Soler-Silva Álvaro, Sanchís-López Antonio, Sánchez-Guillén Luis, López-Rodríguez-Arias Francisco, Gómez-Pérez Luis, Quirós María José Alcaide, Sánchez-Ferrer María-Luisa, Escoriza Juan Carlos Martínez, Muñoz-Duyos Arantxa, Ramírez José Manuel, Arroyo Antonio
Department of General Surgery, Colorectal Unit, Elche University Hospital, Alicante, Spain.
Department of General Surgery, Colorectal Unit, Elche University Hospital, Alicante, Spain; Department of Pathology and Surgery of University Miguel Hernández of Elche, Alicante, Spain.
Eur J Obstet Gynecol Reprod Biol. 2021 Jan;256:165-171. doi: 10.1016/j.ejogrb.2020.11.023. Epub 2020 Nov 11.
To determine whether the Thiel cadaveric model is better and more realistic than other surgical simulation techniques for learning pelvic floor and perineal surgical procedures according to the opinions of urogynecologists and surgeons participating in international postgraduate pelvic floor surgery courses using cadavers embalmed by the Thiel method.
An observational prospective study was performed in urogynecologists and surgeons attending international postgraduate pelvic floor and perineal surgery courses using cadavers embalmed by the Thiel method. A survey was completed by the participants after finishing the course. Based on the answers collected, we analyzed the differences, including in the satisfaction degree and teaching level for each surgical procedure, between different surgical simulation models that the participants had already used and the Thiel simulation method employed.
The students recognized that Thiel cadavers present more similarities to patients than other simulation methods. The Thiel cadaveric method was considered by most responders to be the best for the simulation of surgical procedures on the pelvic floor and perineum. Most of the surgeons surveyed recommended conducting these courses with Thiel cadavers for different colleagues in other specialties as a reliable simulation method for training for difficult surgical procedures.
Participants in the course on pelvic floor surgery in Thiel cadavers recognized that this is the most realistic model for surgical simulation and the best way to gain confidence, self-determination and precise surgical skills for performing pelvic floor and perineal surgery.
根据参与使用经蒂尔方法防腐处理尸体的国际盆底外科研究生课程的泌尿妇科医生和外科医生的意见，确定蒂尔尸体模型在学习盆底和会阴外科手术方面是否比其他手术模拟技术更好、更逼真。
对参加使用经蒂尔方法防腐处理尸体的国际盆底和会阴外科研究生课程的泌尿妇科医生和外科医生进行了一项观察性前瞻性研究。课程结束后，参与者完成了一项调查。根据收集到的答案，我们分析了参与者已经使用的不同手术模拟模型与所采用的蒂尔模拟方法之间的差异，包括每种手术的满意度和教学水平。
学生们认识到，与其他模拟方法相比，蒂尔尸体与患者有更多相似之处。大多数受访者认为蒂尔尸体方法是模拟盆底和会阴手术的最佳方法。大多数接受调查的外科医生建议，将使用蒂尔尸体为其他专科的不同同事开展这些课程，作为培训复杂手术的可靠模拟方法。
参加使用蒂尔尸体进行盆底外科手术课程的人员认识到，这是手术模拟最逼真的模型，也是获得进行盆底和会阴手术的信心、自主能力和精确手术技能的最佳途径。
