naroura I, Hidalgo Diaz JJ, Xavier F et al (2018) Teaching of distal radius shortening osteotomy: three-dimensional procedural simulator versus bone procedural simulator. J Hand Surg Eur 43(9):961–966

    Article  Google Scholar 

  25. Obdeijn MC, Alewijnse JV, Mathoulin C, Liverneaux P, Tuijthof GJ, Schijven MP (2014) Development and validation of a computer-based learning module for wrist arthroscopy. Chir Main 33(2):100–105

    Article  CAS  Google Scholar 

  26. Computer-Based Training System for Simulating Wrist Arthroscopy (2008) IEEE conference publication. IEEE. https://ieeexplore.ieee.org/document/4562028. Published 2008. Accessed

  27. Zemirline A, Agnus V, Soler L, Mathoulin CL, Obdeijn M, Liverneaux PA (2013) Augmented reality-based navigation system for wrist arthroscopy: feasibility. J Wrist Surg 2(4):294–298

    Article  Google Scholar 

  28. CLA. Arthroscopic Model Of The Wrist. https://www.gtsimulators.com/CLA-Arthroscopic-Model-of-the-Wrist-p/cla16.htm. Accessed

  29. Amer KM, Mur T, Amer K, Ilyas AM (2017) A mobile-based surgical simulation application: a comparative analysis of efficacy using a carpal tunnel release module. J Hand Surg Am 42(5):389.e381-389.e389

    Article  Google Scholar 

  30. Tulipan J, Miller A, Park AG, Labrum JT, Ilyas AM (2019) Touch surgery: analysis and assessment of validity of a hand surgery simulation “App.” Hand (N Y). 14(3):311–316

    Article  Google Scholar 

  31. Paro JAM, Luan A, Lee GK (2017) Validation of a cognitive task simulation and rehearsal tool for open carpal tunnel release. Arch Plast Surg 44(3):223–227

    Article  Google Scholar 

  32. de Montbrun SL, MacRae H (2012) Simulation in surgical education. Clin Colon Rectal Surg 25:156–165

    Article  Google Scholar 

  33. Shah S, Wain R, Syed S (2010) A novel training model for nerve repair. Ann R Coll Surg Engl 92(3):260

    Article  Google Scholar 

  34. Kamath J, Jayasheelan N, Sujir P (2017) A simulator for nerve repair. J Hand Surg Eur 42(9):960–961

    Article  CAS  Google Scholar 

  35. Meyer-Marcotty MV, Redeker J, Herold C, Busch KH, Rennekampff HO, Vogt PM (2008) A flap simulator for training in local defect coverage. Chirurg 79(12):1141–1144

    Article  CAS  Google Scholar 

  36. Chan WY, Matteucci P, Southern SJ (2007) Validation of microsurgical models in microsurgery training and competence: a review. Microsurgery 27(5):494–499

    Article  Google Scholar 

  37. Evgeniou E, Walker H, Gujral S (2018) The role of simulation in microsurgical training. J Surg Educ 75(1):171–181

    Article  Google Scholar 

  38. Hafford ML, Van Sickle KR, Willis RE et al (2013) Ensuring competency: are fundamentals of laparoscopic surgery training and certification necessary for practicing surgeons and operating room personnel? Surg Endosc 27(1):118–126

    Article  Google Scholar 

  39. Vassiliou MC, Dunkin BJ, Fried GM et al (2014) Fundamentals of endoscopic surgery: creation and validation of the hands-on test. Surg Endosc 28(3):704–711

    Article  Google Scholar 

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Funding

This study was supported in part by the Mayo Clinic Center for Individualized Medicine and the Mayo Clinic Center for Regenerative Medicine.

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Correspondence to Antonio J. Forte.

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The authors declare that there is no conflict of interest.

Human and Animal Rights

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Declaration of HELSINKI 1975, as revised in 2008.

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Informed consent was not obtained due to the type of this study (systematic literature review).

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Saleem, H.Y., Kaplan, J.L., Torres-Guzman, R.A. et al. Simulation in Hand Surgery: A Literature Review. World J Surg 46, 718–724 (2022). https://doi.org/10.1007/s00268-021-06400-0

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