Krishna Moorthy

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BACKGROUND Surgery has become an integral part of global health care, with an estimated 234 million operations performed yearly. Surgical complications are common and often preventable. We hypothesized that a program to implement a 19-item surgical safety checklist designed to improve team communication and consistency of care would reduce complications and(More)
BACKGROUND The introduction of laparoscopic techniques to general surgery was associated with many unnecessary complications, which led to the development of skills laboratories to train novice laparoscopic surgeons. This article reviews the tools currently available for training and assessment in laparoscopic surgery. METHODS Medline searches were(More)
Background: Virtual reality (VR) simulators now have the potential to replace traditional methods of laparoscopic training. The aim of this study was to compare the VR simulator with the classical box trainer and determine whether one has advantages over the other. Methods: Twenty four novices were tested to determine their baseline laparoscopic skills and(More)
Open esophagectomy for cancer is a major oncological procedure, associated with significant morbidity and mortality. Recently, thoracoscopic procedures have offered a potentially advantageous alternative because of less operative trauma compared with thoracotomy. The aim of this study was to utilize meta-analysis to compare outcomes of open esophagectomy(More)
Robotic telemanipulation systems provide solutions to the problems of less dexterity and visual constraints of minimally invasive surgery (MIS). However, their influence over surgeons’ dexterity and learning curve needs to be assessed. We present motion analysis as an objective method to measure performance and learning progress. Thirteen surgeons completed(More)
OBJECTIVE To identify the information transfer and communication problems in postoperative handover and to develop and validate a novel protocol for standardizing this communication. BACKGROUND Effective clinical handover ensures continuity of patient care. Patient handovers within surgical units are largely informal. A thorough understanding of the(More)
OBJECTIVE This approach provides the basis of our research program, which aims to expand operative assessment beyond patient factors and the technical skills of the surgeon; to extend assessment of surgical skills beyond bench models to the operating theater; to provide a basis for assessing interventions; and to provide a deeper understanding of surgical(More)
BACKGROUND Noise in operating rooms has been found to be much higher than the recommended level of 45 dB. The aim of this study was to objectively evaluate the effect of noise and music on the performance of a complex surgical task. METHODS Twelve surgeons with varying experience in laparoscopic suturing undertook 3 sutures in a laparoscopic trainer under(More)