Document Detail


Hernia endotrainer: results of training on self-designed hernia trainer box.
MedLine Citation:
PMID:  19670977     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Repair of groin and ventral hernias are among the technically difficult endoscopic procedures where the role of laparoscopic surgery is fast emerging. We have designed a laparoscopic simulator trainer box for hernia surgery, which closely mimics the complex endoscopic procedure, and good results can be achieved by training on these trainer boxes. MATERIALS AND METHODS: The endotrainer box was self-designed to repair bilateral groin hernia, and an incisional hernia, such that it can be used for multiple repairs. Forty candidates were trained with the trainer box for 2 days over two hernia training programs, and an objective assessment of the result was done by global and task-specific scoring for transabdominal preperitoneal (TAPP) and intraperitoneal onlay mesh (IPOM) repair of groin and incisional hernia, respectively. RESULTS: There was a significant improvement in the global (10.15 on day 1 and 12.85 on day 2) and task-specific score for TAPP (3.55 on day 1 and 5.83 on day 2) and IPOM repair (4.4 on day 1 and 6.4 on day 2). CONCLUSIONS: Cheaper endotrainer boxes can be self-designed for complex endoscopic surgeries such as hernia repair. The training with these trainer boxes under the supervision of experienced surgeons shows good results and can be used for surgical residents and practicing surgeons who are exposed to basic laparoscopic skills.
Authors:
Mayank Jain; Om Tantia; Shashi Khanna; Bimalendu Sen; Prakash Kumar Sasmal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of laparoendoscopic & advanced surgical techniques. Part A     Volume:  19     ISSN:  1092-6429     ISO Abbreviation:  J Laparoendosc Adv Surg Tech A     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-12     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  535-40     Citation Subset:  IM    
Affiliation:
Department of Minimal Access Surgery, ILS Multispecialty Clinic, Kolkata, India. mayank_dr@yahoo.co.in
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MeSH Terms
Descriptor/Qualifier:
Clinical Competence*
Computer-Assisted Instruction*
General Surgery / education*
Hernia, Abdominal / surgery*
Humans
Laparoscopy*
Models, Biological
Motor Skills / physiology
Surgical Mesh
Suture Techniques / education

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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