Low-fidelity Paediatric Surgical Simulation: Description of Models in Low-Resource Settings

T J Mcclelland,K Ford,K Lakhoo,A Lander,H Dagash

doi:10.1007/s00268-019-04921-3

Abstract

BackgroundSurgical simulation is an important aspect of competency-based training. Recent trends in paediatric surgical simulations have migrated towards high-fidelity simulation with advanced technology resulting in models which are expensive and largely inaccessible in low- and middle-income countries.MethodsThis article describes four wet simulation models of common surgical procedures in paediatric population created with animal tissue from local abattoir. The models are designed to provide a framework for others to make the models and benefit from the training opportunity they provide especially in low–middle-income countries.ResultsThe models created in the wet laboratory are neonatal bowel anastomosis, duodenoduodenostomy for discrepancy anastomosis, gastrostomy and pyeloplasty. These models are easily reproducible in resource-challenged healthcare setting as they are low cost, utilise locally available resources and require only a basic set of surgical instruments with which to perform the procedures.ConclusionThese models provide locally accessible material for sustainable training programmes which are fundamental in developing safe and affordable surgical care worldwide.

Highlights

Surgical simulation is an important aspect of competencybased training characterised by guided experiences replicating aspects of the intra-operative environment to improve basic surgical skills
Background Surgical simulation is an important aspect of competency-based training
Recent trends in paediatric surgical simulations have migrated towards high-fidelity simulation with advanced technology resulting in models which are expensive and largely inaccessible in low- and middle-income countries

Summary

Introduction

Surgical simulation is an important aspect of competencybased training characterised by guided experiences replicating aspects of the intra-operative environment to improve basic surgical skills. There has been a shift towards high-fidelity simulation involving advanced technology such as virtual reality and 3-D printed models These methods, are expensive and largely inaccessible outside of high-income tertiary centres. The article aims are threefold: (1) describing how the model materials are sourced, (2) assembly of materials into the simulation model and (3) utilisation of the model for the individual surgical trainee and trainer These simulations are low cost and low fidelity—enabling those in LMICs to acquire the requisite materials with ease and provide training. Recent trends in paediatric surgical simulations have migrated towards high-fidelity simulation with advanced technology resulting in models which are expensive and largely inaccessible in low- and middle-income countries

Methods

Discussion

Conclusion