Low-fidelity Paediatric Surgical Simulation: Description of Models in Low-Resource Settings.

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Low-fidelity Paediatric Surgical Simulation: Description of Models in Low-Resource Settings.

World J Surg. 2019 Jan 31;:

Authors: McClelland TJ, Ford K, Dagash H, Lander A, Lakhoo K

Abstract
BACKGROUND: Surgical simulation is an important aspect of competency-based training. Recent trends in paediatric surgical simulations have migrated towards high-fidelity simulation with advanced technology resulting in models which are expensive and largely inaccessible in low- and middle-income countries.
METHODS: This article describes four wet simulation models of common surgical procedures in paediatric population created with animal tissue from local abattoir. The models are designed to provide a framework for others to make the models and benefit from the training opportunity they provide especially in low-middle-income countries.
RESULTS: The models created in the wet laboratory are neonatal bowel anastomosis, duodenoduodenostomy for discrepancy anastomosis, gastrostomy and pyeloplasty. These models are easily reproducible in resource-challenged healthcare setting as they are low cost, utilise locally available resources and require only a basic set of surgical instruments with which to perform the procedures.
CONCLUSION: These models provide locally accessible material for sustainable training programmes which are fundamental in developing safe and affordable surgical care worldwide.

PMID: 30706107 [PubMed - as supplied by publisher]

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