A Progressive Extended Protocol for the Basic Laparoscopic Training Using the Pelvitrainer

El-Enen, Mohamed Abo; El‐Gamal, Osama M.; Elashry, Osama M.; Elbahnasy, Abdelhamid M.; Ghiaty, Ahmed; Rasheed, Mohamed

doi:10.1089/end.2012.0239

Cited by 3 publications

(2 citation statements)

References 23 publications

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“…9 When it comes to developing the necessary psychomotor skills, there is also a consensus on the efficiency of commercial video laparoscopic box trainers, simple laparoscopic box trainers and VR simulators. [10][11][12] Several studies have also associated simulators with improved performance in the operating room. 13 Following simulator training, advanced laparoscopic skills are acquired to operate on animal and cadaver models, a method which is best known to imitate general surgery.…”

Section: Discussionmentioning

confidence: 99%

Do ‘standard laparoscopic box trainers’ represent real-life conditions during transperitoneal laparoscopical interventions of the upper tract?

Taş¹,

Çakıroğlu²

2019

Urologia Journal

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Background: The purpose of this study is to investigate the representativeness of the conventional laparoscopic standard box trainers in terms of real-life circumstances in transperitoneal laparoscopical interventions of the upper tract, using questionnaire inquiries with experienced surgeons. Materials and methods: The study was conducted with 44 laparoscopists, whose level of renal surgery experience was either high (primary surgeon in >100 cases), moderate (primary surgeon in >50 cases) or basic (primary surgeon in >20 cases). We used the box widely preferred in international training courses, which consists of a 10-mm 30° laparoscope, real endoscopic instruments, light source, monitor and chicken bone materials. Participants were asked whether they represent real-life situations while performing tasks by means of standard box trainers. Results: The medians of ‘restrained body posture of the surgeon’, ‘position of monitor’, ‘trocars entry slots’, ‘tissue distance and region’ and ‘limited field of movement and restricted working space’ were analysed on their difference from the ideal value. All the variables were shown to be significantly different from the ideal value of 5 (p < 0.001). These results suggest that experienced surgeons in our study did not find the box simulation conditions similar to real surgery conditions. Conclusion: Conventional laparoscopic trainer box, which is currently being used, is far from representing for the real situation in transperitoneal laparoscopical interventions of the upper tract.

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Section: Discussionmentioning

confidence: 99%

Do ‘standard laparoscopic box trainers’ represent real-life conditions during transperitoneal laparoscopical interventions of the upper tract?

Taş¹,

Çakıroğlu²

2019

Urologia Journal

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“…During tasks design, attention was paid to provide the trainees with spatial orientation and basic psychomotor skills to accurately direct the puncture needle under fluoroscopic guidance in human [22] , [23] . During training, some difficulties were reported by trainees in the early performance of tasks, which was overcome, reflected by the marked performance improvement in the later tasks.…”

Section: Discussionmentioning

confidence: 99%

Validity of a sponge trainer as a simple training model for percutaneous renal access

Tawfik

El-Abd

El-Enen

et al. 2017

Arab Journal of Urology

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ObjectiveTo evaluate the efficacy of our simply designed trainer for junior urologists to acquire the initial skills for percutaneous renal access (PRA).Subjects and methodsThree sponge sheets (60 × 50 × 10 cm) were arranged horizontally over each other. A rectangular groove was made in the middle sheet to accommodate an inflated balloon of a Foley catheter, radio-opaque metal balls, metal rings, or a plastic tube that were sequentially placed for the four training tasks. In each session, 18 trainees were asked to pass a fluoroscopically guided puncture needle from a surface point to the placed object in middle sheet. Clinical impact of training was evaluated by an experience survey on a 5-piont Likert scale (for model usefulness, tactile and fluoroscopic-guidance feedback) and success rate in further mentored practice.ResultsThere was a gradual increase in tasks’ and sessions’ scores over the training sessions. According to the experience survey after first clinical practice, the mean (SD) score for overall model usefulness by trainees was 3.8 (0.9) with high fluoroscopic guidance reality [3.6 (1.1)] but poor tactile realism [2.3 (0.9)]. On mentored PRA, the success rate for trainees was 78.3%.ConclusionOur early evaluation showed our novel, cost-effective and reproducible sponge trainer could be an effective training model for PRA with a beneficial impact on subsequent clinical practice.

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The pelvitrainer for training in laparoscopic surgery – A prospective, multicenter, interdisciplinary study: Experimental research

Ackermann

Pahls

Baumann³

et al. 2022

International Journal of Surgery

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A Progressive Extended Protocol for the Basic Laparoscopic Training Using the Pelvitrainer

Abstract: The use of the two described models of the L-UVA after the inanimate tasks in the pelvitrainer distributed course of training could help in the improvement and in the retention of the basic laparoscopic skills of the junior urologists.

Cited by 3 publications

References 23 publications

Do ‘standard laparoscopic box trainers’ represent real-life conditions during transperitoneal laparoscopical interventions of the upper tract?

Do ‘standard laparoscopic box trainers’ represent real-life conditions during transperitoneal laparoscopical interventions of the upper tract?

Validity of a sponge trainer as a simple training model for percutaneous renal access

The pelvitrainer for training in laparoscopic surgery – A prospective, multicenter, interdisciplinary study: Experimental research

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