{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T13:40:00Z","timestamp":1793367600918,"version":"4.5.0"},"reference-count":29,"publisher":"American Veterinary Medical Association (AVMA)","issue":"11","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ajvr"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"sc_a1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare 2 intracorporeal suturing techniques among surgical residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sc_a2\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Surgical residents at an academic teaching hospital were invited to participate. All participants completed 2 intracorporeal suturing trials in a laparoscopic trainer using either endoscopic needle drivers (END) or an automated endoscopic suturing device (ESD), with 14 days between trials. A standardized, descriptive video of each intracorporeal suturing technique was provided 7 days before the respective trial. Time to perform suturing was recorded, and participants completed a National Aeronautics and Space Administration Task Load Index (NASA-TLX) questionnaire following each trial. Suture lines were subjectively blindly scored using a standardized questionnaire by 3 surgeons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sc_a3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      10 surgical residents across 4 years of training were enrolled. Mean time to complete the suturing trial was 5.72 \u00b1 1.49 minutes for END and 6.00 \u00b12.14 minutes for ESD (\n                      <jats:italic>P<\/jats:italic>\n                      = .76). The mean NASA-TLX score was 44.60 \u00b1 19.02 for END and 44.33 \u00b1 22.22 for ESD (\n                      <jats:italic>P<\/jats:italic>\n                      = .83). Median suture evaluation score was 11 (IQR, 8 to 11) for END and 11 (IQR, 9 to 11) for ESD (\n                      <jats:italic>P<\/jats:italic>\n                      = .13). Mean time to perform suturing was significantly different across years of training in residency for both ESD and END (\n                      <jats:italic>P<\/jats:italic>\n                      = .006).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sc_a4\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this ex vivo model, an automated ESD provided no benefit for ease of performing intracorporeal suturing among surgical residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sc_a5\">\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>Surgical residents can perform intracorporeal suturing with knotless barbed suture using either ESD or END. Further evaluation of the learning curve of each instrument for novice surgeons is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2460\/ajvr.26.04.0173","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:17:21Z","timestamp":1784553441000},"source":"Crossref","is-referenced-by-count":0,"title":["Use of an automated endoscopic suturing device does not improve mental workload or time of intracorporeal suturing among surgical residents"],"prefix":"10.2460","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4202-8701","authenticated-orcid":true,"given":"Francesca P.","family":"Solari","sequence":"first","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel W.","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Brad","family":"Case","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Ham","sequence":"additional","affiliation":[{"name":"Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James C.","family":"Colee","sequence":"additional","affiliation":[{"name":"Institute of Farm and Agricultural Sciences, Statistics Consulting Unit, University of Florida, Gainesville, FL"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"7","key":"B1","series-title":"Vet Surg","first-page":"811","article-title":"The effect of laparoscopic versus open ovariectomy on postsurgical activity in small dogs","volume":"38","author":"Culp WTN","year":"2009","unstructured":"Culp WTN, Mayhew PD, Brown DC. 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