Published in:
Open Access 01-05-2019 | Pyeloplasty | Innovative Surgical Techniques Around the World
Low-fidelity Paediatric Surgical Simulation: Description of Models in Low-Resource Settings
Published in: World Journal of Surgery | Issue 5/2019
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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.
Methods
This 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.
Results
The 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.
Conclusion
These models provide locally accessible material for sustainable training programmes which are fundamental in developing safe and affordable surgical care worldwide.