Bariatric Surgical Simulation: Evaluation in a Pilot Study of SimLife, a New Dynamic Simulated Body Model
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Bariatric Surgical Simulation: Evaluation in a Pilot Study of SimLife, a New Dynamic Simulated Body Model J. Danion 1,2 & G. Donatini 1,2 & C. Breque 1 & D. Oriot 1 & J. P. Richer 1,2 & J. P. Faure 1,2 Received: 21 April 2020 / Revised: 25 June 2020 / Accepted: 25 June 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Background The demand for bariatric surgery is high and so is the need for training future bariatric surgeons. Bariatric surgery, as a technically demanding surgery, imposes a learning curve that may initially induce higher morbidity. In order to limit the clinical impact of this learning curve, a simulation preclinical training can be offered. The aim of the work was to assess the realism of a new cadaveric model for simulated bariatric surgery (sleeve and Roux in Y gastric bypass). Aim A face validation study of SimLife, a new dynamic cadaveric model of simulated body for acquiring operative skills by simulation. The objectives of this study are first of all to measure the realism of this model, the satisfaction of learners, and finally the ability of this model to facilitate a learning process. Methods SimLife technology is based on a fresh body (frozen/thawed) given to science associated to a patented technical module, which can provide pulsatile vascularization with simulated blood heated to 37 °C and ventilation. Results Twenty-four residents and chief residents from 3 French University Digestive Surgery Departments were enrolled in this study. Based on their evaluation, the overall satisfaction of the cadaveric model was rated as 8.52, realism as 8.91, anatomic correspondence as 8.64, and the model’s ability to be learning tool as 8.78. Conclusion The use of the SimLife model allows proposing a very realistic surgical simulation model to realistically train and objectively evaluate the performance of young surgeons. Keywords Bariatric surgery . Learning curve . Surgical simulation . SimLife
Introduction As obesity has become a worldwide public health concern, bariatric surgery has been also recognized as an appropriate and effective method to treat obesity and its related diseases [1–5]. The training needs for bariatric surgeons are therefore increasing in order to maintain a high quality of care for obese patients.
As reported in the literature [5], 3 major factors influence bariatric surgery care: hospital infrastructure and volume, surgical team volume, and surgical skills. While it may be difficult to change the first 2 factors that are not dependent on the surgeon, the third can be improved. Surgical simulation provides the opportunity for supervised directed learning of trainees, allowing full mastering of technical skill and increasing performances before actual practice on patients [6–9].
* J. P. Faure [email protected]; [email protected]
D. Oriot [email protected]
J. Danion [email protected]
J. P. Richer [email protected]
G. Donatini gianluca.donatini@chu-p
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