title: A novel training model for the loop electrosurgical excision procedure: an innovative replica helped workshop participants improve their LEEP.
abstract: We wanted to evaluate the feasibility and effect of a hands-on loop electrosurgical excision procedure (LEEP) 2.5-day intensive surgical skills workshop, using a novel training model on porcine tissue. Hands-on simulation-based training was conducted to emphasize colposcopy, local anesthesia, uterine cervix and vulva punch biopsy, LEEP, and complication management. Performance of 51 participants' technical skills was assessed before and after training completion. LEEP performance was significantly better after completion of the training (P < .001). Before and after training mean scores (SD) of 18.0 (3.5) and 23.4 (2.1) were assessed. Multivariate analysis revealed that the training effects were independent of previous surgical expertise. The LEEP workshop was feasible and effective and we recommend implementing hands-on LEEP training into gynecology training programs.
authors.affiliation: Karl Landsteiner Institute of Gynecologic Surgery and Oncology, Vienna, Austria.
authors.forename: Lukas
authors.initials: L
authors.lastname: Hefler
authors.forename: Christoph
authors.initials: C
authors.lastname: Grimm
authors.forename: Verena
authors.initials: V
authors.lastname: Kueronya
authors.forename: Clemens
authors.initials: C
authors.lastname: Tempfer
authors.forename: Alexander
authors.initials: A
authors.lastname: Reinthaller
authors.forename: Stephan
authors.initials: S
authors.lastname: Polterauer
mesh_terms: D000818:Animals; D001706:Biopsy; D002584:Cervix Uteri / Q000473:pathology / Q000601:surgery*; D002983:Clinical Competence; D003127:Colposcopy / Q000193:education; D004598:Electrosurgery / Q000193:education* / Q000379:methods; D005240:Feasibility Studies; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000193:education* / Q000379:methods; D006801:Humans; D008953:Models, Anatomic; D015999:Multivariate Analysis; D011446:Prospective Studies; D012044:Regression Analysis; D013552:Swine; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery; D014844:Vulva / Q000473:pathology / Q000601:surgery