Feasibility of High-Fidelity Simulator Models for Minimally Invasive Spine Surgery in a Resource-Limited Setting: Experience From East Africa.

Autor:	Balogun SA; Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria (Dr. Balogun); the Department of Neurological Surgery (Dr. Sommer, Dr. Waterkeyn, Dr. Ikwuegbuenyi, Dr. Hussain, Dr. Kirnaz, Navarro-Ramirez, Sullivan, Dr. Gadjradj, Dr. Härtl), Weill Cornell Medicine, New York Presbyterian Hospital OCH Spine, New York, NY (Dr. Sommer, Dr. Waterkeyn, Dr. Ikwuegbuenyi, Dr. Hussain, Dr. Kirnaz, Dr. Navarro-Ramirez, Sullivan, Dr. Gadjradj, and Dr. Härtl); the Department of Neurosciences, Grand Hôpital de Charleroi, Charleroi, Belgium (Dr. Waterkeyn), Muhimbili Orthopedic Institute(Dr. Waterkeyn, Dr. Ikwuegbuenyi, Bureta), Dar es Salaam, Tanzania (Dr. Waterkeyn, Dr. Ikwuegbuenyi, and Dr. Bureta)., Sommer F, Waterkeyn F, Ikwuegbuenyi C, Bureta C, Hussain I, Kirnaz S, Navarro-Ramirez R, Sullivan V, Gadjradj P, Härtl R
Jazyk:	angličtina
Zdroj:	Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews [J Am Acad Orthop Surg Glob Res Rev] 2023 Oct 19; Vol. 7 (10). Date of Electronic Publication: 2023 Oct 19 (Print Publication: 2023).
DOI:	10.5435/JAAOSGlobal-D-23-00038
Abstrakt:	Background: Spine surgery is a rapidly evolving specialty with a continuous need to learn new skills. In resource-limited settings such as Africa, the need for training is greater. The use of simulation-based training is important in different stages of skill acquisition, especially for high-stake procedures such as spine surgery. Among the available methods of simulation, the use of synthetic models has gained popularity among trainers. Method: Twenty participants of a neurosurgery training course, most of whom (65%) were neurosurgery residents and fellows, were recruited. They had hands-on training sessions using a high-fidelity lumbar degenerative spine simulation model and hands-on theater experience. After this, they completed a survey to compare their experience and assess the effectiveness of the lumbar spine model in stimulating real patient and surgery experiences. Results: The participants were from four African countries, and the majority were neurosurgery residents. There were varying levels of experience among the participants in minimally invasive spine surgery, with the majority either having no experience or having only observed the procedure. All the participants said that the high-fidelity lumbar spine model effectively simulated real minimally invasive spine setup and real bone haptics and was effective in learning new techniques. Most of the participants agreed that the model effectively simulated real dura and nerve roots (95%), real muscle (90%), real bleeding from bones and muscles (95%), and real cerbrospinal fluid in the subarachnoid space. Among them, 95% agreed that the model is effective in lumbar minimally invasive spine training in resource-limited settings. Conclusion: With the development of new and better surgical techniques, the use of high-fidelity models provides a good opportunity for learning and training, especially in resource-poor settings where there is a paucity of training facilities and personnel. (Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu