A simulator for nerve repair

Kamath, Jagannath B; Jayasheelan, Nikil; Sujir, Premjit

doi:10.1177/1753193417706249

Cited by 4 publications

(11 citation statements)

References 1 publication

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“…Of the 63 articles selected, 49 describe a synthetic physical simulator 13–15,17–24,26,27,29–59,61–63,65–67,70 and 14 are digitally based 16,20,25,28,37,60,64,68,69,71–75 . Of the digitally based simulators, 5 had a synthetic or hardware component.…”

Section: Resultsmentioning

confidence: 99%

“…27,30,32,34 Nerves have been simulated using a hand towel in an infant feeding tube and microvascular simulators using latex gloves, parafilm stretched over a lid, and paperclips glued to beads. 36,52,54,58 It is not shown that the simulators constructed from off-the-shelf materials are more or less superior to the simulators made from more considered construction, such as taking tissue elastic properties into consideration. It would appear from the multitude of materials used in these 62 studies, for all structures of the limb, that there is no consensus on the material that has the highest fidelity in terms of tissue reaction, tactile feedback, or reacting to manipulation by surgical instruments.…”

Section: Discussionmentioning

confidence: 99%

“…For example, skin has been represented by a surgical foam dressing, and tendons have been made from rolled 3M micro foam, cotton dental rolls, and a Foley catheter 27,30,32,34 . Nerves have been simulated using a hand towel in an infant feeding tube and microvascular simulators using latex gloves, parafilm stretched over a lid, and paperclips glued to beads 36,52,54,58 . It is not shown that the simulators constructed from off-the-shelf materials are more or less superior to the simulators made from more considered construction, such as taking tissue elastic properties into consideration.…”

Section: Discussionmentioning

confidence: 99%

“…In this review, 11 of the studies described full-task trainers 35,38,40,55,65,66,68,70,[72][73][74][75] and 52 described a parttask trainer who focused on a particular part of the procedure. 36,37,39,[41][42][43][44][45][46][47][48][49][50][51][52][53][54][56][57][58][59][60][61][62][63][64]67,69,71,73 Type of Simulators Of the 63 articles selected, 49 describe a synthetic physical simulator [13][14][15][17][18][19][20][21]…”

Section: Simulator Complexitymentioning

confidence: 99%

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Simulation in Upper and Lower Limb Trauma Skill Acquisition

Heskin

Galvin²,

Traynor³

et al. 2021

Sim Healthcare

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This review aimed to explore the published evidence with regard to the types and composition of both full-and part-task trainers to teach surgeons extremity exploration procedures in limb trauma management. Studies were included if they reported the development and/or validation of synthetic or virtual task trainers. Studies were evaluated to determine their derivation, usability, and clinical utility. A total of 638 citations were identified and 63 satisfied the inclusion criteria. Twenty-five articles addressed simulator validation and 36 addressed level of learning achieved with simulator engagement. Two studies described a dedicated limb simulator. Simulators were developed to repair limb structures including skin (n = 15), tendon (n = 7), nerve (n = 1), fascia (n = 1), muscle (n = 1), vascular (n = 24), and bone (n = 11). Considerations such as material fidelity, learning outcomes, cost or reusability, validity, and effectiveness are inconsistently reported. Future studies should address design standards for the effective production of synthetic or virtual simulators for limb trauma management.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Simulator Complexitymentioning

confidence: 99%

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Simulation in Upper and Lower Limb Trauma Skill Acquisition

Heskin

Galvin²,

Traynor³

et al. 2021

Sim Healthcare

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“…Shah et al made a simulator for nerve repair by using Clingfilm, a skill that could be used for nerve repair in the hand [33]. Kamath et al made a similar model using just hand towels [34]. Meyer-Marcotty et al demonstrated a model for local flaps that could be applied to local defects of the hand [35].…”

Section: Soft Tissuementioning

confidence: 99%

Simulation in Hand Surgery: A Literature Review

et al. 2022

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Background Due to duty hour regulations, patient safety and inadequate operative time simulation have become a necessary part of surgical education and training in residency. Currently, there is no formal adoption of simulators for the use of surgical education or assessment in hand surgery. This literature review analyzes that the simulation techniques established thus far in hand surgery. Methods A comprehensive literature search was performed on PubMed. Search results were filtered by title and abstract to isolate articles that were relevant to simulation in hand surgery. Articles that were nonspecific to the hand, non-English and cadaveric were excluded. Additional articles were identified through references from the initial search.Results A total of 1192 articles were yielded from the initial query. After the application of the inclusion criteria, this was narrowed down to 28 articles. Another 8 additional articles were excluded as they did not pertain to the hand although the simulators could be adapted for hand surgery. A total of 20 articles were included in this study. Conclusions Surgical simulation is a growing and essential field of surgical education. Simulators in hand surgery are limited and require further research and validation. Like other surgical subspecialties, hand surgery may benefit from the adoption of an official simulation curriculum for the assessment of residents and enhancement of technical skills.

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