Abstract
Laparoscopic surgery has been shown to have many favorable effects on surgical outcomes and postoperative recovery times. However, the cost of currently available training programs, such as the Fundamentals of Laparoscopic Surgery (FLS), limits their adoption in developing countries. To address this cost constraint, educators at the Justinian University Hospital (JUH) in Northern Haiti used local materials to build their own laparoscopic skills box trainer. This trainer is used to teach all surgical and OB/GYN residents in their laparoscopic skills program. The progressive curriculum consists of seven modules, three of which are for all trainees and four of which are specifically for surgery and OB/GYN (2). The seven modules are arranged in the order of difficulty; they start with basic maneuvers and progress to complex skills. This report describes both the preparation of the seven models and evaluation of the skills that are learned. This approach may facilitate global access to feasible, progressive, and sustainable laparoscopic training.
Highlights
Laparoscopic surgery has many advantages for patient care, minimal trauma to tissues and faster postoperative recovery times. It is a common technique in developed countries. It been only minimally adopted in developing countries, like Haiti, despite the availability of telesimulation for training laparoscopic surgery teachers [1,2,3,4,5,6,7,8]
Fundamentals of Laparoscopic Surgery (FLS) is, for example, one well-established and validated example of telesimulation that was successfully implemented in Botswana
The advantages of laparoscopic surgery over open surgery are the same in Haiti as they are in Canada
Summary
Laparoscopic surgery has many advantages for patient care, minimal trauma to tissues and faster postoperative recovery times. It is a common technique in developed countries. It been only minimally adopted in developing countries, like Haiti, despite the availability of telesimulation for training laparoscopic surgery teachers [1,2,3,4,5,6,7,8]. Fundamentals of Laparoscopic Surgery (FLS) is, for example, one well-established and validated example of telesimulation that was successfully implemented in Botswana. The trainees in Botswana were required to use FLS-certified trainers and exercises; these are prohibitively expensive in some contexts
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