Development of a low-cost, reusable laparoscopic entry and emergency model

Christopher Destephano, Delaney W. La Rosa, Amy M. Lannen, Jesse C. Dove, Dorin T. Colibaseanu, Tri A. Dinh

Research output: Contribution to journalArticle

Abstract

Although studies on simulation of rare complications have become more common in the trauma and obstetric literature, there is a paucity of studies on simulation of rare laparoscopic emergencies. High-fidelity models, virtual reality systems, and porcine labs are available; however, their cost limits wider use and repetition of skills. A low-cost, laparoscopic entry and emergency model was created using on-hand base parts. A convenience sample of obstetrics/gynecology and general surgery residents and attending surgeons completed a laparoscopic entry and emergency scenario using an innovative model in the multidisciplinary simulation center. A total of 29 gynecology, urology, and general surgery residents, fellows, and attending surgeons participated in the laparoscopic emergency simulation drill. Of the 29 participants of the laparoscopic emergency simulation drill using the model, 27 (93.1%) agreed or strongly agreed that the simulated drill approximates the stress of a vascular injury during laparoscopy and 27 (93.1%) agreed or strongly agreed that the model set up appears appropriate for approximating a retroperitoneal hematoma. The reusable, laparoscopic simulation model and emergency drill were rated favorably by participants. The model and drill have the potential to be used for multidisciplinary drills that include anesthesiologists, surgical nurses, surgical technologists, and surgeons.

Original languageEnglish (US)
Pages (from-to)399-405
Number of pages7
JournalJournal of Defense Modeling and Simulation
Volume14
Issue number4
DOIs
StatePublished - Oct 1 2017

Fingerprint

Emergency
Gynecology
Costs
Obstetrics
Simulation
Surgery
Laparoscopy
Model
Urology
Virtual Reality
Complications
Fidelity
Simulation Model
Virtual reality
Scenarios

Keywords

  • laparoscopic emergency
  • Surgical simulation
  • vascular injury

ASJC Scopus subject areas

  • Modeling and Simulation
  • Engineering (miscellaneous)

Cite this

Development of a low-cost, reusable laparoscopic entry and emergency model. / Destephano, Christopher; La Rosa, Delaney W.; Lannen, Amy M.; Dove, Jesse C.; Colibaseanu, Dorin T.; Dinh, Tri A.

In: Journal of Defense Modeling and Simulation, Vol. 14, No. 4, 01.10.2017, p. 399-405.

Research output: Contribution to journalArticle

Destephano, Christopher ; La Rosa, Delaney W. ; Lannen, Amy M. ; Dove, Jesse C. ; Colibaseanu, Dorin T. ; Dinh, Tri A. / Development of a low-cost, reusable laparoscopic entry and emergency model. In: Journal of Defense Modeling and Simulation. 2017 ; Vol. 14, No. 4. pp. 399-405.
@article{2ead9596bbbb49eb9f70a0a5854470d8,
title = "Development of a low-cost, reusable laparoscopic entry and emergency model",
abstract = "Although studies on simulation of rare complications have become more common in the trauma and obstetric literature, there is a paucity of studies on simulation of rare laparoscopic emergencies. High-fidelity models, virtual reality systems, and porcine labs are available; however, their cost limits wider use and repetition of skills. A low-cost, laparoscopic entry and emergency model was created using on-hand base parts. A convenience sample of obstetrics/gynecology and general surgery residents and attending surgeons completed a laparoscopic entry and emergency scenario using an innovative model in the multidisciplinary simulation center. A total of 29 gynecology, urology, and general surgery residents, fellows, and attending surgeons participated in the laparoscopic emergency simulation drill. Of the 29 participants of the laparoscopic emergency simulation drill using the model, 27 (93.1{\%}) agreed or strongly agreed that the simulated drill approximates the stress of a vascular injury during laparoscopy and 27 (93.1{\%}) agreed or strongly agreed that the model set up appears appropriate for approximating a retroperitoneal hematoma. The reusable, laparoscopic simulation model and emergency drill were rated favorably by participants. The model and drill have the potential to be used for multidisciplinary drills that include anesthesiologists, surgical nurses, surgical technologists, and surgeons.",
keywords = "laparoscopic emergency, Surgical simulation, vascular injury",
author = "Christopher Destephano and {La Rosa}, {Delaney W.} and Lannen, {Amy M.} and Dove, {Jesse C.} and Colibaseanu, {Dorin T.} and Dinh, {Tri A.}",
year = "2017",
month = "10",
day = "1",
doi = "10.1177/1548512916647812",
language = "English (US)",
volume = "14",
pages = "399--405",
journal = "Journal of Defense Modeling and Simulation",
issn = "1548-5129",
publisher = "The Society for Modeling and Simulation International",
number = "4",

}

TY - JOUR

T1 - Development of a low-cost, reusable laparoscopic entry and emergency model

AU - Destephano, Christopher

AU - La Rosa, Delaney W.

AU - Lannen, Amy M.

AU - Dove, Jesse C.

AU - Colibaseanu, Dorin T.

AU - Dinh, Tri A.

PY - 2017/10/1

Y1 - 2017/10/1

N2 - Although studies on simulation of rare complications have become more common in the trauma and obstetric literature, there is a paucity of studies on simulation of rare laparoscopic emergencies. High-fidelity models, virtual reality systems, and porcine labs are available; however, their cost limits wider use and repetition of skills. A low-cost, laparoscopic entry and emergency model was created using on-hand base parts. A convenience sample of obstetrics/gynecology and general surgery residents and attending surgeons completed a laparoscopic entry and emergency scenario using an innovative model in the multidisciplinary simulation center. A total of 29 gynecology, urology, and general surgery residents, fellows, and attending surgeons participated in the laparoscopic emergency simulation drill. Of the 29 participants of the laparoscopic emergency simulation drill using the model, 27 (93.1%) agreed or strongly agreed that the simulated drill approximates the stress of a vascular injury during laparoscopy and 27 (93.1%) agreed or strongly agreed that the model set up appears appropriate for approximating a retroperitoneal hematoma. The reusable, laparoscopic simulation model and emergency drill were rated favorably by participants. The model and drill have the potential to be used for multidisciplinary drills that include anesthesiologists, surgical nurses, surgical technologists, and surgeons.

AB - Although studies on simulation of rare complications have become more common in the trauma and obstetric literature, there is a paucity of studies on simulation of rare laparoscopic emergencies. High-fidelity models, virtual reality systems, and porcine labs are available; however, their cost limits wider use and repetition of skills. A low-cost, laparoscopic entry and emergency model was created using on-hand base parts. A convenience sample of obstetrics/gynecology and general surgery residents and attending surgeons completed a laparoscopic entry and emergency scenario using an innovative model in the multidisciplinary simulation center. A total of 29 gynecology, urology, and general surgery residents, fellows, and attending surgeons participated in the laparoscopic emergency simulation drill. Of the 29 participants of the laparoscopic emergency simulation drill using the model, 27 (93.1%) agreed or strongly agreed that the simulated drill approximates the stress of a vascular injury during laparoscopy and 27 (93.1%) agreed or strongly agreed that the model set up appears appropriate for approximating a retroperitoneal hematoma. The reusable, laparoscopic simulation model and emergency drill were rated favorably by participants. The model and drill have the potential to be used for multidisciplinary drills that include anesthesiologists, surgical nurses, surgical technologists, and surgeons.

KW - laparoscopic emergency

KW - Surgical simulation

KW - vascular injury

UR - http://www.scopus.com/inward/record.url?scp=85031108131&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85031108131&partnerID=8YFLogxK

U2 - 10.1177/1548512916647812

DO - 10.1177/1548512916647812

M3 - Article

VL - 14

SP - 399

EP - 405

JO - Journal of Defense Modeling and Simulation

JF - Journal of Defense Modeling and Simulation

SN - 1548-5129

IS - 4

ER -