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Nerve Spare

Video 1

If you are a human and are seeing this field, please leave it blank.

Please rate this robotic surgery video for technical skill:

Depth Perception

1 - Constantly overshoots target, wide swings, slow to correct
2
3 - Some overshooting or missing of target, but quick to correct
4
5 - Accurately directs instruments in the correct plane to target

Bimanual Dexterity

1 - Uses only one hand, ignores nondominant hand, poor coordination
2
3 - Uses both hands, but does not optimize interaction between hands
4
5 - Expertly uses both hands in a complementary way to provide best exposure

Efficiency

1 - Inefficient efforts; many uncertain movements; constantly changing focus or persisting without progress
2
3 - Slow, but planned movements are reasonably organized
4
5 - Confident, efficient and safe conduct, maintains focus on task, fluid progression

Force Sensitivity

1 - Rough moves, tears tissue, injures nearby structures, poor control, frequent suture breakage
2
3 - Handles tissues reasonably well, minor trauma to adjacent tissue, rare suture breakage
4
5 - Applies appropriate tension, negligible injury to adjacent structures, no suture breakage

Robotic Control

1 - Consistently does not optimize view, hand position, or repeated collisions even with guidance
2
3 - View is sometimes not optimal. Occasionally needs to relocate arms. Occasional collisions and obstruction of assistant
4
5 - Controls camera and hand position optimally and independently. Minimal collisions or obstruction of assistant

Overall GEARS Score 0

Neuro-vascular Bundle Preservation

1 - Entry into the Prostate. Inappropriate Use of Cautery. Damange to the Main Trunk of the NVB
2
3 - Excessive Traction on/around NVB. Poor Set up/Visualization of Operative Field. Excessive Bleeding
4
5 - Balanced Hemostasis with Proper Dissection up to and beyond the Apex of Prostate and Urethra. Appropriate Use of Cautery

Overall PACE Score 0

Answer Key

At a previous round of peer review within MUSIC this video had a mean GEARS score of 23.3 and the respective PACE score was 4.2.

Video 2

If you are a human and are seeing this field, please leave it blank.

Please rate this robotic surgery video for technical skill:

Depth Perception

1 - Constantly overshoots target, wide swings, slow to correct
2
3 - Some overshooting or missing of target, but quick to correct
4
5 - Accurately directs instruments in the correct plane to target

Bimanual Dexterity

1 - Uses only one hand, ignores nondominant hand, poor coordination
2
3 - Uses both hands, but does not optimize interaction between hands
4
5 - Expertly uses both hands in a complementary way to provide best exposure

Efficiency

1 - Inefficient efforts; many uncertain movements; constantly changing focus or persisting without progress
2
3 - Slow, but planned movements are reasonably organized
4
5 - Confident, efficient and safe conduct, maintains focus on task, fluid progression

Force Sensitivity

1 - Rough moves, tears tissue, injures nearby structures, poor control, frequent suture breakage
2
3 - Handles tissues reasonably well, minor trauma to adjacent tissue, rare suture breakage
4
5 - Applies appropriate tension, negligible injury to adjacent structures, no suture breakage

Robotic Control

1 - Consistently does not optimize view, hand position, or repeated collisions even with guidance
2
3 - View is sometimes not optimal. Occasionally needs to relocate arms. Occasional collisions and obstruction of assistant
4
5 - Controls camera and hand position optimally and independently. Minimal collisions or obstruction of assistant

Overall GEARS Score 0

Neuro-vascular Bundle Preservation

1 - Entry into the Prostate. Inappropriate Use of Cautery. Damange to the Main Trunk of the NVB
2
3 - Excessive Traction on/around NVB. Poor Set up/Visualization of Operative Field. Excessive Bleeding
4
5 - Balanced Hemostasis with Proper Dissection up to and beyond the Apex of Prostate and Urethra. Appropriate Use of Cautery

Overall PACE Score 0

Answer Key

At a previous round of peer review within MUSIC this video had a mean GEARS score of 18.8 and the respective PACE score was 2.8.

Mission

The mission of MUSIC is to make Michigan #1 in urologic care.

Contact Us

2800 Plymouth Road Building 16, 1st floor
Ann Arbor, MI 48109
musicurology@umich.edu
855.456.2035

BCBSM Disclaimer

Although Blue Cross Blue Shield of Michigan and MUSIC work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.

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