J A van Ling1, G M J Bökkerink1,2, I de Blaauw1, S M B I Botden3. 1. Department of Pediatric Surgery, Radboudumc - Amalia Children's Hospital, Route 618, Nijmegen, 6500 HB, the Netherlands. 2. Department of Pediatric Surgery, Princess Máxima Center for Paediatric Oncology, Utrecht, the Netherlands. 3. Department of Pediatric Surgery, Radboudumc - Amalia Children's Hospital, Route 618, Nijmegen, 6500 HB, the Netherlands. Sanne.Botden@radboudumc.nl.
Abstract
BACKGROUND: An Anorectal Malformation (ARM) is a rare congenital malformation, which requires proper correction to ensure the best long-term prognosis. These procedures are relatively infrequent and complex, in which a structured approach is important. Therefore, training on an affordable model could be beneficial. METHODS: A low-cost ARM model was developed. The base was reusable and the perineal body disposable. Both expert pediatric surgeons (Experts) and residents/fellows (Target group) were recruited for this study. After testing the model, they completed a questionnaire regarding the realism and didactic value of the model, using a 5-point Likert scale. RESULTS: Forty-four participants were recruited (Target group n = 20, Experts n = 24). The model has high mean scores of 3.8-4.4 for the total group and even higher on several aspects by the Target group. The experts regarded the haptics and manipulation of the fistula less realistic than the Target group (3.7 versus 4.3, p = 0.021 and 4.2 versus 4.6, p = 0.047). It was considered to be a very good training tool (mean 4.3), without significant differences between the groups. CONCLUSIONS: These results show general consensus that this model is a potent training tool for the component steps of the repair of an ARM with recto-perineal fistula by sagittal approach.
BACKGROUND: An Anorectal Malformation (ARM) is a rare congenital malformation, which requires proper correction to ensure the best long-term prognosis. These procedures are relatively infrequent and complex, in which a structured approach is important. Therefore, training on an affordable model could be beneficial. METHODS: A low-cost ARM model was developed. The base was reusable and the perineal body disposable. Both expert pediatric surgeons (Experts) and residents/fellows (Target group) were recruited for this study. After testing the model, they completed a questionnaire regarding the realism and didactic value of the model, using a 5-point Likert scale. RESULTS: Forty-four participants were recruited (Target group n = 20, Experts n = 24). The model has high mean scores of 3.8-4.4 for the total group and even higher on several aspects by the Target group. The experts regarded the haptics and manipulation of the fistula less realistic than the Target group (3.7 versus 4.3, p = 0.021 and 4.2 versus 4.6, p = 0.047). It was considered to be a very good training tool (mean 4.3), without significant differences between the groups. CONCLUSIONS: These results show general consensus that this model is a potent training tool for the component steps of the repair of an ARM with recto-perineal fistula by sagittal approach.
Entities:
Keywords:
Anorectal malformations; Inanimate model; Posterior sagittal anorectoplasty; Surgical training
Authors: S R Dawe; G N Pena; J A Windsor; J A J L Broeders; P C Cregan; P J Hewett; G J Maddern Journal: Br J Surg Date: 2014-05-15 Impact factor: 6.939
Authors: Erik Leijte; Elke Arts; Bart Witteman; Jack Jakimowicz; Ivo De Blaauw; Sanne Botden Journal: Surg Endosc Date: 2019-01-22 Impact factor: 4.584