
Low‐fidelity Paediatric Surgical Simulation: Description of Models in Low‐Resource Settings
Author(s) -
McClelland T. J.,
Ford K.,
Dagash H.,
Lander A.,
Lakhoo K.
Publication year - 2019
Publication title -
world journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.115
H-Index - 148
eISSN - 1432-2323
pISSN - 0364-2313
DOI - 10.1007/s00268-019-04921-3
Subject(s) - medicine , low and middle income countries , resource (disambiguation) , fidelity , surgical simulation , population , health care , surgery , developing country , operations management , intensive care medicine , computer science , engineering , computer network , telecommunications , environmental health , economics , economic growth
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.