Journal of minimally invasive gynecology
-
J Minim Invasive Gynecol · May 2013
Multicenter StudyBlinded assessment of operative performance after fundamentals of laparoscopic surgery in gynecology training.
To determine the pass rate for the Fundamentals of Laparoscopic Surgery (FLS) examination among senior gynecology residents and fellows and to find whether there is an association between FLS scores and previous laparoscopic experience as well as laparoscopic intraoperative (OR) skills assessment. ⋯ The FLS pass rate for senior residents and fellows was 76%, with higher pass rates associated with increasing levels of training and laparoscopic case experience.
-
J Minim Invasive Gynecol · May 2013
Historical ArticleSurgical complications specific to monopolar electrosurgical energy: engineering changes that have made electrosurgery safer.
Monopolar electrosurgical energy is the most commonly used energy source during laparotomic and laparoscopic surgery. The clinical application of monopolar energy is not without risk. Monopolar electrosurgical energy was introduced into surgical practice at the turn of the 20th century. ⋯ Today, insulation failure and capacitive coupling are the most common reasons for electrosurgical injury during laparocopic procedures. There is a need for advanced technology such as active electrode monitoring to address these invisible risks to the surgeon and their patients. In addition, the laparoscopic surgeon should be encouraged to study the basic biophysics involved in electrosurgery.