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Home made, affordable laparoscopic simulators for self

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  • 1. Home made, affordable laparoscopic simulators for self practice
  • 2. Simulation
    • The replacement of one dangerous activity by the enactment of a similar activity in a nondangerous environment.
  • 3.  
  • 4.  
  • 5. Surgical Simulation
    • is to permit the student, resident, or fully trained surgeon to acquire critical skills in a safe environment.
    • permits exploration and repeated practice
    • allows ‘‘permission to fail’’—the opportunity to learn from one’s mistakes.
    • laparoscopic skills learnt with simulators are transferable to operating room.
  • 6. Commercially available Laparoscopic Simulators
    • Expensive
    • Not available for individual use
    • Not for practice at home
  • 7. Alternative?
    • Home made trainer boxes/ simulators
    • Easily affordable
    • Equally effective as commercially available laparoscopic trainer in improving laparoscopic skills
  • 8. Crosshouse Hospital, Laparoscopic Trainer Box with HD web cam
  • 9. P7200 HD Webcam
  • 10. 2004, ANZ J.Surg “Inexpensive home made laparoscopic trainer and camera ” Morgan R Okorny
  • 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
  • 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
  • 13. 2007, Surg Endosc 21: 1637–1640 “Desktop simulator: key to universal training?” Hanna Bruynzeel Department of Surgery, Erasmus Medical Centre Rotterdam, Rotterdam, Netherlands
  • 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
  • 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
  • 16. Total cost
    • HD web cam 53
    • Plastic Box 3
    • Fluorescent light 12
    • Total £ 68
  • 17. Cheaper version
    • Web cam 25
    • Box 3
    • Light 2
    • Total £ 30
  • 18. Surgeon’s knot
  • 19. Tumbled Square knot-vicryl
  • 20. Tumbled Square knot-nylon
  • 21. Conclusion
    • Home made trainer boxes can be a great help in developing laparoscopic skills for most of our trainees.
    • Requires some DIY skills.
    • But, cutting and fixing things are naturally a second nature to us.
    • “ The surgeons are the tailors, the plumbers and the carpenters ” as quoted by famous Canadian surgeon and innovator “Dr Norman Bethune” (1890-1939).