Journal
PEDIATRIC SURGERY INTERNATIONAL
Volume 38, Issue 1, Pages 133-141Publisher
SPRINGER
DOI: 10.1007/s00383-021-05007-9
Keywords
Simulation; 3D printing; Paediatric surgery; Oesophageal atresia; Tracheo-oesophageal fistula
Categories
Funding
- NIHR Academic Foundation
- National Institute for Health Research (NIHR) Imperial Biomedical Research Centre (BRC)
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Simulation training in paediatric surgery is becoming increasingly important, with a focus on procedures like oesophageal atresia and tracheo-oesophageal fistula (OA-TOF) repair. UK paediatric surgical trainees prioritize OA-TOF repair for simulation training, leading to the development and validation of a cost-effective 3D-printed simulation model for this procedure.
Background The role of simulation training in paediatric surgery is expanding as more simulation devices are designed and validated. We aimed to conduct a training needs assessment of UK paediatric surgical trainees to prioritise procedures for simulation, and to validate a novel 3D-printed simulation model for oesophageal atresia and tracheo-oesophageal fistula (OA-TOF) repair. Methods A questionnaire was sent to UK trainee paediatric surgeons surveying the availability and utility of simulation. The operation ranked as most useful to simulate was OA-TOF repair. 3D-printing techniques were used to build an OA-TOF model. Content, face and construct validity was assessed by 40 paediatric surgeons of varying experience. Results Thirty-four paediatric surgeons completed the survey; 79% had access to surgical simulation at least monthly, and 47% had access to paediatric-specific resources. Perceived utility of simulation was 4.1/5. Validation of open OA-TOF repair was conducted by 40 surgeons. Participants rated the model as useful 4.9/5. Anatomical realism was scored 4.2/5 and surgical realism 3.9/5. The model was able to discriminate between experienced and inexperienced surgeons. Conclusion UK paediatric surgeons voted OA-TOF repair as the most useful procedure to simulate. In response we have developed and validated an affordable 3D-printed simulation model for open OA-TOF repair.
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