Influence of simulation on the skills of general surgery residents for performing of intestinal anastomoses

Abstract

Introduction: Medical simulation is one that seeks to reproduce reality in a safe environment and that aims to acquire or improve skills through the training of basic and complex skills. Our objective was to evaluate the influence of simulation on the skills of General Surgery residents to perform intestinal anastomoses, in the period between May 2024 - October 2024 at the La Trinidad Teaching Medical Center. Methods: A prospective, observational, correlational and analytical study was carried out, with a sample of 22 residents, who participated in 4 phases of the study, including a workshop on intestinal anastomosis, and simulation phases. The OSATS scale and the Szabo - Berczi - Sackier scale were applied to them. Results: An improvement in the score of the scales was evident after receiving the workshop and performing the simulation. As we can see below OSATS phase 1 (pre-workshop) 6-10 points 45%, OSATS phase 4 (post-workshop) 21-25 points 72%, with respect to the Szabo – Berczi – Sackier scale phase 1 (pre-workshop) 18-27 points, phase 4 (post-workshop) 28-35 points, anastomotic dehiscence phase 1 (pre-workshop) 82% and phase 4 (post-workshop) 18%, the same with a significance level less than 0.05 and a p value less than 0.00001. Conclusion: We highlight the importance of training through simulation in postgraduate General Surgery courses, to improve the surgical skills of residents.