Yohan Kerbage1,2,3, Géraldine Giraudet4, Chrystèle Rubod5,4, Charles Garabedian5,4, Géraldine Rivaux4, Michel Cosson5,4. 1. Faculté de Médecine, Université de Lille, 59000, Lille, France. yohan.kerbage@gmail.com. 2. Service de Gynécologie-Obstétrique, CHU Lille, 59000, Lille, France. yohan.kerbage@gmail.com. 3. Department of Gynecologic Surgery, Jeanne de Flandre Hospital, CHRU de Lille, Lille, France. yohan.kerbage@gmail.com. 4. Service de Gynécologie-Obstétrique, CHU Lille, 59000, Lille, France. 5. Faculté de Médecine, Université de Lille, 59000, Lille, France.
Abstract
INTRODUCTION AND HYPOTHESIS: The objective was to evaluate the ewe as an animal model for teaching and training in vaginal surgery. METHODS: Twenty-nine postgraduate surgeons attended a training course on vaginal prolapse surgery. After a review of human and sheep anatomy, the participants performed transvaginal meshes, vaginal hysterectomy, SSLF (Richter), and OAS repair in ewes and human cadavers. Participants completed questionnaires on the whole course. RESULTS: Questionnaires showed the significant superiority of ewes over human cadavers for all items evaluated regarding surgical dissections. Only identification of the sacrospinous ligament and the spine were judged to be similar in ewes and human cadavers. Participants noticed that ewe model is appropriate for vaginal prolapse surgery training for resident and for postgraduate surgeons. Two vaginal hysterectomies were also performed. Operating time, surgery, and anatomy were nearly identical to that of humans. The same conclusions were made while performing sacrospinous ligament fixation (Richter) and obstetric anal sphincter injury repair. CONCLUSION: This series indicates that the ewe is a useful animal model for teaching vaginal surgery.
INTRODUCTION AND HYPOTHESIS: The objective was to evaluate the ewe as an animal model for teaching and training in vaginal surgery. METHODS: Twenty-nine postgraduate surgeons attended a training course on vaginal prolapse surgery. After a review of human and sheep anatomy, the participants performed transvaginal meshes, vaginal hysterectomy, SSLF (Richter), and OAS repair in ewes and human cadavers. Participants completed questionnaires on the whole course. RESULTS: Questionnaires showed the significant superiority of ewes over human cadavers for all items evaluated regarding surgical dissections. Only identification of the sacrospinous ligament and the spine were judged to be similar in ewes and human cadavers. Participants noticed that ewe model is appropriate for vaginal prolapse surgery training for resident and for postgraduate surgeons. Two vaginal hysterectomies were also performed. Operating time, surgery, and anatomy were nearly identical to that of humans. The same conclusions were made while performing sacrospinous ligament fixation (Richter) and obstetric anal sphincter injury repair. CONCLUSION: This series indicates that the ewe is a useful animal model for teaching vaginal surgery.
Entities:
Keywords:
Animal model; Ewes; Mesh; Prolapse; Training; Vaginal surgery
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