Simulated management of urinary tract injury during robotic pelvic surgery utilizing the porcine model

Journal of Robotic Surgery
Mitchel S Hoffman, Philippe E Spiess

Abstract

Urologic injury is an infrequent but serious complication of pelvic surgery. Training in the assessment and management of this injury might be enhanced through animated simulation. Our objective was to assess the intraoperative management of urologic injury with robotic pelvic surgery using a simulated injury animal model. We used a female domestic pig to create three types of urologic injury, which we then managed with robotically assisted surgery. An edited video of the model was assessed by 14 senior learners and 10 attending faculty. The assessments included key competencies and domains of fidelity. A scale of poor, fair, or good was utilized. The defects and repairs simulated those seen in humans, both anatomically and surgically, although deficiencies were noted. Related to fidelity of the anatomy of the ureter and bladder, lower ratings were given for some of the key competencies (determining the relationship to the trigone, ureteral mobilization, repair of all 3 injuries). The porcine model for simulation of urologic injury during robotically assisted pelvic surgery may be useful for training purposes.

References

Mar 31, 2006·Journal of the American College of Surgeons·Dimitrios StefanidisDaniel J Scott
May 2, 2006·Journal of the American College of Surgeons·Elspeth M McDougallRalph V Clayman
Jul 22, 2008·American Journal of Obstetrics and Gynecology·Maya M HammoudUNKNOWN Association of Professors of Gynecology and Obstetrics Undergraduate Medical Education Committee
Aug 2, 2008·Obstetrics and Gynecology·Barbara A Goff
Jul 7, 2009·American Journal of Obstetrics and Gynecology·Mitchel S HoffmanWilliam S Roberts

❮ Previous
Next ❯

Citations

Dec 19, 2019·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Philippe E Spiess
Jan 28, 2021·Acta Cirúrgica Brasileira·Jacob Hindrik Antunes SmitAdenauer Marinho de Oliveira Góes Junior

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.

© 2022 Meta ULC. All rights reserved