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机器人辅助经阴道骶骨阴道固定术培训的经济有效模型。

A cost-effective model for training in Robot-Assisted Sacrocolpopexy.

机构信息

Department of Urogynaecology, Cork University Maternity Hospital, Cork, Ireland.

Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

Int Urogynecol J. 2023 Dec;34(12):3059-3062. doi: 10.1007/s00192-023-05604-3. Epub 2023 Jul 15.

Abstract

BACKGROUND

The number of robotically assisted sacrocolpopexy procedures are increasing; therefore, experienced clinicians are needed. Simulation-based cadaver models are challenging in aspects of cost and availability. Therefore, we need to look at alternative and more cost-effective models.

OBJECTIVE

The objective of this video was to design a new surgical model for the training of robotic-assisted sacrocolpopexy, which is affordable and accessible.

METHODS

We used a whole chicken model to simulate the female pelvic floor. We used Medtronic's Hugo™ RAS system as the robotic console in that procedure. A vaginal cuff was prepared from the proventriculus (stomach), and a Y shaped mesh was secured to the ischium to simulate the sacrocolpopexy procedure.

CONCLUSION

This model is easily constructed and in our view is cost-effective. We have demonstrated a new valuable education tool that can serve as a practical simulation model to teach the sacrocolpopexy procedure and to improve trainees' skills. A larger cohort study size is essential to demonstrate the learning curve among young trainees using this simulation model.

摘要

背景

机器人辅助骶骨阴道固定术的数量正在增加,因此需要有经验的临床医生。基于模拟的尸体模型在成本和可用性方面存在挑战。因此,我们需要寻找替代的、更具成本效益的模型。

目的

本视频旨在设计一种新的机器人辅助骶骨阴道固定术培训模型,该模型价格实惠且易于获得。

方法

我们使用整鸡模型模拟女性盆底。在该手术中,我们使用美敦力的 Hugo™ RAS 系统作为机器人控制台。从鸡的嗉囊(胃)制备阴道袖口,并将 Y 形网固定在坐骨上,以模拟骶骨阴道固定术。

结论

该模型易于构建,在我们看来具有成本效益。我们已经展示了一种新的有价值的教育工具,可以作为一种实用的模拟模型来教授骶骨阴道固定术,并提高学员的技能。使用这种模拟模型,需要更大的队列研究规模来证明年轻学员的学习曲线。

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