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  1. Book ; Online ; E-Book: Practical simulation in urology

    Biyani, Chandra Shekhar / Van Cleynenbreugel, Ben / Mottrie, Alexandre

    2022  

    Author's details Chandra Shekhar Biyani, Ben Van Cleynenbreugel and Alexandre Mottrie, editors
    Keywords Urology ; Medicine/Computer simulation ; Medical technology
    Subject code 616.6
    Language English
    Size 1 online resource (513 pages)
    Publisher Springer
    Publishing place Cham, Switzerland
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    ISBN 3-030-88789-8 ; 9783030887889 ; 978-3-030-88789-6 ; 303088788X
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Catch Them Young.

    Sharma, Dhananjaya / Biyani, Chandra Shekhar

    World journal of surgery

    2022  Volume 46, Issue 7, Page(s) 1585–1586

    Language English
    Publishing date 2022-04-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-022-06547-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Perioperative outcomes between laparoscopic versus open versus robotic partial nephrectomy: Current Review.

    Wong, Ruby / Patel, Bijendra / Biyani, Chandra Shekhar

    Urologia

    2023  Volume 91, Issue 1, Page(s) 26–32

    Abstract: Background: Surgical treatment of small renal tumours remain gold-standard for individuals who are suitable candidates. Over the last decade, minimally invasive surgery has provided significant advancements within the field of urological surgery. ... ...

    Abstract Background: Surgical treatment of small renal tumours remain gold-standard for individuals who are suitable candidates. Over the last decade, minimally invasive surgery has provided significant advancements within the field of urological surgery. However, there is still a debate on which surgical modality is superior. This study aims to review the current literature on perioperative outcomes between laparoscopic (LPN), open (OPN) and robotic-assisted partial nephrectomy (RPN) using the standardised system, Clavien-Dindo Classification (CDC).
    Methods: A literature search was performed on Cochrane, Embase and PubMed databases. Articles between January 2016 and December 2021 were included. Perioperative outcomes investigated include estimated blood loss (EBL), operating time (OT), conversion rate (CR), warm ischaemia time (WIT), positive surgical margin (PSM) and postoperative complications using CDC. Relevant pieces of literatures were analysed and data were extracted.
    Results: This study included 12 studies, with a total of 3908 patients. (LPN = 1120, OPN = 1206 and RPN = 1580). LPN demonstrated a lower overall EBL (
    Conclusion: Compared with OPN and RPN, LPN demonstrated a lower EBL. All other perioperative outcomes demonstrated similar results between the three treatment modalities. Future large-scale, prospective, randomised studies is necessary to draw a definitive conclusion from this analysis.
    MeSH term(s) Humans ; Robotic Surgical Procedures/methods ; Prospective Studies ; Treatment Outcome ; Kidney Neoplasms/surgery ; Laparoscopy/methods ; Nephrectomy/methods ; Postoperative Complications/surgery ; Margins of Excision ; Retrospective Studies
    Language English
    Publishing date 2023-11-13
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 204043-8
    ISSN 1724-6075 ; 0376-0057 ; 0391-5603
    ISSN (online) 1724-6075
    ISSN 0376-0057 ; 0391-5603
    DOI 10.1177/03915603231211975
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: How to Implement a Simulation-Based Education Programme: Lessons from the UK Urology Simulation Boot Camp.

    Please, Helen / Biyani, Chandra Shekhar

    The Indian journal of surgery

    2021  Volume 84, Issue Suppl 1, Page(s) 18–26

    Abstract: The operative and non-technical skills exposure of urology trainees has reduced due to a number of factors, including the European Working Time Directive, and the COVID-19 pandemic. Simulation-based education (SBE) is an innovative addition to clinical ... ...

    Abstract The operative and non-technical skills exposure of urology trainees has reduced due to a number of factors, including the European Working Time Directive, and the COVID-19 pandemic. Simulation-based education (SBE) is an innovative addition to clinical experience which can begin to address the skills-based learning deficiency in order to help trainees meet their curriculum requirements and optimise the exposure required for a trainee to become a competent general urology consultant. Surgical simulation is an effective training tool but has a complex implementation process, requiring considerable planning tailored to specific educational targets, to ensure it is sustainable and reproducible. Methodology from the field of implementation science offers an invaluable approach to design an effective simulation-based training adjunct, as exemplified by the example of the UK Urology Simulation Boot Camp (USBC), a comprehensive training course which incorporates core technical and non-technical skills based on the current Joint Committee on Surgical Training (JCST) urological training curriculum to equip newly appointed urology trainees to work as competent junior registrars. Delivered annually in Leeds since 2015, the course has had excellent feedback and results in improving the urological knowledge of trainees, as well as increases in trainees' confidence. This paper will provide a summary of how the course was designed, delivered, reproduced, sustained and evaluated. Its success is demonstrated by its incorporation into the UK urology training programme, and since 2018, it is now recommended to all new urology residents in the UK. The course implementation model would be applicable to other surgical specialties.
    Language English
    Publishing date 2021-07-07
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 138063-1
    ISSN 0972-2068 ; 0019-5650
    ISSN 0972-2068 ; 0019-5650
    DOI 10.1007/s12262-021-03016-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: The need for a course to complete urological education for consultant practice using a simulated 'boot camp' structure at the end of specialist training: A survey-based study.

    Pang, Karl H / Jain, Sunjay / Biyani, Chandra Shekhar / Payne, Stephen R

    Scottish medical journal

    2023  Volume 68, Issue 2, Page(s) 49–57

    Abstract: Background and aims: To obtain opinions from urology trainees and consultants regarding the need for, and structure of, a post-specialty training Urology Simulation Boot Camp (USBC) for consultant practice.: Methods and results: A survey-based study ... ...

    Abstract Background and aims: To obtain opinions from urology trainees and consultants regarding the need for, and structure of, a post-specialty training Urology Simulation Boot Camp (USBC) for consultant practice.
    Methods and results: A survey-based study was conducted, and 'Google Forms' were distributed electronically via social media. Urology specialist trainees (ST) in years 5-7 (ST5-ST7), post-certification of completion of training (CCT) fellows and ST3 boot camp faculty consultants in practice for ≤5 years and >5 years were included. One hundred and seven responses were received. 97.2% of responders thought a pre-consultant USBC was worthwhile; 55.1% selected the course duration to be 2 days. 47.7% felt that the USBC should be delivered post-exam in ST7. 91.6%, 43.9%, 73.8%, 87.9% and 74.8% considered that modules in emergency operative procedures, novel uro-technologies, delivering multidisciplinary team (MDT) meetings, non-clinical consultant roles and responsibilities, stress and burnout to be important, respectively. 62.6% and 31.8% felt that the course should be wholly or part-funded by Health Education England (HEE).
    Conclusions: A post-specialty training, pre-consultant, USBC delivered post-exam in ST7, is worthwhile and should include modules on emergency operative procedures, leading MDTs, non-clinical roles and responsibilities and managing stress and burnout in consultant careers. Ideally, it should be fully/part-funded by HEE.
    MeSH term(s) Humans ; Urology ; Consultants ; Curriculum ; Education, Medical ; Clinical Competence
    Language English
    Publishing date 2023-03-21
    Publishing country Scotland
    Document type Journal Article
    ZDB-ID 414085-0
    ISSN 2045-6441 ; 0036-9330
    ISSN (online) 2045-6441
    ISSN 0036-9330
    DOI 10.1177/00369330231163376
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Case of the Month from St James's University Hospital, Leeds, UK: endovascular management of a uretero-iliac artery fistula.

    Khan, Zaheer / Biyani, Chandra Shekhar / Lenton, James

    BJU international

    2021  Volume 128, Issue 6, Page(s) 678–680

    MeSH term(s) Aged, 80 and over ; Computed Tomography Angiography ; Endovascular Procedures ; Hematuria/etiology ; Humans ; Iliac Artery/surgery ; Male ; Stents/adverse effects ; Ureteral Diseases/etiology ; Ureteral Diseases/surgery ; Urinary Fistula/etiology ; Urinary Fistula/surgery ; Vascular Fistula/etiology ; Vascular Fistula/surgery
    Language English
    Publishing date 2021-12-02
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1462191-5
    ISSN 1464-410X ; 1464-4096 ; 1358-8672
    ISSN (online) 1464-410X
    ISSN 1464-4096 ; 1358-8672
    DOI 10.1111/bju.15529
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: The Royal College of Physicians and Surgeons of Glasgow: a Global Commitment to Surgical Education.

    Bhatt, Jaimin / Biyani, Chandra Shekhar / Rane, Abhay / McKirdy, Michael

    The Indian journal of surgery

    2022  Volume 84, Issue Suppl 1, Page(s) 326–328

    Abstract: The Royal College of Physicians and Surgeons of Glasgow is a community of health professionals working together to develop and improve patient care. The College is dedicated to supporting its members through education, training and continuing ... ...

    Abstract The Royal College of Physicians and Surgeons of Glasgow is a community of health professionals working together to develop and improve patient care. The College is dedicated to supporting its members through education, training and continuing professional development. Furthermore, the College is committed to good global citizenship and has supported Fellows, Members and staff in their volunteering efforts.
    Language English
    Publishing date 2022-01-24
    Publishing country India
    Document type Journal Article
    ZDB-ID 138063-1
    ISSN 0972-2068 ; 0019-5650
    ISSN 0972-2068 ; 0019-5650
    DOI 10.1007/s12262-022-03293-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: The utility of urological clinical and simulation training for Sub-Saharan Africa.

    Moore, Madeline / Mabedi, Charles / Phull, Manraj / Payne, Stephen R / Biyani, Chandra Shekhar

    BJU international

    2022  Volume 129, Issue 5, Page(s) 563–571

    MeSH term(s) Africa South of the Sahara ; Clinical Competence ; Humans ; Simulation Training ; Urology/education
    Language English
    Publishing date 2022-03-25
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 1462191-5
    ISSN 1464-410X ; 1464-4096 ; 1358-8672
    ISSN (online) 1464-410X
    ISSN 1464-4096 ; 1358-8672
    DOI 10.1111/bju.15731
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Design, Development, and Validation of a First, Low-cost, Three-dimensional (3D) Printed Optical Urethrotomy Simulation Model.

    Biyani, Chandra Shekhar / Kailavasan, Mithun / Sparborth, Thomas / Kozan, Andrei A / Hanchanale, Vishwanath / Elmamoun, Mamoun Hamid / Rajpal, Sanjay / Oliveira, Tiago / Cleynenbreugel, Ben Van

    Urology

    2024  

    Abstract: Objective: To develop and validate a low-cost, portable, and reusable simulation model for optical internal urethrotomy (OIU) training.: Methods: A 3D-printed low-cost simulation model for OIU was designed locally and the final model was evaluated by ...

    Abstract Objective: To develop and validate a low-cost, portable, and reusable simulation model for optical internal urethrotomy (OIU) training.
    Methods: A 3D-printed low-cost simulation model for OIU was designed locally and the final model was evaluated by trainees and trainers at the urology boot camps (UK, Belgium, Portugal, Poland). Participants were asked to complete a questionnaire, using a 6-item 5-point Likert Scale, to assess the model's anatomic realism.
    Results: A total of 27 trainees and 9 trainers evaluated the model. The model's anatomy and color were rated as the most realistic features, with 88.9% and 11.1% of respondents rating them as good and excellent, respectively. There were no significant differences between consultants and trainees in their assessment of any of the simulation properties of the OIU model.
    Conclusion: Our study introduces an innovative, lifelike, and cost-effective simulation model for OIU training. Our model provides a realistic simulation of OIU. We feel that our low-cost and reusable model fills the gap in simulation-based training for young trainees in urology.
    Language English
    Publishing date 2024-03-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2024.03.022
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Peri- and post-operative outcomes, complications, and functional results amongst different modifications of endoscopic enucleation of the prostate (EEP): a systematic review and meta-analysis.

    Ortner, Gernot / Pang, Karl H / Yuan, Yuhong / Herrmann, Thomas R W / Biyani, Chandra Shekhar / Tokas, Theodoros

    World journal of urology

    2023  Volume 41, Issue 4, Page(s) 969–980

    Abstract: Purpose: To investigate and assess outcomes, complications, and functional results amongst different modifications of endoscopic enucleation of the prostate (EEP).: Methods: We conducted a systematic review and meta-analysis according to the PRISMA ... ...

    Abstract Purpose: To investigate and assess outcomes, complications, and functional results amongst different modifications of endoscopic enucleation of the prostate (EEP).
    Methods: We conducted a systematic review and meta-analysis according to the PRISMA checklist. We searched the Medline, Cochrane, and Embase databases. We included only randomised-controlled trials (RCT) comparing modifications of EEPs and assessed the risk of bias (RoB).
    Results: Seven RCTs were included in the study. Overall, 1266 patients were treated with Holmium laser enucleation of the prostate (HoLEP) and 80 patients with thulium laser vapo-enucleation of the prostate (ThuVEP). The operative time during pulse shape-modified HoLEP was shorter when compared to standard pulse HoLEP (MD 18.08 min, 95% CI 8.11-28.05 min, p = 0.0004). The decrease in haemoglobin was significantly lower for two-lobe HoLEP when compared to three-lobe HoLEP (MD 0.16 g/dl, 95% CI 0.22-0.1 g/dl, p < 0.00001). Virtual Basket (VB) HoLEP showed a smaller haemoglobin decrease when compared to standard pulse HoLEP (1.12 ± 1.78 vs. 2.54 ± 1.23 g/dl, p = 0.03). When directly comparing one- vs. two- vs. three-lobe HoLEP, surgical time (p < 0.001) and enucleation efficiency (p = 0.006) were significantly different and favouring one- and two-lobe HoLEP in the study with the largest patient population included. No significant differences for complications were observed; however, Clavien-Dindo IVa events were reported for two patients.
    Conclusion: All variations of EEP improve symptoms and functional parameters with a low incidence of high-grade complications. One- and two-lobe approaches and pulse shape-modified HoLEP seem to be beneficial in terms of operative time and blood loss.
    MeSH term(s) Male ; Humans ; Prostate/surgery ; Prostatic Hyperplasia/therapy ; Treatment Outcome ; Lasers, Solid-State/therapeutic use ; Endoscopy/methods ; Transurethral Resection of Prostate/adverse effects ; Laser Therapy/methods ; Holmium
    Chemical Substances Holmium (W1XX32SQN1)
    Language English
    Publishing date 2023-02-08
    Publishing country Germany
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 380333-8
    ISSN 1433-8726 ; 0724-4983
    ISSN (online) 1433-8726
    ISSN 0724-4983
    DOI 10.1007/s00345-023-04308-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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