[Learning of flexible endoscopy, particularly endoscopic vacuum therapy (EVT)]

Area of Science:

• Gastroenterology
• Surgical Training
• Medical Device Technology

Background:

• Gastrointestinal anastomotic insufficiency and perforations are severe complications with high mortality.
• Conventional treatments, especially re-operations, are often inadequate.
• Endoscopic vacuum therapy (EVT) presents a promising alternative for managing these conditions.

Purpose of the Study:

• To address the need for specialized training in EVT for surgeons.
• To adapt existing flexible endoscopy training systems for EVT.
• To develop a dedicated EVT training module for surgical professionals.

Main Methods:

• Modified the Tübingen training system for flexible endoscopy to include EVT-specific requirements.
• Developed a two-stage training process: initial endoscope handling with the Tübingen Orientophant, followed by EVT training on a patient-analogous model.
• Included hands-on practice with various EVT techniques, complication management, and error consequence training on the phantom model.

Main Results:

• Surgeons rapidly achieve endoscopic competence and proficiency in EVT through the training program.
• The training effectively simulates patient procedures, allowing step-by-step practice of sponge application and complication management.
• Initial course evaluations indicate successful skill acquisition and mastery of the EVT procedure.

Conclusions:

• The developed training program enables surgeons to quickly master EVT, enhancing patient safety.
• Optimal didactic design based on experience is crucial for effective surgical training courses.
• Increased support for such specialized training courses is recommended to improve patient outcomes and safety in healthcare policy.