Publication
Validation of a Low-Cost Do-It-Yourself Model for Neonatal Thoracoscopic Congenital Diaphragmatic Hernia Repair
| dc.contributor.author | Reino-Pires, P | |
| dc.contributor.author | Lopez, M | |
| dc.date.accessioned | 2019-04-08T11:28:42Z | |
| dc.date.available | 2019-04-08T11:28:42Z | |
| dc.date.issued | 2018-11 | |
| dc.description.abstract | We aimed to develop and validate a low cost, do-it-yourself model for neonatal thoracoscopic congenital diaphragmatic hernia (CDH). DESIGN: Volunteers with varying skills in neonatal minimally invasive surgery tested and evaluated the model simulating a neonatal thoracoscopic CDH repair. The model was built from ordinary materials purchased in a dime store: a small food container, a neoprene band simulating a diaphragm, an inflated balloon simulating a spleen, a tissue chord simulating intestine, and a body wash sponge simulating a collapsed lung. The evaluation comprised 3 sets of 5-point grading scale concerning appearance, necessary maneuvers, and ability to generate skills. Bowel reduction and suture efficacy was verified for each test. SETTING: Minimally invasive surgery simulation room at Pediatric Surgery Department of Hospital Universitario de Vall d'Hebron, Barcelona, Spain. PARTICIPANTS: Volunteer residents and specialists of pediatric surgery. RESULTS: Bowel reduction was possible in every test, with 1 spleen rupture, 1 bowel entrapment, and 2 inappropriate sutures due to tension. Most volunteers considered the general endoscopic vision (63.2%), external and internal dimensions (both 89.5%) to be highly similar; bowel reduction (68.4%) and diaphragm's manipulation and suture (57.9%) to be highly or very highly similar. Regarding its ability to generate skills, most considered it to be very or extremely useful concerning: camera handling (52.6%), working in small spaces and suture (both 100%), and tissue handling (63.2%). The least liked features were the colors and the diaphragm's tension. The size, portability, and the reproducibility were the most liked features. CONCLUSIONS: We consider this low cost and easily reproducible model to be realistic enough for CDH repair training, having the potential to be adapted for other simulations. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | J Surg Educ. 2018 Nov;75(6):1658-1663 | pt_PT |
| dc.identifier.doi | 10.1016/j.jsurg.2018.04.005 | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.17/3242 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Elsevier | pt_PT |
| dc.subject | Congenital Diaphragmatic Hernia | pt_PT |
| dc.subject | Pediatric Thoracic Surgery | pt_PT |
| dc.subject | Neonatal Surgery | pt_PT |
| dc.subject | Surgical Education | pt_PT |
| dc.subject | Surgical Simulation | pt_PT |
| dc.subject | Resident Education | pt_PT |
| dc.subject | Medical Knowledge | pt_PT |
| dc.subject | Practice-Based Learning and Improvement | pt_PT |
| dc.subject | HDE CIR PED | pt_PT |
| dc.title | Validation of a Low-Cost Do-It-Yourself Model for Neonatal Thoracoscopic Congenital Diaphragmatic Hernia Repair | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | 1663 | pt_PT |
| oaire.citation.issue | 6 | pt_PT |
| oaire.citation.startPage | 1658 | pt_PT |
| oaire.citation.volume | 75 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |