Effectiveness of Cadaveric Simulation in Neurosurgical Training: A Review of the Literature

Gnanakumar, Sujit; Kostusiak, Milosz; Budohoski, Karol P.; Barone, Damiano G.; Pizzuti, Valentina; Kirollos, Ramez; Santarius, Thomas; Trivedi, Rikin

doi:10.1016/j.wneu.2018.07.015

Cited by 50 publications

(38 citation statements)

References 25 publications

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“…While computer models can perfectly simulate a long-distance flight with all possible anomalies, the same cannot be said for computerized surgical simulation. The root of surgical simulation should be the realism of the model to obtain the most immersive environment to the learners [30,31].…”

Section: Discussionmentioning

confidence: 99%

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Bariatric Surgical Simulation: Evaluation in a Pilot Study of SimLife, a New Dynamic Simulated Body Model

et al. 2020

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Background The demand for bariatric surgery is high and so is the need for training future bariatric surgeons. Bariatric surgery, as a technically demanding surgery, imposes a learning curve that may initially induce higher morbidity. In order to limit the clinical impact of this learning curve, a simulation preclinical training can be offered. The aim of the work was to assess the realism of a new cadaveric model for simulated bariatric surgery (sleeve and Roux in Y gastric bypass). Aim A face validation study of SimLife, a new dynamic cadaveric model of simulated body for acquiring operative skills by simulation. The objectives of this study are first of all to measure the realism of this model, the satisfaction of learners, and finally the ability of this model to facilitate a learning process. Methods SimLife technology is based on a fresh body (frozen/thawed) given to science associated to a patented technical module, which can provide pulsatile vascularization with simulated blood heated to 37°C and ventilation. Results Twenty-four residents and chief residents from 3 French University Digestive Surgery Departments were enrolled in this study. Based on their evaluation, the overall satisfaction of the cadaveric model was rated as 8.52, realism as 8.91, anatomic correspondence as 8.64, and the model's ability to be learning tool as 8.78. Conclusion The use of the SimLife model allows proposing a very realistic surgical simulation model to realistically train and objectively evaluate the performance of young surgeons.

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Section: Discussionmentioning

confidence: 99%

“…A wide number of surgical simulators are available for the benefit of trainees [6,7,9,10,30,[32][33][34][35][36][37][38][39][40][41]. They can be divided into synthetic and organic simulators [7,9].…”

Section: Discussionmentioning

confidence: 99%

Bariatric Surgical Simulation: Evaluation in a Pilot Study of SimLife, a New Dynamic Simulated Body Model

et al. 2020

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“…Two additional filters were applied for articles published between 1990 and 2020 and those published in the English language only. The inclusion criteria were (1) simulation of cranial neurosurgical approaches or procedures, (2) non-living animals used as models, and (3) trainee tasks described in detail. The exclusion criteria were (1) simulations of spine procedures/approaches, (2) studies experimenting the use of an instrument, (3) anatomical studies, and (4) studies using a simulator other than non-living animals.…”

Section: Literature Searchmentioning

confidence: 99%

“…Data was collected from each study in view of the following questions: (1) what animals have been used? (2) what types of neurosurgical approaches have been simulated? 3what were the trainee tasks?…”

Section: Literature Searchmentioning

confidence: 99%

“…More significant constraints on working hours and the resultant reduction in theater time combined with the increased pressure to show competence in surgical procedures have been the impetus behind the introduction of operational performance simulators [2]. It may take years for surgical residents to learn their requisite surgical skills and laboratory training models are essential for this critical development before clinical implementation [7] In his book Outliers, Malcolm Gladwell argues that a minimum of 10,000 hours of practice is required for true task mastery [8].…”

Section: Introductionmentioning

confidence: 99%

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The use of non-living animals as simulation models for cranial neurosurgical procedures: a literature review

et al. 2020

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Simulation plays a pivotal role in neurosurgical training by allowing trainees to develop the requisite expertise to enhance patient safety. Several models have been used for simulation purposes. Non-living animal models offer a range of benefits, including affordability, availability, biological texture, and a comparable similarity to human anatomy. In this paper, we review the available literature on the use of non-living animals in neurosurgical simulation training. We aim to answer the following questions: (1) what animals have been used so far, (2) what neurosurgical approaches have been simulated, (3) what were the trainee tasks, and (4) what was the experience of the authors with these models. A search of the PubMed Medline database was performed to identify studies that examined the use of non-living animals in cranial neurosurgical simulation between 1990 and 2020. Our initial search yielded a total of 70 results. After careful screening, we included 22 articles for qualitative analysis. We compared the reports in terms of the (1) animal used, (2) type of surgery, and (3) trainee tasks. All articles were published between 2003 and 2019. These simulations were performed on three types of animals, namely sheep, cow, and swine. All authors designed specific, task-oriented approaches and concluded that the models used were adequate for replicating the surgical approaches. Simulation on non-living animal heads has recently gained popularity in the field of neurosurgical training. Non-living animal models are an increasingly attractive option for cranial neurosurgical simulation training. These models enable the acquisition and refinement of surgical skills, with the added benefits of accessibility and cost-effectiveness. To date, 16 different microneurosurgical cranial approaches have been replicated on three non-living animal models, including sheep, cows, and swine. This review summarizes the experience reported with the use of non-living animal models as alternative laboratory tools for cranial neurosurgical training, with particular attention to the set of tasks that could be performed on them.

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The importance of teaching clinical anatomy in surgical skills education: Spare the patient, use a sim!

et al. 2019

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Anatomical knowledge is a key tenet in graduate medical and surgical education. Classically, these principles are taught in the operating room during live surgical experience. This puts both the learner and the patient at a disadvantage due to environment, time, and safety constraints. Educational adjuncts such as cadaveric courses and surgical skills didactics have been shown to improve resident confidence and proficiency in both anatomical knowledge and surgical techniques. However, the cost‐effectiveness of these courses is a limiting factor and in many cases prevents implementation within institutional training programs. Anatomical simulation in the form of “desktop” three‐dimensional (3D) printing provides a cost‐effective adjunct while maintaining educational value. This article describes the anatomical and patient‐centered approach that led to the establishment of our institution's 3D printing laboratory for anatomical and procedural education. Clin. Anat. 32:124–127, 2019. © 2019 Wiley Periodicals, Inc.

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Effectiveness of Cadaveric Simulation in Neurosurgical Training: A Review of the Literature

Cited by 50 publications

References 25 publications

Bariatric Surgical Simulation: Evaluation in a Pilot Study of SimLife, a New Dynamic Simulated Body Model

Bariatric Surgical Simulation: Evaluation in a Pilot Study of SimLife, a New Dynamic Simulated Body Model

The use of non-living animals as simulation models for cranial neurosurgical procedures: a literature review

The importance of teaching clinical anatomy in surgical skills education: Spare the patient, use a sim!

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