[Three dimensional anatomy and virtual surgery for transobturator approach]

Area of Science:

• Pelvic Anatomy
• Surgical Education
• 3D Modeling

Context:

• Stress Urinary Incontinence (SUI) and cystocele management often utilize transobturator approaches.
• Surgical training for pelvic procedures requires effective anatomical understanding and manual skill development.
• Existing training methods may have limitations in replicating complex pelvic floor anatomy.

Purpose:

• To demonstrate the anatomical basis for managing SUI and cystocele using synthetic models.
• To evaluate the efficacy of a novel 3D synthetic model in surgical training.
• To assess trainee satisfaction and learning impact of the 3D model.

Summary:

• A 3D synthetic pelvic model, including bones, muscles, ligaments, and fascias, was developed for surgical training.
• The model incorporates transobturator needles, synthetic slings, and meshes for anterior vaginal wall repair.
• Training involved anatomical overview, hands-on practice with the model, and subsequent animal surgery, followed by a satisfaction questionnaire.

Impact:

• 90% of participants rated the anatomical concept as very good, and 10% as good.
• 100% approval was recorded for the model's utility in understanding 3D pelvic floor anatomy for transobturator procedures.
• The synthetic model enhances understanding of pelvic floor anatomy and surgical procedures, reducing the learning curve for transobturator interventions.