Mir Iqbal Saleem, Mohsin Mir, Malik Anjum, Shah Abdul Qayoom, Majid Tafazul
Apex Clinic, Gole Market, Karan Nagar, Srinagar, Kashmir, India.
Trop Doct. 2008 Oct;38(4):217-8. doi: 10.1258/td.2008.070359.
Training in minimal access surgery has always been difficult in developing countries with limited resources, non availability of formal animal labs, inaffordability of conventional endotrainers and lack of trained endosurgeons to help the amateurs. It is always difficult to start a new procedure in such places where not only the patients but the orthodox surgical fraternity are reluctant to accept new ideas and newer trends in surgery. After thorough discussions with senior surgeons, the author (who was the only trained endosurgeon to begin with) developed a training policy to train the surgeons over a period of time through various exercises before allowing them to assist him in the actual surgeries. A homemade, inexpensive endotrainer was designed for these exercises. Audio-visual seminars were held in between the training sessions. This training module can be employed by other rural hospitals to improve the skills of surgeons who are new to the art of endosurgery.
在资源有限的发展中国家，微创外科手术培训一直颇具难度，因为缺乏正规的动物实验室，传统的内镜训练器价格昂贵，且没有训练有素的内镜外科医生来帮助新手。在这样的地方开展一项新手术总是困难重重，不仅患者，就连传统外科界也不愿接受手术方面的新观念和新趋势。在与资深外科医生进行深入讨论后，作者（最初是唯一一位训练有素的内镜外科医生）制定了一项培训政策，在一段时间内通过各种练习培训外科医生，然后才允许他们协助自己进行实际手术。为此类练习设计了一种自制的、价格低廉的内镜训练器。在培训课程之间还举办了视听研讨会。其他农村医院也可采用这个培训模块，以提高刚接触内镜手术技术的外科医生的技能。
