Educational Video for Laparoscopic Hysterectomy

Recruiting at 12 trial locations

Overseen By Yuelin Li, PhD

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: Memorial Sloan Kettering Cancer Center

Disqualifiers: Not speak and read English

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

300 Participants Needed

Trial Summary

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Educational video for Laparoscopic Hysterectomy?

Research shows that educational videos can help improve surgical skills, as seen in studies where videos enhanced the performance of medical trainees in similar procedures. However, the quality of videos on platforms like YouTube can vary, highlighting the need for peer-reviewed content to ensure effective learning. ^{1 2 3 4 5}

Is it safe to use educational videos for learning laparoscopic hysterectomy?

The research does not provide specific safety data about using educational videos for laparoscopic hysterectomy, but it highlights the importance of peer-reviewed, high-quality educational content for surgical training. ^{1 5 6 7 8}

How does the educational video for laparoscopic hysterectomy differ from other treatments for this condition?

The educational video for laparoscopic hysterectomy is unique because it provides a visual learning tool for surgical trainees, which is especially valuable during times when in-person training is limited, such as during the COVID-19 pandemic. Unlike traditional methods, this video-based approach allows for remote learning and self-assessment, helping trainees improve their skills in a flexible and accessible manner. ^{1 3 9 10 11}

What is the purpose of this trial?

The purpose of this study is to determine whether an educational video about patients' perioperative experience (period that spans from the time of admission to the hospital to the time of recovery after surgery) will affect the timing of hospital discharge. The researchers will use information collected during this study to create a questionnaire and an educational video related to the patient perioperative experience. The educational video will address patient concerns about the perioperative period and recovery after surgery (post-operative recovery). All participants in this study will be undergoing a MIS hysterectomy according to their routine care in the Gynecology

Research Team

Elizabeth Jewell, MD

Principal Investigator

Memorial Sloan Kettering Cancer Center

Eligibility Criteria

This trial is for women aged 18 or older who are scheduled to have, or have had within the last month, a minimally invasive hysterectomy by a gynecologic oncologist. They should be candidates for rapid discharge post-surgery and must speak and read English.

Inclusion Criteria

I am considered suitable for the AXR program or will be discharged within 23 hours post-surgery.

I am scheduled for or have had a minimally invasive hysterectomy at MSK within the last month.

I am a woman aged 18 or older.

Exclusion Criteria

Not able to speak and read English.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase I

A sample of patients will complete a qualitative interview prior to or after surgery

Completed by 3/31/2021

1 visit (in-person or phone)

Phase II

Participants complete discrete-choice surveys to assess preferences and priorities

Ongoing

Phase III

Participants are randomized to receive usual care with or without an educational video

Ongoing

Follow-up

Participants are monitored for satisfaction and outcomes post-surgery

2 years

Treatment Details

Interventions

• Educational video

Trial Overview The study aims to see if an educational video about what to expect before, during, and after surgery can help patients get discharged from the hospital sooner. It will also help create a questionnaire on patient experiences.

Participant Groups

Group I: Usual care and usual care plus video Experimental Treatment 2 Interventions

Phase I (completed 3/31/2021): A sample of patients in phase I will complete a qualitative interview prior to or after surgery. Twenty-five evaluable patients (15 pre-operatively and a separate 10 post-operatively) will be selected to participate in an in-person/phone interview. Phase II: A separate group of women will compose phase II. All patients (N = 100) in phase II will complete discrete-choice surveys. Patients in phase III of the study will be randomized evenly to usual care plus video or usual care only. Phase III: One hundred participants will be randomized via CRDB to receive standard pre-operative counseling or standard pre-operative counseling with the additional of an educational video. Those randomized to view the video will also complete the post-video survey. All patients will complete the post-op survey.

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials

1,998

Recruited

602,000+

Findings from Research

A study evaluating laparoscopic hysterectomy videos on YouTube found that the educational quality is low, highlighting the need for better peer-reviewed resources for surgical trainees, especially during the pandemic.

Using the LAP-VEGaS Video Assessment Tool, the study confirmed that YouTube videos do not conform well to established educational guidelines, indicating a gap in quality that could impact the training of future surgeons.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of YouTube laparoscopic hysterectomy videos as educational materials during the COVID-19 era using the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) and LAP-VEGaS video assessment tool. Unal, F., Atakul, N., Turan, H., et al.[2022]

The study analyzed the 150 most viewed YouTube videos on robotic myomectomy, finding that videos from medical groups were more informative and had been available longer than those from nonmedical sources.

Patients should focus on high-quality videos from medical professionals, as low-quality videos often have less engagement and may provide misleading information about robotic myomectomy.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of the Quality and Influence of YouTube as a Source of Information on Robotic Myomectomy. Cho, HY., Park, SH.[2023]

A surgical teaching video significantly improved junior residents' knowledge and confidence regarding pelvic anatomy, with knowledge scores increasing from 7.11 to 8.42 out of 10 (p=0.01).

However, the video did not lead to better surgical performance in laparoscopic salpingo-oophorectomy, as measured by OSATS and LSO-specific tool scores, indicating that while videos enhance theoretical understanding, they may not directly improve practical skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of a Surgical Teaching Video on Resident Performance of a Laparoscopic Salpingo-oophorectomy: A Randomized Controlled Trial. Norris, S., Papillon-Smith, J., Gagnon, LH., et al.[2021]

A 6-minute educational video significantly improved laparoscopic suturing skills among 12 surgical candidates, with a 20% reduction in total median time to complete tasks after viewing the video (p = .009).

Specific tasks such as introducing a needle through a trocar, continuous suturing, and extracorporeal knot tying showed notable improvements in performance times, indicating the video's effectiveness in teaching these skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The efficacy of viewing an educational video as a method for the acquisition of basic laparoscopic suturing skills. Akl, MN., Giles, DL., Long, JB., et al.[2008]

WebSurg provided higher quality laparoscopic hysterectomy videos compared to YouTube, as indicated by better LAP-VEGaS scores in areas like patient positioning and intraoperative findings, with a total score of 13 versus YouTube's 10 (p = 0.001).

YouTube videos had a higher view/day ratio (8.8) but a lower like/view ratio (0.006) compared to WebSurg, suggesting that while they are more frequently viewed, they may not be as well-received or educationally valuable.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparison of laparoscopic hysterectomy videos on YouTube and WebSurg platforms in terms of educational reliability and quality. Aktoz, F., Tercan, C., Dagdeviren, E., et al.[2022]

A new low-cost method for recording laparoscopic surgery videos with synchronized audio was successfully tested in 209 cases, demonstrating its feasibility and safety without causing any disruption to the surgical team or procedures.

The study found no significant differences in operating times between surgeries recorded with this method and those without, indicating that the recording process does not negatively impact surgical efficiency.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Novel Method for Real-Time Audio Recording With Intraoperative Video. Sugamoto, Y., Hamamoto, Y., Kimura, M., et al.[2015]

A systematic review of 20 studies found that using surgical videos in training significantly improved resident knowledge (100% improvement), operative performance (81.3% improvement), and participant satisfaction (100% improvement) compared to non-video training.

To enhance surgical education, it is recommended that training programs incorporate schematics, use audio, and supplement videos with other educational tools, while encouraging both preoperative and postoperative video reviews for residents.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Utilization of Video Technology in Surgical Education: A Systematic Review. Green, JL., Suresh, V., Bittar, P., et al.[2019]

A systematic search identified 182 laparoscopic right hemicolectomy videos across 31 websites, showing a significant increase in video availability since 2009, which could enhance training for surgical trainees.

Despite the abundance of videos, only a small percentage provided critical safety data, such as operating time and 30-day morbidity, highlighting the need for better regulation and standardization in educational content for surgical training.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Training value of laparoscopic colorectal videos on the World Wide Web: a pilot study on the educational quality of laparoscopic right hemicolectomy videos. Celentano, V., Browning, M., Hitchins, C., et al.[2018]

A study involving 40 medical students found that using a low-cost simulated pelvic model for kinesthetic learning significantly reduced unnecessary movements during laparoscopic hysterectomy maneuvers, especially among first-year students.

While kinesthetic practice improved perceived preparedness for the procedure, the interactive video module alone was sufficient for learning the necessary skills, indicating that hands-on practice may be more beneficial for novice learners.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Interactive video module and simulated model for uterine manipulation during laparoscopic hysterectomy. Shafa, A., Cope, AG., Burnett, TL., et al.[2023]

The use of an interactive computer-based Laparoscopic Hysterectomy Trainer significantly improved the cognitive knowledge of laparoscopic hysterectomy among PGY 1 and 2 gynecology residents, with posttest scores showing a significant increase compared to the control group (p < 0.001).

In a multicenter study involving 128 residents, the intervention group scored an average of 343 on the posttest, while the control group scored 297, demonstrating the efficacy of the training tool in enhancing surgical knowledge.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Randomized Multicenter Study Assessing the Educational Impact of a Computerized Interactive Hysterectomy Trainer on Gynecology Residents. Lichtman, AS., Parker, W., Goff, B., et al.[2019]

Self-guided learning through video-based self-assessment significantly improved surgical skills in laparoscopic hysterectomy for gynecology residents, as evidenced by higher OSATS scores in the self-assessment group compared to the control group after multiple practice sessions.

The study involved 24 gynecology residents who performed simulated laparoscopic hysterectomies, showing that structured self-assessment can be more effective than simply watching expert demonstrations in enhancing procedural skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Video-based self-assessment enhances laparoscopic skills on a virtual reality simulator: a randomized controlled trial. Netter, A., Schmitt, A., Agostini, A., et al.[2022]

References

1. England pubmed.ncbi.nlm.nih.gov

Evaluation of YouTube laparoscopic hysterectomy videos as educational materials during the COVID-19 era using the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) and LAP-VEGaS video assessment tool. [2022]

2. Switzerland pubmed.ncbi.nlm.nih.gov

Evaluation of the Quality and Influence of YouTube as a Source of Information on Robotic Myomectomy. [2023]

3. United States pubmed.ncbi.nlm.nih.gov

Effect of a Surgical Teaching Video on Resident Performance of a Laparoscopic Salpingo-oophorectomy: A Randomized Controlled Trial. [2021]

4. United States pubmed.ncbi.nlm.nih.gov

The efficacy of viewing an educational video as a method for the acquisition of basic laparoscopic suturing skills. [2008]

5. France pubmed.ncbi.nlm.nih.gov

Comparison of laparoscopic hysterectomy videos on YouTube and WebSurg platforms in terms of educational reliability and quality. [2022]

6. United States pubmed.ncbi.nlm.nih.gov

A Novel Method for Real-Time Audio Recording With Intraoperative Video. [2015]

7. United States pubmed.ncbi.nlm.nih.gov

The Utilization of Video Technology in Surgical Education: A Systematic Review. [2019]

8. Germany pubmed.ncbi.nlm.nih.gov

Training value of laparoscopic colorectal videos on the World Wide Web: a pilot study on the educational quality of laparoscopic right hemicolectomy videos. [2018]

9. Germany pubmed.ncbi.nlm.nih.gov

Interactive video module and simulated model for uterine manipulation during laparoscopic hysterectomy. [2023]

10. United States pubmed.ncbi.nlm.nih.gov

A Randomized Multicenter Study Assessing the Educational Impact of a Computerized Interactive Hysterectomy Trainer on Gynecology Residents. [2019]

11. Germany pubmed.ncbi.nlm.nih.gov

Video-based self-assessment enhances laparoscopic skills on a virtual reality simulator: a randomized controlled trial. [2022]