Evaluation of a novel low-cost laparoscopic training model for core laparoscopic skills

Abstract Aims The high cost of laparoscopic training kits is a major barrier for trainees of any level to learn basic laparoscopic skills. Research shows that consistent practice is more effective than intensive training sessions, therefore having access to an at-home training kit provides surgical trainees optimised learning opportunities. During the current pandemic when access to hospital training centres is limited, at-home training kits have become an increasingly vital component of surgical education. Methods A scoping review of current laparoscopic training kits was conducted and based on the results, medical students designed and built ultra low-cost laparoscopic graspers and training kits. Results The laparoscopic training kits were reviewed and approved by a surgical consultant and senior surgical registrars and are currently being trialled in a virtual training course at a tertiary care centre. Each kit cost £10 and was created using commonly available materials. Conclusions The ultra low-cost laparoscopic training kits were successfully created and remain one of the most cost-effective to date. These training kits provide a cost-effective solution for providing trainees with the opportunity for extended practice of basic laparoscopic skills, further improving surgical education worldwide.

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Development of a laparoscopic training model using a smartphone

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-69912017005008 ◽

2017 ◽

Vol 44 (5) ◽

pp. 471-475 ◽

Cited By ~ 5

Author(s):

André Takashi Oti ◽

Lucas Nascimento Galvão ◽

Thyago Cezar Prado Pessoa ◽

Camylla Rodrigues de Oliveira Rocha ◽

Andrew Moraes Monteiro ◽

...

Keyword(s):

Training Program ◽

Undergraduate Students ◽

Low Cost ◽

Training Model ◽

Laparoscopic Training ◽

The Times ◽

Previous Training

ABSTRACT Objective: to develop a model of training in video-surgery, of low cost and that uses a smartphone as an image-generating source. Methods: We developed a 38cm high, 40cm wide, 40cm long hexagonal-shaped training box, with a front opening of 12x8 cm for coupling the smartphone. The internal illumination is made with LED lamps and for the support of the smartphone, we used a selfie stick, fixed in the upper part of the box, that allows control of height, distance, angulation, and the coupling of devices with different formats. We selected 20 undergraduate students without previous training in video-surgery, who performed four exercises in the box, with assessment of the time and amount of errors in the execution of the tasks. Each student completed the training for three consecutive weeks. We collected the data in spreadsheets for later analysis. Results: Nineteen students completed the training program, with significant improvement in the times and in the number of errors. Conclusion: the developed model was feasible and promoted the acquisition of skills in this group of students. In addition, it presents low cost, is portable and uses common equipment, such as smartphones.

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Effectiveness of Low Cost Laparoscopic Training Box to Increase Laparoscopic Skills in Urology Training Center Universitas Padjadjaran/Hasan Sadikin General Hospital

OALib ◽

10.4236/oalib.1103412 ◽

2017 ◽

Vol 04 (03) ◽

pp. 1-8

Author(s):

Aaron Tigor Sihombing ◽

Jupiter Sibarani ◽

Sudigdo Adi

Keyword(s):

General Hospital ◽

Low Cost ◽

Laparoscopic Training ◽

Training Center ◽

Laparoscopic Skills

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A Validated Low-cost Training Model for Suprapubic Catheter Insertion

Urology ◽

10.1016/j.urology.2014.08.024 ◽

2015 ◽

Vol 85 (1) ◽

pp. 23-26 ◽

Cited By ~ 10

Author(s):

Ashima Singal ◽

Amy Halverson ◽

Deborah M. Rooney ◽

Lauren M. Davis ◽

Stephanie J. Kielb

Keyword(s):

Low Cost ◽

Training Model ◽

Catheter Insertion ◽

Suprapubic Catheter

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Emergency surgical obstetrics simulation training: an ex vivo low-cost model using bovine uterus and porcine bladder for haemostatic uterine brace suture techniques

BMJ Simulation and Technology Enhanced Learning ◽

10.1136/bmjstel-2019-000551 ◽

2020 ◽

Vol 7 (1) ◽

pp. 26-30 ◽

Cited By ~ 1

Author(s):

Amy Sinclair ◽

Mohamed Sayed Allam ◽

Evelyn Jean Ferguson ◽

Mohamed Khairy Mehasseb

Keyword(s):

Postpartum Haemorrhage ◽

Ex Vivo ◽

Cost Model ◽

Low Cost ◽

Broad Ligament ◽

Training Model ◽

Mortality And Morbidity ◽

Emergency Situations ◽

Healthcare Settings

Postpartum haemorrhage remains a leading cause of maternal mortality and morbidity. While conventional obstetrics training curricula describe at length the management of postpartum haemorrhage, obstetrics trainees rarely have exposure to surgical management of postpartum haemorrhage in emergency situations due to reduced hours of training. Procedures such as the transverse or longitudinal haemostatic uterine brace sutures are recognised to be safe, simple and allow for the preservation of the uterus. Training during emergency situations is rarely practical or ideal. We describe a simple model that simulates the atonic postnatal uterus and allows trainees to practise the safe placement of the brace sutures. We use a bovine uterus model with attached broad ligament, bladder and ureters for the transverse haemostatic suture. For the longitudinal brace suture, we use a porcine bladder to simulate the uterus, with the ureters and bladder mesentery simulating the tubes and broad ligaments. The placement of the sutures can be practised with the uterus/bladder closed, or open akin to a caesarean section. Tissue dissection and feedback is almost similar to in vivo conditions. The sutures are inserted and driven using the material and correct placement used during real surgery. Our wet lab training model allows the acquisition, maintenance and enhancement of the required technical skills in a controlled environment, using inexpensive, reproducible and widely available specimens. The model has proved successful in both high and low-resource healthcare settings.

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Laparoscopic Skills Simulator

International Journal of Privacy and Health Information Management ◽

10.4018/ijphim.2015010103 ◽

2015 ◽

Vol 3 (1) ◽

pp. 42-60

Author(s):

M. Sguanci ◽

F. Mandolfino ◽

M. Casaccia ◽

M. Gaudina ◽

E. Bellanti ◽

...

Keyword(s):

Virtual Reality ◽

Low Cost ◽

Second Phase ◽

Evidence Based ◽

Training Task ◽

Laparoscopic Skills ◽

Clinical Indicators ◽

Virtual Interface ◽

Learning Time ◽

Training Exercises

The aim of this study is to investigate the importance of acquiring basic and advanced laparoscopic skills using a virtual reality low cost simulator in laparoscopic surgery. The authors have considered six basic and five advanced skills. The training exercises are related to the acquisition of tasks which allow students to reach basic gestures competences. In the second phase the students will perform complex drills to acquire a correct gesture. The authors have developed a standardized, graduated and evidence-based training course. A software able to handle the training task has been created through a virtual interface based on the concept “student - exercise – evaluation”. The results are expected because data analysis will be possible only after a period of simulator testing on different samples of students. Referring to the experience reported by other authors, they expect significant results in terms of: reduction of learning time, better dexterity, ability to recognize and correct procedural errors, positive economic impact in term of better patients outcome, analyzed by codified clinical indicators.

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A realistic, durable, and low-cost training model for percutaneous renal access using ballistic gelatin

Türk Üroloji Dergisi/Turkish Journal of Urology ◽

10.5152/tud.2018.43569 ◽

2019 ◽

Vol 45 (1) ◽

pp. 31-36

Author(s):

Jonathan Mark Ewald ◽

◽

Julie Won-ching Cheng ◽

Shawn Michael Engelhart ◽

Michael Chevalier Wilkinson ◽

...

Keyword(s):

Low Cost ◽

Training Model ◽

Ballistic Gelatin ◽

Percutaneous Renal Access

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Development and Validation of a Homemade, Low-Cost Laparoscopic Simulator for Resident Surgeons (LABOT)

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17010323 ◽

2020 ◽

Vol 17 (1) ◽

pp. 323 ◽

Cited By ~ 4

Author(s):

Domenico Soriero ◽

Giulia Atzori ◽

Fabio Barra ◽

Davide Pertile ◽

Andrea Massobrio ◽

...

Keyword(s):

Surgical Training ◽

Execution Time ◽

Low Cost ◽

Technical Skills ◽

Training Simulator ◽

Rating Score ◽

Laparoscopic Skills ◽

Laparoscopic Simulator ◽

Development And Validation

Several studies have demonstrated that training with a laparoscopic simulator improves laparoscopic technical skills. We describe how to build a homemade, low-cost laparoscopic training simulator (LABOT) and its validation as a training instrument. First, sixty surgeons filled out a survey characterized by 12 closed-answer questions about realism, ergonomics, and usefulness for surgical training (global scores ranged from 1—very insufficient to 5—very good). The results of the questionnaires showed a mean (±SD) rating score of 4.18 ± 0.65 for all users. Then, 15 students (group S) and 15 residents (group R) completed 3 different tasks (T1, T2, T3), which were repeated twice to evaluate the execution time and the number of users’ procedural errors. For T1, the R group had a lower mean execution time and a lower rate of procedural errors than the S group; for T2, the R and S groups had a similar mean execution time, but the R group had a lower rate of errors; and for T3, the R and S groups had a similar mean execution time and rate of errors. On a second attempt, all the participants tended to improve their results in doing these surgical tasks; nevertheless, after subgroup analysis of the T1 results, the S group had a better improvement of both parameters. Our laparoscopic simulator is simple to build, low-cost, easy to use, and seems to be a suitable resource for improving laparoscopic skills. In the future, further studies should evaluate the potential of this laparoscopic box on long-term surgical training with more complex tasks and simulation attempts.

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