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

Area of Science:

• Gastroenterology
• Surgical Education
• Medical Device Training

Background:

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

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 Tuebingen training system for flexible endoscopy to meet surgeons' needs.
• Developed a two-stage training process using specialized phantoms.
• Included theoretical principles and hands-on skill development for flexible endoscopy and EVT.

Main Results:

• The training utilizes the "Tuebingen Orientophant" for basic skills and the "Tuebinger Spongiophant" for EVT simulation.
• The "Tuebinger Spongiophant" allows step-by-step, hands-on practice of EVT on patient-analogous models.
• Training covers various sponge application techniques and complication management scenarios.

Conclusions:

• Surgeons rapidly achieve endoscopic competence and proficiency in EVT through this training.
• Optimally designed didactic courses are crucial for effective surgical education.
• Increased support for such training programs is recommended to enhance patient care and safety.