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Journal ArticleDOI

Systematic review of randomized controlled trials on the effectiveness of virtual reality training for laparoscopic surgery.

TLDR
The aim of this review was to determine whether virtual reality (VR) training can supplement and/or replace conventional laparoscopic training in surgical trainees with limited or no Laparoscopic experience.
Abstract
Background: Surgical training has traditionally been one of apprenticeship. The aim of this review was to determine whether virtual reality (VR) training can supplement and/or replace conventional laparoscopic training in surgical trainees with limited or no laparoscopic experience. Methods: Randomized clinical trials addressing this issue were identified from The Cochrane Library trials register, Medline, Embase, Science Citation Index Expanded, grey literature and reference lists. Standardized mean difference was calculated with 95 per cent confidence intervals based on available case analysis. Results: Twenty-three trials (mostly with a high risk of bias) involving 622 participants were included in this review. In trainees without surgical experience, VR training decreased the time taken to complete a task, increased accuracy and decreased errors compared with no training. In the same participants, VR training was more accurate than video trainer (VT) training. In participants with limited laparoscopic experience, VR training resulted in a greater reduction in operating time, error and unnecessary movements than standard laparoscopic training. In these participants, the composite performance score was better in the VR group than the VT group. Conclusion: VR training can supplement standard laparoscopic surgical training. It is at least as effective as video training in supplementing standard laparoscopic training.

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Citations
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Journal Article

Virtual Reality in Neurointervention

TL;DR: The feasibility of utilizing VR for preprocedural evaluation in patients with anatomically complex neurovascular disorders is demonstrated and this novel visualization approach may serve as a valuable adjunct tool in deciding patient-specific treatment plans and selection of devices prior to intervention.
Journal ArticleDOI

Cardiorespiratory Changes and Pain Response of Lift Laparoscopy Compared to Capnoperitoneum Laparoscopy in Dogs.

TL;DR: Lift laparoscopy was associated with less frequency of hypercapnia, required less anesthetic gas, and was not more time-consuming or painful than capnoperitoneum laparoscope, especially in dogs where pressurized capn operitoneum is not desired.
Proceedings ArticleDOI

Automatic Synthesis of Virtual Wheelchair Training Scenarios

TL;DR: An optimization-based approach for automatically generating virtual scenarios for wheelchair training in virtual reality and users showed improvement in wheelchair control skills in terms of proficiency and precision after receiving the proposed virtual reality training.
Book ChapterDOI

Virtual Reality in Medicine

TL;DR: A systematic review of articles and reviews published about the theme: “Virtual Reality in Medicine” found any source published in either print format or on the Internet, available in all languages, and containing texts that define or attempt to define VR in explicit terms.
Journal ArticleDOI

Does fascia iliaca block result in obturator block

TL;DR: The bettersupported conclusion is that ultrasoundguided fascia iliaca block does not reliably produce obturator nerve block.
References
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Journal ArticleDOI

Bias in meta-analysis detected by a simple, graphical test

TL;DR: Funnel plots, plots of the trials' effect estimates against sample size, are skewed and asymmetrical in the presence of publication bias and other biases Funnel plot asymmetry, measured by regression analysis, predicts discordance of results when meta-analyses are compared with single large trials.
Journal ArticleDOI

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Journal ArticleDOI

Quantifying heterogeneity in a meta‐analysis

TL;DR: It is concluded that H and I2, which can usually be calculated for published meta-analyses, are particularly useful summaries of the impact of heterogeneity, and one or both should be presented in publishedMeta-an analyses in preference to the test for heterogeneity.
Journal ArticleDOI

Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials.

TL;DR: Empirical evidence is provided that inadequate methodological approaches in controlled trials, particularly those representing poor allocation concealment, are associated with bias.
Journal ArticleDOI

Does quality of reports of randomised trials affect estimates of intervention efficacy reported in meta-analyses

TL;DR: Study of low methodological quality in which the estimate of quality is incorporated into the meta-analyses can alter the interpretation of the benefit of intervention, whether a scale or component approach is used in the assessment of trial quality.
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