Literature DB >> 35256829

Design, Development, and Validation of a High-Fidelity "Ganglion Cyst" Model for Cadaveric Hand Surgery Training.

Vaikunthan Rajaratnam1, Gerrard Gan1, Amir A Ahmad2, Thommen T Kuruvilla1, Bharathi M Shanmugam1, Rebosura C K Pueblos1, P Yein Tong1.   

Abstract

Introduction  This study presents a design and developmental model with prospective validation. This study was aimed to design, develop, and validate a cadaveric model simulator of a ganglion cyst to train surgeons in its surgical excision. Materials and Methods  A novel "ganglion cyst" was designed using a latex powder-free glove and water-based, water-soluble lubricant (K-Y jelly). This "ganglion cyst" was then inserted subcutaneously into a cadaveric hand, positioned over the dorsum of the wrist to simulate a ganglion lesion. This simulation model was prospectively validated using postsimulation surveys conducted on novices and experts in hand surgery. The simulation was conducted during a basic hand surgery cadaveric workshop that included a practical station on ganglion excision. Results  Both the novices and experts had a concurrent agreement that the simulator provided relevance, realism, and value as a simulator for the teaching, excision and procedural assessment of ganglions in the hand. Conclusion  The role of high-fidelity simulation has been documented in the literature for surgical procedures. This simple and affordable model that we have developed and validated allows for the creation of a high-fidelity ganglion simulator in the cadaveric hand for teaching, excision, and procedural assessment among trainees. Society of Indian Hand & Microsurgeons. This article is published by Thieme.

Entities:  

Keywords:  ganglion; hand surgery; high-fidelity simulator; surgical training

Year:  2020        PMID: 35256829      PMCID: PMC8898150          DOI: 10.1055/s-0040-1710169

Source DB:  PubMed          Journal:  J Hand Microsurg        ISSN: 0974-3227


  13 in total

1.  The dorsal ganglion of the wrist: its pathogenesis, gross and microscopic anatomy, and surgical treatment.

Authors:  A C Angelides; P F Wallace
Journal:  J Hand Surg Am       Date:  1976-11       Impact factor: 2.230

2.  Porcine sebaceous cyst model: an inexpensive, reproducible skin surgery simulator.

Authors:  Jonathan Bowling; Jonathan Botting
Journal:  Dermatol Surg       Date:  2005-08       Impact factor: 3.398

3.  Perfused fresh cadavers: method for application to surgical simulation.

Authors:  Joseph N Carey; Michael Minneti; Hyuma A Leland; Demetrios Demetriades; Peep Talving
Journal:  Am J Surg       Date:  2015-03-11       Impact factor: 2.565

4.  Epineurial Nerve Coaptation: A Biological Nonliving Training Model Using Gradually Thawed Cryopreserved Sciatic Nerves.

Authors:  Ali-Farid Safi; Sema Safi; Marco Timmer; Roland Goldbrunner; Martin Kauke
Journal:  J Craniofac Surg       Date:  2018-10       Impact factor: 1.046

5.  Cadaver as a model for laparoscopic training.

Authors:  Avinash Supe; Abhay Dalvi; Ramkrishna Prabhu; Chetan Kantharia; Pritha Bhuiyan
Journal:  Indian J Gastroenterol       Date:  2005 May-Jun

6.  The treatment of dorsal wrist ganglia by radical excision.

Authors:  N R Clay; D A Clement
Journal:  J Hand Surg Br       Date:  1988-05

Review 7.  Cadaveric simulation: a review of reviews.

Authors:  M Yiasemidou; E Gkaragkani; D Glassman; C S Biyani
Journal:  Ir J Med Sci       Date:  2017-11-14       Impact factor: 1.568

8.  Incidence and anatomical distribution of hand tumours: a Singapore study.

Authors:  Zhi Hao Tang; Vaikunthan Rajaratnam; Vijayadwaja Desai
Journal:  Singapore Med J       Date:  2016-08-29       Impact factor: 1.858

Review 9.  Validation and implementation of surgical simulators: a critical review of present, past, and future.

Authors:  B M A Schout; A J M Hendrikx; F Scheele; B L H Bemelmans; A J J A Scherpbier
Journal:  Surg Endosc       Date:  2009-07-25       Impact factor: 4.584

10.  Ganglion cysts of the wrist: pathophysiology, clinical picture, and management.

Authors:  Warren Gude; Vincent Morelli
Journal:  Curr Rev Musculoskelet Med       Date:  2008-08-26
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