Simple Novel Methods of Skill Transfer in Laparoscopic Urology Training



Fig. 64.1
Endotrainer with conventional camera needing an assistant



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Fig. 64.2
Simple endotrainer with web camera. It does not need an assistant to hold the camera


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Fig. 64.3
Dissection exercise using orange, chicken piece etc.


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Fig. 64.4
Web camera mounted endotrainer-sideview


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Fig. 64.5
Simple knot using c – loop technique


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Fig. 64.6
Simple knot using c – loop technique


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Fig. 64.7
Technique of tightening the knot (hand instruments moving at 180° to each other)


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Fig. 64.8
Method of squaring the knot


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Fig. 64.9
Emphasis on ambidexterity (Note two needle holders)


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Fig. 64.10
Training using cut Foley catheter (Note the angle in which the needle holder drives the suture)


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Fig. 64.11
Training using cut Foley catheter


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Fig. 64.12
Approximation akin to urethrovesical suturing


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Fig. 64.13
Training with left hand suturing is emphasized


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Fig. 64.14
Training with left hand suturing


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Fig. 64.15
Technique of back-hand suturing


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Fig. 64.16
Technique of throwing knot using needle


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Fig. 64.17
Ureterolithotomy model with chicken skin


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Fig. 64.18
Extending ureterotomy a little proximally


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Fig. 64.19
Stone extraction practiced


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Fig. 64.20
Ureterotomy closure with interrupted suture




64.8 Model for Pyeloplasty




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Fig. 64.21
Creating a module for pyeloplasty


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Fig. 64.22
Ureter spatulated laterally and pelvis spatulated medially


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Fig. 64.23
Stenting technique


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Fig. 64.24
Technique showing initial apical suture


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Fig. 64.25
Technique showing initial apical suture


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Fig. 64.26
Subsequent interrupted sutures of posterior layer


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Fig. 64.27
Subsequent interrupted sutures of posterior layer


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Fig. 64.28
Method of subsequent anterior layer suturing


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Fig. 64.29
Method of subsequent anterior layer suturing


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Fig. 64.30
If the suture is short, needle may be used to throw a knot


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Fig. 64.31
Completed anterior layer suture


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Fig. 64.32
Division of UPJ (Pyeloplasty model of animal kidney)


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Fig. 64.33
Method of spatulation of upper ureter laterally

Oct 14, 2017 | Posted by in UROLOGY | Comments Off on Simple Novel Methods of Skill Transfer in Laparoscopic Urology Training

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