Fistulotomy for intersphincteric fistula. A stepwise approach for surgical trainees – a video vignette

2020 ◽  
Vol 22 (10) ◽  
pp. 1447-1448
Author(s):  
N. E. Samalavicius ◽  
V. Klimasauskiene ◽  
Z. Zidonis ◽  
A. Dulskas
Keyword(s):  
Stepwise Approach ◽  
Surgical Trainees ◽  
Intersphincteric Fistula ◽  
Video Vignette

The LIFT (ligation of the intersphincteric fistula tract) procedure for a transsphincteric posterior anal fistula – a video vignette

2020 ◽  
Vol 22 (10) ◽  
pp. 1465-1466
Author(s):  
N. E. Samalavicius ◽  
V. Klimasauskiene ◽  
V. Nausediene ◽  
V. Cereska ◽  
A. Dulskas
Keyword(s):  
Anal Fistula ◽  
Fistula Tract ◽  
Intersphincteric Fistula ◽  
Video Vignette

Intra‐anal fistulotomy with marsupialization for recurrent high intersphincteric fistula – a video vignette

2020 ◽  
Vol 22 (10) ◽  
pp. 1450-1451
Author(s):  
N. E. Samalavicius ◽  
V. Klimasauskiene ◽  
A. Dulskas
Keyword(s):  
Intersphincteric Fistula ◽  
Video Vignette

Debriefing Surgeons on Non-Technical Skills in the Operating Room - Results from a Pilot Study

2007 ◽  
Vol 51 (11) ◽  
pp. 663-667
Author(s):  
S. Yule ◽  
R. Flin ◽  
N. Maran ◽  
D. Rowley ◽  
G. Youngson ◽  
...  
Keyword(s):  
Operating Room ◽  
Cognitive Skills ◽  
Technical Skills ◽  
Assessment Tools ◽  
Valuable Adjunct ◽  
Surgical Trainees ◽  
Operative Surgery ◽  
Enhance Patient Safety ◽  
Behaviour Rating ◽  
Current Assessment

Briefing and debriefing are common practices for safety in high risk industries but are not systematically done in surgery. Regular debriefing of performance after operative surgery can greatly assist surgical trainees' development and help optimize learning from the limited time they spend in the Operating Room (OR). We developed and tested the NOTSS (Non-Technical Skills for Surgeons) behaviour rating system with subject matter experts. It allows surgeons to observe trainees' behaviour in the OR and provide them with structured feedback for improvement. This paper describes process of debriefing and the results of a pilot usability trial. The majority of participants reported that the NOTSS system was useful for debriefing trainees, provided a common language to discuss non-technical skills, and was a valuable adjunct to current assessment tools. Some surgeons found interpersonal skills more difficult to rate than cognitive skills. 73% felt that routine use of the system would enhance patient safety.

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