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"Latex glove" laparoscopic pyeloplasty model: a novel method for simulated training
Syed Johar Raza1, Kashifuddin Q Soomroo, Mohammad Hammad Ather
1Aga Khan University, Karachi, Pakistan.
Urology Journal
|November 18, 2011
Summary
A novel latex glove model effectively simulates laparoscopic pyeloplasty (LPP) training. This cost-effective tool demonstrates construct validity, showing significant differences in operation time and suturing quality based on surgeon experience.
Area of Science:
- Surgical Education
- Medical Simulation
- Urology
Background:
- Laparoscopic pyeloplasty (LPP) is a complex procedure.
- Effective resident training models are crucial for surgical skill development.
- Existing simulation models may be costly or inaccessible.
Purpose of the Study:
- To introduce a novel 'latex glove' laparoscopic pyeloplasty (LPP) training model.
- To assess the construct validity of this model for resident surgical training.
Main Methods:
- Five operators of varying experience performed LPP on a latex glove model in a basic lap trainer.
- The glove's palm represented the renal pelvis, fingers the ureter, and a knot the obstruction.
- Operation time and suturing quality were recorded and analyzed by a blinded reviewer.
Main Results:
- Operation time ranged from 47 to 160 minutes, significantly differing between experienced and novice operators (P = .043).
- Suturing quality scores ranged from 1 to 6, also showing significant differences (P = .038).
- Both operation time and suturing quality were negatively correlated with experience (P = .009 and P = .002).
Conclusions:
- The latex glove model demonstrates construct validity for LPP training.
- It is a cost-effective and readily available simulation tool.
- This model can enhance resident training in laparoscopic pyeloplasty.
