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Development and assessment of a loop ligation simulator for laparoscopic appendectomy.
Sabine Zundel1, Noemi Singer2, Lena Florinett2
1Department of Pediatric Surgery, Children's Hospital Lucerne, 6000, Lucerne 16, Switzerland. sabine.zundel@luks.ch.
Pediatric Surgery International
|March 21, 2024
Summary
This study developed an affordable simulator for laparoscopic appendectomy loop ligation training. Novice surgeons showed significant skill improvement after using the simulator, demonstrating its effectiveness for surgical education.
Area of Science:
- Surgical Education
- Minimally Invasive Surgery
- Medical Simulation
Background:
- Loop ligation of the appendix is a complex surgical skill.
- Effective training methods are needed for laparoscopic appendectomy.
Purpose of the Study:
- To develop an affordable and easy-to-build simulator for appendix loop ligation.
- To evaluate the training effectiveness of the developed simulator.
Main Methods:
- Literature review to identify optimal training modalities.
- Development and testing of a low-cost simulator.
- Training 20 surgical novices using the simulator and the Peyton approach.
- Video production detailing simulator construction and surgical technique.
Main Results:
- A functional simulator for appendix loop ligation was successfully developed.
- Novice surgeons demonstrated significant improvement in task completion and skill acquisition.
- The Peyton approach facilitated effective learning during simulation.
Conclusions:
- The developed simulator is effective for training loop ligation skills in laparoscopic appendectomy.
- Participants showed significant improvement in handling surgical loops.
- Further studies will investigate skill transferability to the operating room.

