Home made, affordable Home made, affordable laparoscopic simulators laparoscopic simulators

for self practicefor self practice

SimulationSimulation

The replacement of one dangerous activity by the enactment of a similar activity in a nondangerous environment.

Surgical SimulationSurgical Simulation

is to permit the student, resident, or fully trained surgeon to acquire critical skills in a safe environment.

permits exploration and repeated practice

allows ‘‘permission to fail’’—the opportunity to learn from one’s mistakes.

laparoscopic skills learnt with simulators are transferable to operating room.

Commercially available Commercially available Laparoscopic SimulatorsLaparoscopic Simulators

Expensive Expensive

Not available for individual use Not available for individual use

Not for practice at homeNot for practice at home

Alternative?Alternative?

Home made trainer boxes/ simulators Home made trainer boxes/ simulators

Easily affordable Easily affordable

Equally effective as commercially available Equally effective as commercially available laparoscopic trainer in improving laparoscopic trainer in improving laparoscopic skills laparoscopic skills

Crosshouse Hospital,Crosshouse Hospital,Laparoscopic Trainer Box with HD web camLaparoscopic Trainer Box with HD web cam

P7200 HD WebcamP7200 HD Webcam

2004, ANZ J.Surg2004, ANZ J.Surg“Inexpensive home made “Inexpensive home made

laparoscopic trainer and cameralaparoscopic trainer and camera” Morgan R Okorny” Morgan R Okorny

2005, Urology.2005.01.0152005, Urology.2005.01.015“Randomized comparison of standard “Randomized comparison of standard laparoscopic trainer to novel, at-home, low cost, camera-less laparoscopic trainer to novel, at-home, low cost, camera-less

laparoscopic trainer” laparoscopic trainer” Brent A Sharpe, Department of Urology, Emory Brent A Sharpe, Department of Urology, Emory University Medical Center, Atlanta, GeorgiaUniversity Medical Center, Atlanta, Georgia

2005,2005, Journal of Urology, Vol. 173, 180–183, Journal of Urology, Vol. 173, 180–183, “Laparoscopic skills “Laparoscopic skills training using webcam trainer”training using webcam trainer” Steve T Chung, Endourology Steve T Chung, Endourology Institute, Cedars-Sinai Medical Center (SYC, CHC, CSN, GJF), Los Institute, Cedars-Sinai Medical Center (SYC, CHC, CSN, GJF), Los Angeles, CaliforniaAngeles, California

2007, Surg Endosc 21: 1637–1640“Desktop simulator: key to universal training?”

Hanna Bruynzeel Department of Surgery, Erasmus Medical Centre Rotterdam,

Rotterdam, Netherlands

2008, Journal of Minimal Access Surgery2008, Journal of Minimal Access SurgeryVolume 4 Issue 3Volume 4 Issue 3

““Simple and cheap home built laparoscopic trainer”Simple and cheap home built laparoscopic trainer”Robert Dennis, Robert Dennis,

Department of General Surgery, Luton and Dunstable HospitalDepartment of General Surgery, Luton and Dunstable Hospital

2009, 2009, Journal of Surgical EducationJournal of Surgical Education Volume 66, Issue 1Volume 66, Issue 1 “A Novel Home Laparoscopic Simulator” “A Novel Home Laparoscopic Simulator”

Yahya Al-Abed MD, MRCS  Yahya Al-Abed MD, MRCS  Department of Surgery, Norfolk and Norwich University Hospital, Department of Surgery, Norfolk and Norwich University Hospital,

NHS Trust, Norwich, UKNHS Trust, Norwich, UK

Total costTotal cost

HD web cam HD web cam 53 53

Plastic BoxPlastic Box 3 3

Fluorescent lightFluorescent light 1212

TotalTotal £ 68 £ 68

Cheaper versionCheaper version

Web cam Web cam 2525

BoxBox 3 3

LightLight 2 2

TotalTotal £ 30 £ 30

Surgeon’s knotSurgeon’s knot

Tumbled Square knot-vicrylTumbled Square knot-vicryl

Tumbled Square knot-nylonTumbled Square knot-nylon

ConclusionConclusion

Home made trainer boxes can be a great help in Home made trainer boxes can be a great help in developing laparoscopic skills for most of our developing laparoscopic skills for most of our trainees.trainees.Requires some DIY skills.Requires some DIY skills.But, cutting and fixing things are naturally a But, cutting and fixing things are naturally a second nature to us.second nature to us.““The surgeons are the tailors, the plumbers and The surgeons are the tailors, the plumbers and the carpentersthe carpenters” as quoted by famous Canadian ” as quoted by famous Canadian surgeon and innovator “Dr Norman Bethune” surgeon and innovator “Dr Norman Bethune” (1890-1939). (1890-1939).