Home made, affordable laparoscopic simulators for selfPresentation Transcript
Home made, affordable laparoscopic simulators for self practice
The replacement of one dangerous activity by the enactment of a similar activity in a nondangerous environment.
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
Not available for individual use
Not for practice at home
Home made trainer boxes/ simulators
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
HD web cam 53
Plastic Box 3
Fluorescent light 12
Total £ 68
Web cam 25
Total £ 30
Tumbled Square knot-vicryl
Tumbled Square knot-nylon
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).