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01-11-2019 | Bariatric Surgery | Original Contributions

Training Courses in Laparoscopic Bariatric Surgery on Cadaver Thiel: Results of a Satisfaction Survey on Students and Professors

Authors: Jaime Ruiz-Tovar, Isabel Prieto-Nieto, Damián García-Olmo, Francisco Clascá, Pablo Enriquez, Ramon Villalonga, Lorea Zubiaga

Published in: Obesity Surgery | Issue 11/2019

Abstract

Introduction

For the acquisition of skills in laparoscopic surgery, practices in experimental labs are gaining increasing relevance. Activities in experimental labs include Pelvitrainers, virtual reality simulators, and experimental animals (frequently pigs). However, the best model for surgical formation is the performance of interventions on cadavers. The Thiel method gives the body elasticity, which allows the performance of laparoscopic procedures.

Methods

An observational prospective study was performed on surgeons attending to two courses of laparoscopic bariatric surgery on cadavers embalmed by the Thiel method. A questionnaire was given to the participants (students and professors) when finishing the course. Similarities between the procedures performed on cadavers and on patients were investigated. The satisfaction degree was also analyzed.

Results

The students recognized that the Thiel cadaver presents elasticity and aspect similar to the patient, and the practice on cadavers is considered the best method for the formation in laparoscopic bariatric surgery. The assistants were extremely satisfied with the acquired skills and considered that these courses should be included in the formation programs for bariatric surgery. The results of the survey on professors agreed with the students in considering the practice on cadavers as the best method for the formation in laparoscopic bariatric surgery. However, they highlighted as drawbacks of the Thiel cadaver, the absence of bleeding, and excessive elasticity of the tissues.

Conclusion

The participants (students and professors) to the courses of laparoscopic bariatric surgery on cadaver Thiel recognize that these are the most similar model to real conditions in bariatric surgery.

Targarona EM, Salvador Sanchis JL, Morales Conde S. Advanced training in laparoscopic surgery: what is the best model? Cir Esp. 2010;87(1):1–3.CrossRefPubMed

Scott DJ, Young WN, Tesfay ST, et al. Laparoscopic skills training. Am J Surg. 2001;182:137–42.CrossRef

Sroka G, Feldman LS, Vassiliou MC, et al. Fundamentals of laparoscopic surgery simulator training to proficiency improves laparoscopic performance in the operating room-a randomized controlled trial. Am J Surg. 2010;199:115–20.CrossRefPubMed

Delgado F, Gómez-Abril S, Montalvá E, et al. Formación del residente en cirugía laparoscópica: un reto actual. Cir Esp. 2003;74(3):134–8.CrossRef

Scott DJ, Bergen PC, Rege RV, et al. Laparoscopic training on bench models: better and more cost effective than operating room experience? J Am Coll Surg. 2000;191(3):272–83.CrossRefPubMed

Saá Álvarez R, Losada Rodríguez J, Colina Alonso A. Enseñanza de la Cirugía: nuevos tiempos, nuevos métodos. Cir Esp. 2012;90(1):17–23.CrossRef

Mac Fadyen JBV. Teaching, training, and clinical surgery. Surg Endosc. 2004;18:361–2.CrossRef

Usón Gargallo J, Sánchez Margallo FM, Díaz-Güemes L, et al. Modelos experimentales en la cirugía laparoscópica urológica. Actas Urol Esp. 2006;30(5):443–50.CrossRefPubMed

Aggarwal R, Darzi A. Technical-skills training in the 21st century. N Engl J Med. 2006;355:2695–6.CrossRefPubMed

10.

Giger U, Frésard I, Häfliger A, et al. Laparoscopic training on Thiel human cadavers: a model to teach advanced laparoscopic procedures. Surg Endosc. 2008;22(4):901–6.CrossRefPubMed

11.

Benkhadra M, Gérard J, Genelot D, et al. Thiel’s embalming method widely known? A world survey about its use. Surg Radiol Anat. 2011;33:359–63.CrossRefPubMed

12.

Groscurth P, Eggli P, Kapfhammer J, et al. Gross anatomy in the surgical curriculum in Switzerland: improved cadaver preservation, anatomical models, and course development. Anat Rec (New Anat). 2001;265:254–6.CrossRef

13.

Thiel W. The preservation of the whole corpse with natural color. Ann Anat. 1992;174:185–95.CrossRefPubMed

14.

Thiel W. Supplement to the conservation of an entire cadaver according to W. Thiel. Ann Anat. 2002;184(3):267–9.CrossRefPubMed

15.

Fitzpatrick CM, Kolesari GL, Brasel KJ. Teaching anatomy with surgeons’ tools: use of the laparoscope in clinical anatomy. Clin Anat. 2001;14(5):349–53.CrossRefPubMed

16.

Morán C. Ser médicos sin tocar un cadáver. Diario El País. [versión electrónica] 2103. [Consultado 22-01-2013]: Disponible en: http://sociedad.elpais.com/sociedad/2013/01/21/actualidad/1358788802_664958.html

17.

Anatomy educators: making anatomy necessary and attractive to modern audiences. Clin Anat. 2011;24:398–408.

18.

Zaid H, Ward D, Sammann A, et al. Integrating surgical skills education into the anatomy laboratory. J Surg Res. 2010;158(1):36–42.CrossRefPubMed

19.

Bertone VH, Blasi E, Ottone NE, et al. Preservación de Cadáveres con Mantenimiento de las Principales Propiedades Físicas del Vivo. Método de Walther Thiel. Rev Arg Anat Onl. 2011;2(3):89–92.

Title: Training Courses in Laparoscopic Bariatric Surgery on Cadaver Thiel: Results of a Satisfaction Survey on Students and Professors
Authors: Jaime Ruiz-Tovar
Isabel Prieto-Nieto
Damián García-Olmo
Francisco Clascá
Pablo Enriquez
Ramon Villalonga
Lorea Zubiaga
Publication date: 01-11-2019
Publisher: Springer US
Keywords: Bariatric Surgery
Bariatric Surgery
Published in: Obesity Surgery / Issue 11/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-019-04003-2

At a glance: The STEP trials

Springer Medicine

Training Courses in Laparoscopic Bariatric Surgery on Cadaver Thiel: Results of a Satisfaction Survey on Students and Professors

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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