Our Summary

The researchers aimed to develop and evaluate a set of low-cost training tools to improve the surgical skills of junior doctors who are learning to perform hemorrhoidectomies (removal of hemorrhoids). The tools were designed to replicate the process of dissecting, knot-tying, and suturing in a confined space which is very similar to the actual surgery process. Participants in the study were asked to peel an orange, tie knots on a weight, and sew up a piece of felt - all within a mason jar to replicate the confined space of surgery.

The study involved 40 participants, half were experienced surgeons and the other half were medical students. The effectiveness of the tools was measured by the time taken to complete each task, the number of errors made, and the participants’ personal opinions on the tasks.

The findings showed that experienced surgeons were quicker at knot-tying and suturing than the students. However, there was no significant difference when it came to peeling the orange. All participants felt that the tasks were achievable and useful for improving surgical skills. The study concluded that these low-cost training tools can effectively differentiate between experienced surgeons and beginners and can provide valuable practice for trainees.

FAQs

  1. What were the training tools developed by the researchers for improving surgical skills?
  2. How was the effectiveness of the training tools measured in the study?
  3. What were the findings of the study and how beneficial were these training tools for trainees?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hemorrhoidectomy is to follow post-operative care instructions carefully to ensure proper healing and minimize discomfort. This may include taking pain medication as prescribed, keeping the area clean and dry, and avoiding straining during bowel movements. It is also important to stay hydrated and eat a high-fiber diet to prevent constipation. If any concerns or complications arise, it is important to contact your healthcare provider for further guidance.

Suitable For

Patients who typically undergo a hemorrhoidectomy are those who have severe hemorrhoids that do not respond to other treatments such as medication, lifestyle changes, or minimally invasive procedures. These patients may experience symptoms such as persistent pain, bleeding, itching, or prolapse of the hemorrhoids. Additionally, patients with large external hemorrhoids or internal hemorrhoids that have prolapsed and cannot be pushed back into the rectum may also be recommended for a hemorrhoidectomy. The decision to undergo a hemorrhoidectomy is usually made after consultation with a healthcare provider who will assess the severity of the hemorrhoids and recommend the most appropriate treatment option.

Timeline

Before a hemorrhoidectomy, a patient may experience symptoms such as pain, itching, and bleeding from hemorrhoids. They may have tried conservative treatments such as topical creams, dietary changes, and sitz baths without success. They may also have consulted with a healthcare provider who recommended surgery as the best treatment option.

After a hemorrhoidectomy, a patient may experience pain and discomfort in the anal area, as well as swelling and bruising. They may also have difficulty with bowel movements and may be prescribed pain medication and stool softeners to help with recovery. It is important for patients to follow post-operative care instructions, including taking time off work, avoiding strenuous activities, and eating a high-fiber diet to prevent constipation. Over time, the pain and discomfort should gradually improve as the surgical site heals.

What to Ask Your Doctor

  1. How experienced is the surgeon in performing hemorrhoidectomy procedures?
  2. What are the potential risks and complications associated with hemorrhoidectomy?
  3. What is the expected recovery time and post-operative care for a hemorrhoidectomy?
  4. Are there any alternative treatment options available for hemorrhoids?
  5. Will I need to make any lifestyle changes before or after the surgery?
  6. What type of anesthesia will be used during the procedure?
  7. How long will the surgery take?
  8. Will I need to stay overnight in the hospital after the surgery?
  9. What should I expect in terms of pain and discomfort after the surgery?
  10. How long will it take for me to fully recover and resume normal activities?

Reference

Authors: Geary AD, Pernar LIM, Hall JF. Journal: J Surg Educ. 2020 Sep-Oct;77(5):1285-1288. doi: 10.1016/j.jsurg.2020.03.003. Epub 2020 Mar 31. PMID: 32241669