1216 Novel Laparoscopic Simulation Platform

Abstract

Video Objective With the requirement for the Fundamentals of Laparoscopic Surgery certification amongst graduating OBGYN residents there has been increased interest in utilization of simulation to practice and improve laparoscopic skills. Currently FLS box trainers for practice and testing of FLS manual skills tasks are being sold. We aimed to create a low-cost, easy-to-make, and versatile laparoscopic training platform and studied its usability at our institution. Setting Academic Hospital, OBGYN Residency program Interventions A rectangular piece of sheet wood was used as a platform and a blueprint based on the official FLS box trainer dimensions was created with corresponding placement of ports and the camera on the board. A drill is used to create holes for the metal pegs with eyehooks that function as ports. Velcro is applied to the board to provide stability for FLS inserts. This model can be used for any laparoscopic set up including models for hysterectomy or colpotomy. Open design of the model allows for complex task breakdown to allow learners to master skills. Total cost of one model was $15-25 per platform and took 30 minutes to build. Conclusion A usability and acceptability survey was administered to a convenient sample of faculty and trainees. Trainees and faculty responded favorably to the model. 70% (7/10) residents and 86% (6/7) of attendings agreed the platform was easy to use. 100% (10/10) of residents and attendings (6/6) agreed the laparoscopic platform is useful for improving and practicing laparoscopic skills. 100% of attendings felt that the laparoscopic platform is useful for assessing the learners ability to perform laparoscopic skills prior to live surgery. 88% (8/9) of residents/fellows and 86% (6/7) of attendings felt that it closely simulated the feel of performing laparoscopy in live surgery. Novel laparoscopic platform model is an innovative low-cost teaching tool to add to the gynecologic surgical education armamentarium.