Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical Skills
ObjectiveTo objectively evaluate technical skill acquisition in hypospadias repair procedures during surgical training using noninvasive wearable sensor technology. MethodsWe combined subjective video evaluations with objective electromyography (EMG) measurements in a hands-on hypospadias training c...
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| مؤلفون آخرون: | , , , , , , , , , |
| التنسيق: | article |
| منشور في: |
2025
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| الموضوعات: | |
| الوصول للمادة أونلاين: | http://dx.doi.org/10.1016/j.urology.2024.09.013 https://www.sciencedirect.com/science/article/pii/S0090429524008057 http://hdl.handle.net/10576/64219 |
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| _version_ | 1857415085754941440 |
|---|---|
| author | Abbas, Tariq |
| author2 | Tiryaki, Sibel Tekin, Ali Fernandez, Nicolas Fawzy, Mohamed Ulman, Ibrahim Numanoglu, Alp Hadidi, Ahmed Ali, Mansour Hassan, Iqbal Chowdhury, Muhammad |
| author2_role | author author author author author author author author author author |
| author_facet | Abbas, Tariq Tiryaki, Sibel Tekin, Ali Fernandez, Nicolas Fawzy, Mohamed Ulman, Ibrahim Numanoglu, Alp Hadidi, Ahmed Ali, Mansour Hassan, Iqbal Chowdhury, Muhammad |
| author_role | author |
| dc.creator.none.fl_str_mv | Abbas, Tariq Tiryaki, Sibel Tekin, Ali Fernandez, Nicolas Fawzy, Mohamed Ulman, Ibrahim Numanoglu, Alp Hadidi, Ahmed Ali, Mansour Hassan, Iqbal Chowdhury, Muhammad |
| dc.date.none.fl_str_mv | 2025-04-16T05:18:50Z 2025-01-31 |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://dx.doi.org/10.1016/j.urology.2024.09.013 00904295 https://www.sciencedirect.com/science/article/pii/S0090429524008057 http://hdl.handle.net/10576/64219 112-119 195 1527-9995 |
| dc.language.none.fl_str_mv | en |
| dc.publisher.none.fl_str_mv | Elsevier |
| dc.rights.none.fl_str_mv | http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Hypospadias / surgery Surgical Procedures, Operative / education Electromyography / instrumentation Wearable Electronic Devices / utilization Clinical Competence / evaluation |
| dc.title.none.fl_str_mv | Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical Skills |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | ObjectiveTo objectively evaluate technical skill acquisition in hypospadias repair procedures during surgical training using noninvasive wearable sensor technology. MethodsWe combined subjective video evaluations with objective electromyography (EMG) measurements in a hands-on hypospadias training course. Surgeons wore wireless EMG and accelerometer sensors on their dominant hand while performing tasks on ex-vivo cadaveric calf penises. The study focused on 4 skills as follows: urethral mobilization, dorsal inlay graft harvest/implantation, meatal-based flap urethroplasty, and dorsal plication. Machine learning techniques analyzed muscle activation patterns and attributes for assessing surgical precision. ResultsThe course included 18 participants (10 female, 8 males; average age 40.18 ± 8.46 years) categorized as novice (n = 10, <3 years’ experience), intermediate (n = 5, 3-5 years), and expert (n = 3, >5 years). Video evaluations did not reveal significant differences due to short-term training. However, EMG measurements showed significant reductions in average EMG power, total time, dominant frequency, and cumulative muscle workload after training. Additionally, the mean power spectral density of the EMG signal decreased notably post-training. ConclusionThis study presents a structured approach for hypospadias training and highlights the effectiveness of wearable sensor technology for objective skill assessment. While video evaluations did not detect significant changes, EMG data provided measurable differences in skill acquisition, suggesting that wearable sensors could enhance objective evaluations of surgical proficiency in residency programs. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | qu_436e1f9473a0f39257528c247610a6d8 |
| identifier_str_mv | 00904295 112-119 195 1527-9995 |
| language_invalid_str_mv | en |
| network_acronym_str | qu |
| network_name_str | Qatar University repository |
| oai_identifier_str | oai:qspace.qu.edu.qa:10576/64219 |
| publishDate | 2025 |
| publisher.none.fl_str_mv | Elsevier |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| spelling | Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical SkillsAbbas, TariqTiryaki, SibelTekin, AliFernandez, NicolasFawzy, MohamedUlman, IbrahimNumanoglu, AlpHadidi, AhmedAli, MansourHassan, IqbalChowdhury, MuhammadHypospadias / surgerySurgical Procedures, Operative / educationElectromyography / instrumentationWearable Electronic Devices / utilizationClinical Competence / evaluationObjectiveTo objectively evaluate technical skill acquisition in hypospadias repair procedures during surgical training using noninvasive wearable sensor technology. MethodsWe combined subjective video evaluations with objective electromyography (EMG) measurements in a hands-on hypospadias training course. Surgeons wore wireless EMG and accelerometer sensors on their dominant hand while performing tasks on ex-vivo cadaveric calf penises. The study focused on 4 skills as follows: urethral mobilization, dorsal inlay graft harvest/implantation, meatal-based flap urethroplasty, and dorsal plication. Machine learning techniques analyzed muscle activation patterns and attributes for assessing surgical precision. ResultsThe course included 18 participants (10 female, 8 males; average age 40.18 ± 8.46 years) categorized as novice (n = 10, <3 years’ experience), intermediate (n = 5, 3-5 years), and expert (n = 3, >5 years). Video evaluations did not reveal significant differences due to short-term training. However, EMG measurements showed significant reductions in average EMG power, total time, dominant frequency, and cumulative muscle workload after training. Additionally, the mean power spectral density of the EMG signal decreased notably post-training. ConclusionThis study presents a structured approach for hypospadias training and highlights the effectiveness of wearable sensor technology for objective skill assessment. While video evaluations did not detect significant changes, EMG data provided measurable differences in skill acquisition, suggesting that wearable sensors could enhance objective evaluations of surgical proficiency in residency programs.Elsevier2025-04-16T05:18:50Z2025-01-31Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1016/j.urology.2024.09.01300904295https://www.sciencedirect.com/science/article/pii/S0090429524008057http://hdl.handle.net/10576/64219112-1191951527-9995enhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/642192025-04-16T19:06:36Z |
| spellingShingle | Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical Skills Abbas, Tariq Hypospadias / surgery Surgical Procedures, Operative / education Electromyography / instrumentation Wearable Electronic Devices / utilization Clinical Competence / evaluation |
| status_str | publishedVersion |
| title | Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical Skills |
| title_full | Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical Skills |
| title_fullStr | Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical Skills |
| title_full_unstemmed | Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical Skills |
| title_short | Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical Skills |
| title_sort | Hypospadias Reconstruction Training: Development of an Ex-Vivo Model for Objective Evaluation of Surgical Skills |
| topic | Hypospadias / surgery Surgical Procedures, Operative / education Electromyography / instrumentation Wearable Electronic Devices / utilization Clinical Competence / evaluation |
| url | http://dx.doi.org/10.1016/j.urology.2024.09.013 https://www.sciencedirect.com/science/article/pii/S0090429524008057 http://hdl.handle.net/10576/64219 |