Kurashima Yo, Feldman Liane, Al-Sabah Salman, Kaneva Pepa, Fried Gerald, Vassiliou Melina
McGill University, Montreal, Quebec, Canada.
Surg Innov. 2011 Jun;18(2):171-5. doi: 10.1177/1553350610395949. Epub 2011 Feb 8.
Despite the advantages of laparoscopic inguinal hernia repair over the open approach in selected situations, laparoscopic inguinal hernia repair (LIHR) remains a challenge to teach and learn. The purpose of this study was to develop and validate a low-cost adaptable simulator for evaluation and training of LIHR. McGill Laparoscopic Inguinal Hernia Simulator (MLIHS) is a physical simulator that accurately represents inguinal anatomy. MLIHS permits to perform both transabdominal pre-peritoneal (TAPP) and totally extraperitoneal (TEP) repairs. Six experienced surgeons performed TAPP repairs using MLIHS. They were surveyed to establish face validity, and were scored using a previously validated global rating scale (maximum score = 25). Experienced surgeons considered MLIHS a useful tool for evaluating and training of LIHR. The mean (SD) global rating scores were 24.0 (± 0.6). The experienced surgeons considered MLIHS very useful for training and assessment. MLIHS is a valuable and affordable tool for training and evaluation of LIHR.
尽管在某些情况下腹腔镜腹股沟疝修补术比开放手术有优势，但腹腔镜腹股沟疝修补术（LIHR）的教学和学习仍然具有挑战性。本研究的目的是开发并验证一种低成本的适应性模拟器，用于LIHR的评估和培训。麦吉尔腹腔镜腹股沟疝模拟器（MLIHS）是一种能准确呈现腹股沟解剖结构的物理模拟器。MLIHS允许进行经腹腹膜前（TAPP）和完全腹膜外（TEP）修补术。六位经验丰富的外科医生使用MLIHS进行TAPP修补术。对他们进行调查以确定表面效度，并使用先前验证的整体评分量表（最高分=25分）进行评分。经验丰富的外科医生认为MLIHS是评估和培训LIHR的有用工具。平均（标准差）整体评分分数为24.0（±0.6）。经验丰富的外科医生认为MLIHS对培训和评估非常有用。MLIHS是用于LIHR培训和评估的有价值且经济实惠的工具。
