SIM Life: a new surgical simulation device using a human perfused cadaver.
OBJECTIVE
In primary and continuing medical education, simulation is becoming a mandatory technique. In surgery, simulation spreading is slowed down by the distance which exists between the devices currently available on the market and the reality, in particular anatomical, of an operating room. We propose a new model for surgical simulation with the use of cadavers in a circulation model mimicking pulse and artificial respiration available for both open and laparoscopic surgery.


METHODS
The model was a task trainer designed by four experts in our simulation laboratory combining plastic, electronic, and biologic material. The cost of supplies needed for the construction was evaluated. The model was used and tested over 24 months on 35 participants, of whom 20 were surveyed regarding the realism of the model.


RESULTS
The model involved a cadaver, connected to a specific device that permits beating circulation and artificial respiration. The demonstration contributed to teaching small groups of up to four participants and was reproducible over 24 months of courses. Anatomic correlation, realism, and learning experience were highly rated by users CONCLUSION: This model for surgical simulation in both open and laparoscopic surgery was found to be realistic, available to assessed objectively performance in a pedagogic program.
Service Chirurgie Viscérale Digestive et Endocrinienne, CHU Poitiers, Université de Poitiers, 2 rue de la Milétrie, BP 577, 86021, Poitiers Cedex, France. j.p.faure@chu-poitiers.fr.|Service Urologie, CHU Poitiers; Université de Poitiers, 2 rue de la Milétrie, BP 577, 86021, Poitiers Cedex, France. j.p.faure@chu-poitiers.fr.|Laboratoire Anatomie Biomécanique Simulation, Université de Poitiers, 6 rue de la Milétrie, BP 199, 86034, Poitiers Cedex, France. j.p.faure@chu-poitiers.fr.
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JP
Faure
Laboratoire Anatomie Biomécanique Simulation, Université de Poitiers, 6 rue de la Milétrie, BP 199, 86034, Poitiers Cedex, France.
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Breque
Service Chirurgie Viscérale Digestive et Endocrinienne, CHU Poitiers, Université de Poitiers, 2 rue de la Milétrie, BP 577, 86021, Poitiers Cedex, France.|Laboratoire Anatomie Biomécanique Simulation, Université de Poitiers, 6 rue de la Milétrie, BP 199, 86034, Poitiers Cedex, France.
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Danion
Service Urologie, CHU Poitiers; Université de Poitiers, 2 rue de la Milétrie, BP 577, 86021, Poitiers Cedex, France.
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Delpech
Laboratoire Anatomie Biomécanique Simulation, Université de Poitiers, 6 rue de la Milétrie, BP 199, 86034, Poitiers Cedex, France.
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Oriot
Service Chirurgie Viscérale Digestive et Endocrinienne, CHU Poitiers, Université de Poitiers, 2 rue de la Milétrie, BP 577, 86021, Poitiers Cedex, France.|Laboratoire Anatomie Biomécanique Simulation, Université de Poitiers, 6 rue de la Milétrie, BP 199, 86034, Poitiers Cedex, France.
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JP
Richer
D002102:Cadaver; D004501:Education, Medical / Q000379:methods*; D000070856:High Fidelity Simulation Training / Q000379:methods*; D006801:Humans; D013514:Surgical Procedures, Operative / Q000193:education*; D011795:Surveys and Questionnaires
Academic teaching; Cadaver; Simulators; Surgical simulation; Training