Development and use of a restructured animal tissue model for training in laparoscopic salpingostomy and salpingectomy

Benjie Tang, Iain Tait, Gillian Ross, Patrick Chien

    Research output: Contribution to journalArticle

    4 Citations (Scopus)

    Abstract

    Ectopic pregnancy is commonly managed via either laparoscopic salpingostomy or salpingectomy. However, there is a proficiency gain curve in mastering these 2 surgical procedures, and an effective simulated model is essential for training students of gynecology. The objective of this study was to develop and evaluate a restructured animal tissue model that can be used in the surgical training of gynecologists in laparoscopic salpingostomy and salpingectomy. Since 2005, a hands-on laparoscopic training course for gynecologic students has been developed and conducted at the Cushieri Skills Centre, University of Dundee. A restructured animal tissue model of ectopic pregnancy was developed and used for practicing laparoscopic salpingostomy and salpingectomy. At the end of each course, data were collected using a standardized anonymous questionnaire using a Likert scale (1 = strongly disagree; 2 = disagree; 3 = neither agree nor disagree; 4 = agree; and 5 = strongly agree). Feedback on the ectopic pregnancy model from course participants was obtained insofar as the realism of the anatomical condition of the model, quality of the tissue and organ color, quality of organ consistency, and operative tactile properties during dissection. Over the last 6 years, from June 2005 to September 2010,96 gynecologic trainees have practiced using this phantom. The mean (SD) overall satisfaction rate for the training phantom for laparoscopic salpingostomy and salpingectomy was 4.9 (0.1) on a scale of 1(unrealistic/poor) to 5 (very realistic/useful). Compared with real operating conditions, quality assessment of the model for anatomical condition was 4.9 (0.2), for quality of tissue and organ color was 4.9 (0.4), for organ consistency was 4.8 (0.3), and for operative tactility was 4.8 (0.6). It was concluded that the restructured animal tissue model of laparoscopic salpingostomy and salpingectomy in ectopic pregnancy is realistic, cost-effective, and simple enough to be produced for use in laboratory-based surgical training courses. Journal of Minimally Invasive Gynecology (2011) 18, 785-791 (C) 2011 AAGL. All rights reserved.

    Original languageEnglish
    Pages (from-to)785-791
    Number of pages7
    JournalJournal of Minimally Invasive Gynecology
    Volume18
    Issue number6
    DOIs
    Publication statusPublished - 2011

    Keywords

    • Ectopic pregnancy
    • Gynecologic training
    • Laparoscopic salpingostomy and salpingectomy
    • Salpingectomy training model
    • ECTOPIC PREGNANCY
    • SURGICAL SKILLS
    • OPERATING-ROOM
    • LAPAROTOMY
    • CADAVERS
    • TRIAL
    • PERFORMANCE
    • MANAGEMENT
    • RESIDENTS
    • SIMULATOR

    Cite this

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    title = "Development and use of a restructured animal tissue model for training in laparoscopic salpingostomy and salpingectomy",
    abstract = "Ectopic pregnancy is commonly managed via either laparoscopic salpingostomy or salpingectomy. However, there is a proficiency gain curve in mastering these 2 surgical procedures, and an effective simulated model is essential for training students of gynecology. The objective of this study was to develop and evaluate a restructured animal tissue model that can be used in the surgical training of gynecologists in laparoscopic salpingostomy and salpingectomy. Since 2005, a hands-on laparoscopic training course for gynecologic students has been developed and conducted at the Cushieri Skills Centre, University of Dundee. A restructured animal tissue model of ectopic pregnancy was developed and used for practicing laparoscopic salpingostomy and salpingectomy. At the end of each course, data were collected using a standardized anonymous questionnaire using a Likert scale (1 = strongly disagree; 2 = disagree; 3 = neither agree nor disagree; 4 = agree; and 5 = strongly agree). Feedback on the ectopic pregnancy model from course participants was obtained insofar as the realism of the anatomical condition of the model, quality of the tissue and organ color, quality of organ consistency, and operative tactile properties during dissection. Over the last 6 years, from June 2005 to September 2010,96 gynecologic trainees have practiced using this phantom. The mean (SD) overall satisfaction rate for the training phantom for laparoscopic salpingostomy and salpingectomy was 4.9 (0.1) on a scale of 1(unrealistic/poor) to 5 (very realistic/useful). Compared with real operating conditions, quality assessment of the model for anatomical condition was 4.9 (0.2), for quality of tissue and organ color was 4.9 (0.4), for organ consistency was 4.8 (0.3), and for operative tactility was 4.8 (0.6). It was concluded that the restructured animal tissue model of laparoscopic salpingostomy and salpingectomy in ectopic pregnancy is realistic, cost-effective, and simple enough to be produced for use in laboratory-based surgical training courses. Journal of Minimally Invasive Gynecology (2011) 18, 785-791 (C) 2011 AAGL. All rights reserved.",
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    author = "Benjie Tang and Iain Tait and Gillian Ross and Patrick Chien",
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    Development and use of a restructured animal tissue model for training in laparoscopic salpingostomy and salpingectomy. / Tang, Benjie; Tait, Iain; Ross, Gillian; Chien, Patrick.

    In: Journal of Minimally Invasive Gynecology, Vol. 18, No. 6, 2011, p. 785-791.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Development and use of a restructured animal tissue model for training in laparoscopic salpingostomy and salpingectomy

    AU - Tang, Benjie

    AU - Tait, Iain

    AU - Ross, Gillian

    AU - Chien, Patrick

    PY - 2011

    Y1 - 2011

    N2 - Ectopic pregnancy is commonly managed via either laparoscopic salpingostomy or salpingectomy. However, there is a proficiency gain curve in mastering these 2 surgical procedures, and an effective simulated model is essential for training students of gynecology. The objective of this study was to develop and evaluate a restructured animal tissue model that can be used in the surgical training of gynecologists in laparoscopic salpingostomy and salpingectomy. Since 2005, a hands-on laparoscopic training course for gynecologic students has been developed and conducted at the Cushieri Skills Centre, University of Dundee. A restructured animal tissue model of ectopic pregnancy was developed and used for practicing laparoscopic salpingostomy and salpingectomy. At the end of each course, data were collected using a standardized anonymous questionnaire using a Likert scale (1 = strongly disagree; 2 = disagree; 3 = neither agree nor disagree; 4 = agree; and 5 = strongly agree). Feedback on the ectopic pregnancy model from course participants was obtained insofar as the realism of the anatomical condition of the model, quality of the tissue and organ color, quality of organ consistency, and operative tactile properties during dissection. Over the last 6 years, from June 2005 to September 2010,96 gynecologic trainees have practiced using this phantom. The mean (SD) overall satisfaction rate for the training phantom for laparoscopic salpingostomy and salpingectomy was 4.9 (0.1) on a scale of 1(unrealistic/poor) to 5 (very realistic/useful). Compared with real operating conditions, quality assessment of the model for anatomical condition was 4.9 (0.2), for quality of tissue and organ color was 4.9 (0.4), for organ consistency was 4.8 (0.3), and for operative tactility was 4.8 (0.6). It was concluded that the restructured animal tissue model of laparoscopic salpingostomy and salpingectomy in ectopic pregnancy is realistic, cost-effective, and simple enough to be produced for use in laboratory-based surgical training courses. Journal of Minimally Invasive Gynecology (2011) 18, 785-791 (C) 2011 AAGL. All rights reserved.

    AB - Ectopic pregnancy is commonly managed via either laparoscopic salpingostomy or salpingectomy. However, there is a proficiency gain curve in mastering these 2 surgical procedures, and an effective simulated model is essential for training students of gynecology. The objective of this study was to develop and evaluate a restructured animal tissue model that can be used in the surgical training of gynecologists in laparoscopic salpingostomy and salpingectomy. Since 2005, a hands-on laparoscopic training course for gynecologic students has been developed and conducted at the Cushieri Skills Centre, University of Dundee. A restructured animal tissue model of ectopic pregnancy was developed and used for practicing laparoscopic salpingostomy and salpingectomy. At the end of each course, data were collected using a standardized anonymous questionnaire using a Likert scale (1 = strongly disagree; 2 = disagree; 3 = neither agree nor disagree; 4 = agree; and 5 = strongly agree). Feedback on the ectopic pregnancy model from course participants was obtained insofar as the realism of the anatomical condition of the model, quality of the tissue and organ color, quality of organ consistency, and operative tactile properties during dissection. Over the last 6 years, from June 2005 to September 2010,96 gynecologic trainees have practiced using this phantom. The mean (SD) overall satisfaction rate for the training phantom for laparoscopic salpingostomy and salpingectomy was 4.9 (0.1) on a scale of 1(unrealistic/poor) to 5 (very realistic/useful). Compared with real operating conditions, quality assessment of the model for anatomical condition was 4.9 (0.2), for quality of tissue and organ color was 4.9 (0.4), for organ consistency was 4.8 (0.3), and for operative tactility was 4.8 (0.6). It was concluded that the restructured animal tissue model of laparoscopic salpingostomy and salpingectomy in ectopic pregnancy is realistic, cost-effective, and simple enough to be produced for use in laboratory-based surgical training courses. Journal of Minimally Invasive Gynecology (2011) 18, 785-791 (C) 2011 AAGL. All rights reserved.

    KW - Ectopic pregnancy

    KW - Gynecologic training

    KW - Laparoscopic salpingostomy and salpingectomy

    KW - Salpingectomy training model

    KW - ECTOPIC PREGNANCY

    KW - SURGICAL SKILLS

    KW - OPERATING-ROOM

    KW - LAPAROTOMY

    KW - CADAVERS

    KW - TRIAL

    KW - PERFORMANCE

    KW - MANAGEMENT

    KW - RESIDENTS

    KW - SIMULATOR

    U2 - 10.1016/j.jmig.2011.06.020

    DO - 10.1016/j.jmig.2011.06.020

    M3 - Article

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    EP - 791

    JO - Journal of Minimally Invasive Gynecology

    JF - Journal of Minimally Invasive Gynecology

    SN - 1553-4650

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    ER -