Matches in SemOpenAlex for { <https://semopenalex.org/work/W4315865097> ?p ?o ?g. }
Showing items 1 to 73 of
73
with 100 items per page.
- W4315865097 endingPage "100203" @default.
- W4315865097 startingPage "100203" @default.
- W4315865097 abstract "The benefits of surgical simulation have been previously demonstrated to enhance technical skills resulting in improved outcomes. Complex procedures such as the percutaneous nephrolithotomy (PCNL) have a steep learning curve and have the potential to create an unsafe patient environment. To demonstrate a high fidelity and improved patient outcomes with hydrogel simulations for surgical rehearsals of a complex procedure (PCNL). Between 2016 and 2017 a single surgeon performed 18 consecutive PCNLs, 10 prospectively, at an academic referral center Anatomically correct models of the human pelvicalyceal system, kidney and relevant adjacent structures were created using poly-vinyl alcohol (PVA) hydrogels of the 10 prospective patients. DICOM images were converted to computer assisted designs and a patient specific model were created using 3-Dimensional printing and biomaterials technology. All PCNL steps were simulated: fluoroscopic access, nephroscopy, and lithotripsy. After surgical rehearsal the following day PCNL was performed by the trainee. Procedure specific metrics and patient outcomes were collected for all patients. There were significant differences in operative metrics (mean fluoroscopy time, the number of percutaneous access attempts, the number of times the needle was repositioned, and stone clearance) and patient outcomes (complications, length of stay and readmission rates). The study is limited by the sample size. This study demonstrates that patient-specific procedural rehearsal is effective for enhancement in the performance of a complex endourological procedure through the reduction in total operative and fluoroscopy times with improvement in patient outcomes. By incorporating this technology, medical practice would be following the route of other high-stakes industries in utilizing simulation to minimize complications for patients undergoing standard and more complex procedures and improving overall patient safety." @default.
- W4315865097 created "2023-01-13" @default.
- W4315865097 creator A5000568474 @default.
- W4315865097 creator A5004339852 @default.
- W4315865097 creator A5013180552 @default.
- W4315865097 creator A5035758294 @default.
- W4315865097 creator A5060771652 @default.
- W4315865097 creator A5077027255 @default.
- W4315865097 date "2023-03-01" @default.
- W4315865097 modified "2023-10-14" @default.
- W4315865097 title "Validity of a Patient-Specific Percutaneous Nephrolithotomy (PCNL) Simulated Surgical Rehearsal Platform: Impact on Patient and Surgical Outcomes" @default.
- W4315865097 cites W1973669880 @default.
- W4315865097 cites W2005315221 @default.
- W4315865097 cites W2052485970 @default.
- W4315865097 cites W2147871488 @default.
- W4315865097 cites W2165343799 @default.
- W4315865097 cites W2320164533 @default.
- W4315865097 cites W2623031497 @default.
- W4315865097 cites W2766407728 @default.
- W4315865097 cites W2883961351 @default.
- W4315865097 cites W3003562453 @default.
- W4315865097 cites W3035273420 @default.
- W4315865097 doi "https://doi.org/10.1016/j.urolvj.2022.100203" @default.
- W4315865097 hasPublicationYear "2023" @default.
- W4315865097 type Work @default.
- W4315865097 citedByCount "0" @default.
- W4315865097 crossrefType "journal-article" @default.
- W4315865097 hasAuthorship W4315865097A5000568474 @default.
- W4315865097 hasAuthorship W4315865097A5004339852 @default.
- W4315865097 hasAuthorship W4315865097A5013180552 @default.
- W4315865097 hasAuthorship W4315865097A5035758294 @default.
- W4315865097 hasAuthorship W4315865097A5060771652 @default.
- W4315865097 hasAuthorship W4315865097A5077027255 @default.
- W4315865097 hasBestOaLocation W43158650971 @default.
- W4315865097 hasConcept C111919701 @default.
- W4315865097 hasConcept C126838900 @default.
- W4315865097 hasConcept C141071460 @default.
- W4315865097 hasConcept C19527891 @default.
- W4315865097 hasConcept C2776805002 @default.
- W4315865097 hasConcept C2780813298 @default.
- W4315865097 hasConcept C2780885103 @default.
- W4315865097 hasConcept C34585555 @default.
- W4315865097 hasConcept C41008148 @default.
- W4315865097 hasConcept C71924100 @default.
- W4315865097 hasConceptScore W4315865097C111919701 @default.
- W4315865097 hasConceptScore W4315865097C126838900 @default.
- W4315865097 hasConceptScore W4315865097C141071460 @default.
- W4315865097 hasConceptScore W4315865097C19527891 @default.
- W4315865097 hasConceptScore W4315865097C2776805002 @default.
- W4315865097 hasConceptScore W4315865097C2780813298 @default.
- W4315865097 hasConceptScore W4315865097C2780885103 @default.
- W4315865097 hasConceptScore W4315865097C34585555 @default.
- W4315865097 hasConceptScore W4315865097C41008148 @default.
- W4315865097 hasConceptScore W4315865097C71924100 @default.
- W4315865097 hasLocation W43158650971 @default.
- W4315865097 hasOpenAccess W4315865097 @default.
- W4315865097 hasPrimaryLocation W43158650971 @default.
- W4315865097 hasRelatedWork W1972236330 @default.
- W4315865097 hasRelatedWork W2011930875 @default.
- W4315865097 hasRelatedWork W2012849823 @default.
- W4315865097 hasRelatedWork W2069441630 @default.
- W4315865097 hasRelatedWork W2072785875 @default.
- W4315865097 hasRelatedWork W2097319285 @default.
- W4315865097 hasRelatedWork W2364486725 @default.
- W4315865097 hasRelatedWork W2946176064 @default.
- W4315865097 hasRelatedWork W3110425048 @default.
- W4315865097 hasRelatedWork W2781945539 @default.
- W4315865097 hasVolume "17" @default.
- W4315865097 isParatext "false" @default.
- W4315865097 isRetracted "false" @default.
- W4315865097 workType "article" @default.