Evaluation of Three Sources of Validity Evidence for a Laparoscopic Duodenal Atresia Repair Simulator

Barsness, Katherine A.; Rooney, Deborah M.; Davis, Loyal; O'Brien, Ellie

doi:10.1089/lap.2014.0358

Cited by 22 publications

(4 citation statements)

References 5 publications

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“…Although it is not part of the objectives of this study, some simulators of duodenal atresia were investigated in the literature. In this context, Barsness et al 17 validated a simulator for laparoscopic repair of duodenal atresia using a 3D-printed abdominal cavity of a neonatal with silicone skin. Inside, an abdominal block of second-trimester fetal bovine tissue was deposited, modified in size for use in their simulator.…”

Section: Discussionmentioning

confidence: 99%

Development and Preliminary Validation of a Rabbit Model of Duodenal Atresia for Training in Pediatric Surgical Skills

et al. 2019

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Duodenal atresia is a congenital defect that requires advanced surgical skills. The objective of this study is to present an anatomical defect of duodenal atresia using a rabbit model and evaluate the preliminary experience for the training of surgical skills with pediatric surgeons. Adult white New Zealand male rabbits weighing 3.0 to 4.5 kg were used to create the defect. To simulate the bottom of the dilated blind pouch, the gastric antrum of the rabbit was obliterated using a 2-0 Prolene suture, and the cecal appendix was dissected to simulate the continuation of the duodenum. Participants performed laparoscopic duodenal atresia repair in this animal model using the iPhone trainer. Thirteen pediatric surgeons with experience in laparoscopic duodenal atresia repair assessed this model with a questionnaire on 5-point Likert-type scale. Overall, the simulated model of duodenal atresia obtained a general average score of 4.39. The highest observed average was for its physical realism, whereas the lowest score was in surgical experience. The global opinion of the model obtained a score of 4.40. In addition, all surgeons answered that this rabbit model showed the same complexity as newborns and young children in the repair of this type of defect. The inclusion of new models through rabbits in pediatric surgery programs will allow the development of advanced skills of pediatric residents and surgeons.

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Section: Discussionmentioning

confidence: 99%

Development and Preliminary Validation of a Rabbit Model of Duodenal Atresia for Training in Pediatric Surgical Skills

et al. 2019

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“…3D-printed models have been utilised for other neonatal surgical conditions. A model for laparoscopic repair of duodenal atresia was developed using real patient radiology and validated for surgical training [ 13 ]. On validation, it was felt to be valuable as a method for training in this condition.…”

Section: Discussionmentioning

confidence: 99%

Development of a 3D-printed neonatal congenital diaphragmatic hernia model and standardisation of intra-operative measurement

Bethell,

Eastwood,

Neville

et al. 2023

Pediatr Surg Int

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Introduction Three-dimensional (3D) printing is frequently used for surgical simulation and training, however, no widely available model exists for neonatal congenital diaphragmatic hernia (CDH). The aim of this study was to develop a 3D-printed model of CDH and test interobserver variability in the simulated model for obtaining measurements of the diaphragmatic defect and ipsilateral diaphragm. Methods A term fetal MRI (3.5 kg) of thorax, diaphragm and defect (15 mm × 5 mm) were delineated and segmented after parental consent to produce 3D-printed models. Consultant and trainee paediatric surgeons were invited to measure the posterior-lateral diaphragmatic defect and ipsilateral diaphragm. Mean measurement error was calculated (millimetres). Data are presented as median (range) and number/total (%). Results An abdominal and thoracoscopic model were produced and tested by 52 participants (20 consultants and 32 trainees). Diaphragmatic defect via laparotomy measured 15 (10–20) mm (AP) × 16 (10–25) mm (ML) and thoracoscopically 14 (11–19) mm (AP) × 15 (11–22) mm (ML). Mean error per measurement was 4 (1–17) mm via laparotomy vs. 3 (0.5–9.5) mm thoracoscopically. Mean error was similar between consultants and trainees via laparotomy (4.3 vs. 3.9 mm, p = 0.70) and thoracoscopically (3 vs. 3 mm, p = 0.79). Error did not correlate with experience as operating surgeon via laparotomy (β = 13.0 [95% CI − 55.9 to 82.0], p = 0.71) or thoracoscopically (β = 1.4[95% CI − 6.4 to 9.2], p = 0.73. Conclusions We have designed and built simulation models for CDH repair via laparotomy and thoracoscopically. Operators can reliably measure the diaphragmatic defect and ipsilateral diaphragm, regardless of surgical experience and operative approach.

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“…The costs are estimated at $32 per rabbit. Barsness et al describe a model consisting of an inanimate casing with fetal bovine tissue for the organs [49] . They describe face validity (88%) as well as excellent content validity (95%), however, this is based on the opinion of only six experts.…”

Section: Duodenal Atresiamentioning

confidence: 99%

Validated simulation models in pediatric surgery: A review

Joosten¹,

Blaauw²,

Botden³

2022

Journal of Pediatric Surgery

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Evaluation of Three Sources of Validity Evidence for a Laparoscopic Duodenal Atresia Repair Simulator

Cited by 22 publications

References 5 publications

Development and Preliminary Validation of a Rabbit Model of Duodenal Atresia for Training in Pediatric Surgical Skills

Development and Preliminary Validation of a Rabbit Model of Duodenal Atresia for Training in Pediatric Surgical Skills

Development of a 3D-printed neonatal congenital diaphragmatic hernia model and standardisation of intra-operative measurement

Validated simulation models in pediatric surgery: A review

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