LapED 4-In-1 silicone training aid for practicing laparoscopic skills and tasks: a preliminary evaluation.

Full Abstract

OBJECTIVE:
We developed a simple, inexpensive model to simulate four reconstructive laparoscopic procedures:
pyeloplasty, vesicourethral anastomosis, bladder injury repair, and partial nephrectomy.

MATERIALS AND METHODS:
Liquid silicone was applied in layers to a mold to create the 4-in-1 model. A questionnaire evaluating its face and content validity was distributed to postgraduate urologists participating in a mini-residency program at the University of California-Irvine (UCI), and in the 2006 American Urological Association Hands-On course on reconstructive laparoscopic pyeloplasty.

RESULTS:
A total of 56 postgraduate urologists used the model and completed an evaluation questionnaire. Ninety-four percent (51/54) and 96% (48/50) agreed that the model was helpful for practicing laparoscopic pyeloplasty and urethrovesical anastomosis, respectively. Urologists who were experienced in either performing laparoscopic pyeloplasty (n = 6) or robot-assisted and/or laparoscopic prostatectomy (n = 11) would recommend this model to surgeons in training. Overall, 94% (48/51) and 96% (50/52) of the respondents would recommend this model for postgraduate surgeons and residents, respectively.

CONCLUSION:
We present a versatile model for practicing laparoscopic and robotic suturing and knot-tying skills in four reconstructive urologic procedures. Our results support the face and content validity of this model for performing pyeloplasty and vesicourethral anastomoses.

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Author information

Author/s: Abraham, Jose Benito A (JB); Abdelshehid, Corollos S (CS); Lee, Hak J (HJ); Alipanah, Reza (R); Andrade, Lorena A (LA); Sargent, Eric R (ER); Box, Geoffrey N (GN); Deane, Leslie A (LA); McDougall, Elspeth M (EM); Clayman, Ralph V (RV);

Affiliation: Department of Urology, University of California-Irvine, Orange, California 92868, USA.

Journal and publication information

Publication Type: Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't

Journal: Journal of endourology / Endourological Society (J Endourol), published in United States. (Language: eng)

Reference: 2008-Jun; vol 22 (issue 6) : pp 1351-7

Dates: Created 2008/06/26; Completed 2008/10/06;

PMID: 18498229, status: MEDLINE (last retrieval date: 11/6/2008)

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Associated Chemicals: Silicones (0)

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