Topical negative pressure as a safe and helpful treatment in patients with large abdominal wounds with multiple fistulae (original) (raw)

Colorectal Disease, 2010

Abstract

dures of varying pathology and difficulty were filmed. The edited videos and CTA were amalgamated into a task analysis map. This formed the interface of the multimedia model which was designed and developed in conjunction with a multimedia company. The design interface allowed simple navigation through individual steps or the whole procedure. All the procedural aspects including operative technique, intra-operative decision-making, correct contextual use of energy sources and stapling devices, assistance and surgical anatomy were extensively covered. This approach towards non-technical surgical skills training permitted the various aspects of a procedure to be learnt in an integrated fashion. Material was included for all levels of surgical experience. Information was integrated onto a single DVD, compatible for use on work and personal computers. The model was evaluated during a study day. Fifty-one trainees were included and examined both before and after instruction using an assessment tool. There was an improvement in non-technical surgical skills, with significantly higher scores following multimedia instruction (mean pretest: 12.4 vs post-test: 26.8 P < 0.0001). Before instruction, more senior trainees achieved significantly higher scores than junior trainees (P = 0.0007), demonstrating construct validity of the assessment tool. There was no significant difference between the groups after instruction (P = 0.32). Interactive multimedia appears to have greater impact on skills improvement in junior trainees. However, randomized studies with larger trainee groups need to be conducted to validate further this educational model and assessment tool. Yours Sincerely,

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