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Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?

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Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?

Auteurs : Sanne M. B. I. Botden [Pays-Bas] ; Lorna Christie [Royaume-Uni] ; Richard Goossens [Pays-Bas] ; Jack J. Jakimowicz [Pays-Bas]

Source :

Surgical endoscopy [ 0930-2794 ] ; 2010.

RBID : Pascal:11-0108607

Descripteurs français

Pascal (Inist)
- Intervention Nissen, Laparoscopie, Conception, Animal, Chirurgie endoscopique, Traitement.

English descriptors

KwdEn :
- Animal, Artificial Organs, Design, Endoscopic surgery, Fundoplication (education), Fundoplication (methods), Laparoscopy, Laparoscopy (education), Nissen operation, Treatment.
MESH :
- education : Fundoplication, Laparoscopy.
- methods : Fundoplication.
- Artificial Organs.

Abstract

Background To bridge the early learning curve for laparoscopic Nissen fundoplication from the clinical setting to a safe environment, training models can be used. This study aimed to develop a reusable, low-cost model to be used for training in laparoscopic Nissen fundoplication procedure as an alternative to the use of animal tissue models. Methods From artificial organs and tissue, an anatomic model of the human upper abdomen was developed for training in performing laparoscopic Nissen fundoplication. The 20 participants and tutors in the European Association for Endoscopic Surgery (EAES) upper gastrointestinal surgery course completed four complementary tasks of laparoscopic Nissen fundoplication with the artificial model, then compared the realism, haptic feedback, and training properties of the model with those of animal tissue models. Results The main difference between the two training models was seen in the properties of the stomach. The wrapping of the stomach in the artificial model was rated significantly lower than that in the animal tissue model (mean, 3.6 vs. 4.2; p = 0.010). The main criticism of the stomach of the artificial model was that it was too rigid for making a proper wrap. The suturing of the stomach wall, however, was regarded as fairly realistic (mean, 3.6). The crura on the artificial model were rated better (mean, 4.3) than those on the animal tissue (mean, 4.0), although the difference was not significant. The participants regarded the model as a good to excellent (mean, 4.3) training tool. Conclusion The newly developed model is regarded as a good tool for training in laparoscopic Nissen fundoplication procedure. It is cheaper, more durable, and more readily available for training and can therefore be used in every training center. The stomach of this model, however, still needs improvement because it is too rigid for making the wrap.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2982997

Affiliations:

Pays-Bas, Royaume-Uni

Le document en format XML

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<front><div type="abstract" xml:lang="en">Background To bridge the early learning curve for laparoscopic Nissen fundoplication from the clinical setting to a safe environment, training models can be used. This study aimed to develop a reusable, low-cost model to be used for training in laparoscopic Nissen fundoplication procedure as an alternative to the use of animal tissue models. Methods From artificial organs and tissue, an anatomic model of the human upper abdomen was developed for training in performing laparoscopic Nissen fundoplication. The 20 participants and tutors in the European Association for Endoscopic Surgery (EAES) upper gastrointestinal surgery course completed four complementary tasks of laparoscopic Nissen fundoplication with the artificial model, then compared the realism, haptic feedback, and training properties of the model with those of animal tissue models. Results The main difference between the two training models was seen in the properties of the stomach. The wrapping of the stomach in the artificial model was rated significantly lower than that in the animal tissue model (mean, 3.6 vs. 4.2; p = 0.010). The main criticism of the stomach of the artificial model was that it was too rigid for making a proper wrap. The suturing of the stomach wall, however, was regarded as fairly realistic (mean, 3.6). The crura on the artificial model were rated better (mean, 4.3) than those on the animal tissue (mean, 4.0), although the difference was not significant. The participants regarded the model as a good to excellent (mean, 4.3) training tool. Conclusion The newly developed model is regarded as a good tool for training in laparoscopic Nissen fundoplication procedure. It is cheaper, more durable, and more readily available for training and can therefore be used in every training center. The stomach of this model, however, still needs improvement because it is too rigid for making the wrap.</div>
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Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?

Training for laparoscopic Nissen fundoplication with a newly designed model: a replacement for animal tissue models?

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

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