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Home made, affordable laparoscopic simulators for self

Home made, affordable laparoscopic simulators for self






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    Home made, affordable laparoscopic simulators for self Home made, affordable laparoscopic simulators for self Presentation Transcript

    • Home made, affordable laparoscopic simulators for self practice
    • Simulation
      • The replacement of one dangerous activity by the enactment of a similar activity in a nondangerous environment.
    • 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.
    • Commercially available Laparoscopic Simulators
      • Expensive
      • Not available for individual use
      • Not for practice at home
    • Alternative?
      • Home made trainer boxes/ simulators
      • Easily affordable
      • Equally effective as commercially available laparoscopic trainer in improving laparoscopic skills
    • Crosshouse Hospital, Laparoscopic Trainer Box with HD web cam
    • P7200 HD Webcam
    • 2004, ANZ J.Surg “Inexpensive home made laparoscopic trainer and camera ” Morgan R Okorny
    • 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
    • 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
    • 2007, Surg Endosc 21: 1637–1640 “Desktop simulator: key to universal training?” Hanna Bruynzeel Department of Surgery, Erasmus Medical Centre Rotterdam, Rotterdam, Netherlands
    • 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
    • 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
    • Total cost
      • HD web cam 53
      • Plastic Box 3
      • Fluorescent light 12
      • Total £ 68
    • Cheaper version
      • Web cam 25
      • Box 3
      • Light 2
      • Total £ 30
    • Surgeon’s knot
    • Tumbled Square knot-vicryl
    • Tumbled Square knot-nylon
    • 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).