Home made, affordable laparoscopic simulators for self


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Home made, affordable laparoscopic simulators for self

  1. 1. Home made, affordable laparoscopic simulators for self practice
  2. 2. Simulation <ul><li>The replacement of one dangerous activity by the enactment of a similar activity in a nondangerous environment. </li></ul>
  3. 5. Surgical Simulation <ul><li>is to permit the student, resident, or fully trained surgeon to acquire critical skills in a safe environment. </li></ul><ul><li>permits exploration and repeated practice </li></ul><ul><li>allows ‘‘permission to fail’’—the opportunity to learn from one’s mistakes. </li></ul><ul><li>laparoscopic skills learnt with simulators are transferable to operating room. </li></ul>
  4. 6. Commercially available Laparoscopic Simulators <ul><li>Expensive </li></ul><ul><li>Not available for individual use </li></ul><ul><li>Not for practice at home </li></ul>
  5. 7. Alternative? <ul><li>Home made trainer boxes/ simulators </li></ul><ul><li>Easily affordable </li></ul><ul><li>Equally effective as commercially available laparoscopic trainer in improving laparoscopic skills </li></ul>
  6. 8. Crosshouse Hospital, Laparoscopic Trainer Box with HD web cam
  7. 9. P7200 HD Webcam
  8. 10. 2004, ANZ J.Surg “Inexpensive home made laparoscopic trainer and camera ” Morgan R Okorny
  9. 11. 2005, Urology.2005.01.015 “Randomized comparison of standard laparoscopic trainer to novel, at-home, low cost, camera-less laparoscopic trainer” Brent A Sharpe, Department of Urology, Emory University Medical Center, Atlanta, Georgia
  10. 12. 2005, Journal of Urology, Vol. 173, 180–183, “Laparoscopic skills training using webcam trainer” Steve T Chung, Endourology Institute, Cedars-Sinai Medical Center (SYC, CHC, CSN, GJF), Los Angeles, California
  11. 13. 2007, Surg Endosc 21: 1637–1640 “Desktop simulator: key to universal training?” Hanna Bruynzeel Department of Surgery, Erasmus Medical Centre Rotterdam, Rotterdam, Netherlands
  12. 14. 2008, Journal of Minimal Access Surgery Volume 4 Issue 3 “ Simple and cheap home built laparoscopic trainer” Robert Dennis, Department of General Surgery, Luton and Dunstable Hospital
  13. 15. 2009, Journal of Surgical Education Volume 66, Issue 1 “A Novel Home Laparoscopic Simulator” Yahya Al-Abed MD, MRCS   Department of Surgery, Norfolk and Norwich University Hospital, NHS Trust, Norwich, UK
  14. 16. Total cost <ul><li>HD web cam 53 </li></ul><ul><li>Plastic Box 3 </li></ul><ul><li>Fluorescent light 12 </li></ul><ul><li>Total £ 68 </li></ul>
  15. 17. Cheaper version <ul><li>Web cam 25 </li></ul><ul><li>Box 3 </li></ul><ul><li>Light 2 </li></ul><ul><li>Total £ 30 </li></ul>
  16. 18. Surgeon’s knot
  17. 19. Tumbled Square knot-vicryl
  18. 20. Tumbled Square knot-nylon
  19. 21. Conclusion <ul><li>Home made trainer boxes can be a great help in developing laparoscopic skills for most of our trainees. </li></ul><ul><li>Requires some DIY skills. </li></ul><ul><li>But, cutting and fixing things are naturally a second nature to us. </li></ul><ul><li>“ The surgeons are the tailors, the plumbers and the carpenters ” as quoted by famous Canadian surgeon and innovator “Dr Norman Bethune” (1890-1939). </li></ul>