Paediatric laparoscopic orchidopexy as a novel mentorship: Training model

Abstract

In order to implement a condensed laparoscopic curriculum in a short period of time while maintaining utmost patient safety, laparoscopic orchidopexy was used as the technique of choice. The course was conducted over a period of 5 days starting from 1 st November 2010 in a tertiary pediatric surgical center under guidance of an expert mentor. A total of 30 testicular units in 27 pediatric patients of different age group diagnosed with impalpable undescended testis underwent laparoscopic intervention. The course was conducted in three stages with the aim to deliver laparoscopic skills to trainee. In stage one out of eight cases operated by mentor with assistance of trainee six were operated on day 1 and two cases were operated on second day. The trainee performed 12 cases of laparoscopy independently with assistance of mentor in stage two which was carried out on day 2, 3 and 4. Finally all 7 cases including two second stage laparoscopic orchidopexy procedures were carried out independently by trainee under observer ship of mentor in stage three during day 4 and 5 of training programme. The feasibility and efficacy of laparoscopic orchidopexy in training laparoscopic skills through condensed training programme was assessed through analysis of mentorship experience.

Ultrasound guided erector spinae plane block versus quadratus lumborum block for postoperative analgesia in patient undergoing open nephrectomy: A randomized controlled study

“…Open surgery remains one of the approaches used for those patients requiring partial or radical nephrectomy and is associated with a high incidence of intense immediate postoperative pain and chronic pain the months following surgery [1,2]. Acute pain physiopathology is explained as it is mediated by inflammatory cell infiltration, activation of spinal cord pain pathways, and also by reflexive muscle spasm.…”

Abdominal truncal blocks in Children Undergoing Laparoscopic Surgery

“…In recent years an increasing number of pediatric surgical cases are being managed successfully by laparoscopic technique (Gupta et al, 2013). Although abdominal laparoscopic surgery, a widely performed surgery, is known for less pain compared to that of laparotomy, many patients actually still complain of considerable postoperative pain (Barczynski &Herman, 2003 andWills &Hunt, 2000).…”

Training for MIS in pediatric urology: proposition of a structured training curriculum

“…Moreover, the advantage of successfully performing different urology procedures like nephrectomy, pyeloplasty, orchidopexy, by laparoscopy in pediatric age group mandates formal laparoscopic training of practicing urologists (5). Since laparoscopic surgery requires different set of surgical skills and way of viewing anatomy, so a need for planned training programs is warranted to help urologists gain considerable hands on training and experience in basic pediatric laparoscopic skills (5).…”

“…They would be expected to undergo structured training in all aspects of the procedure, then to perform a designated number of cases under supervision (6,7). Therefore, a structured and focused training curriculum in MIS urology is needed for optimal utilization of the available training hours (5).…”