Kerbage Yohan, Giraudet Géraldine, Rubod Chrystèle, Garabedian Charles, Rivaux Géraldine, Cosson Michel
Faculté de Médecine, Université de Lille, 59000, Lille, France.
Service de Gynécologie-Obstétrique, CHU Lille, 59000, Lille, France.
Int Urogynecol J. 2017 Oct;28(10):1573-1577. doi: 10.1007/s00192-017-3313-8. Epub 2017 Mar 20.
The objective was to evaluate the ewe as an animal model for teaching and training in vaginal surgery.
Twenty-nine postgraduate surgeons attended a training course on vaginal prolapse surgery. After a review of human and sheep anatomy, the participants performed transvaginal meshes, vaginal hysterectomy, SSLF (Richter), and OAS repair in ewes and human cadavers. Participants completed questionnaires on the whole course.
Questionnaires showed the significant superiority of ewes over human cadavers for all items evaluated regarding surgical dissections. Only identification of the sacrospinous ligament and the spine were judged to be similar in ewes and human cadavers. Participants noticed that ewe model is appropriate for vaginal prolapse surgery training for resident and for postgraduate surgeons. Two vaginal hysterectomies were also performed. Operating time, surgery, and anatomy were nearly identical to that of humans. The same conclusions were made while performing sacrospinous ligament fixation (Richter) and obstetric anal sphincter injury repair.
This series indicates that the ewe is a useful animal model for teaching vaginal surgery.
目的是评估母羊作为阴道手术教学与培训的动物模型。
29名研究生外科医生参加了阴道脱垂手术培训课程。在复习了人体和绵羊解剖结构后，参与者在母羊和人体尸体上进行经阴道网片植入、阴道子宫切除术、骶棘韧带固定术（里氏手术）和产科肛门括约肌损伤修复术。参与者完成了关于整个课程的问卷调查。
问卷调查显示，在所有评估的手术解剖项目中，母羊明显优于人体尸体。只有骶棘韧带和脊柱的识别在母羊和人体尸体中被认为相似。参与者注意到母羊模型适用于住院医师和研究生外科医生的阴道脱垂手术培训。还进行了两台阴道子宫切除术。手术时间、手术操作和解剖结构与人类的几乎相同。在进行骶棘韧带固定术（里氏手术）和产科肛门括约肌损伤修复术时也得出了相同的结论。
本系列研究表明，母羊是一种用于阴道手术教学的有用动物模型。
