The Thiel cadaveric model for pelvic floor surgery: Best rated in transferable simulation-based training for postgraduate studies

Soler‐Silva, Álvaro; Sanchís-López, Antonio; Sánchez‐Guillén, Luis; López-Rodríguez-Arias, Francisco; Pérez, L. Gómez; Quirós, M J Alcaide; Sánchez-Ferrer, María-Luisa; Escoriza, Juan Carlos Martínez; Muñoz-Duyos, Arantxa; Ramı́rez, José M.; Arroyo, Antonio

doi:10.1016/j.ejogrb.2020.11.023

Cited by 7 publications

(15 citation statements)

References 27 publications

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“…A single study by Soler‐Silva et al 22 . involved multidisciplinary surgical staff, including urologists and urogynecologists, practicing pelvic floor surgery.…”

Section: Resultsmentioning

confidence: 99%

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Use of Thiel‐embalmed cadavers in urology training and their ability to retain real‐life anatomy: a systematic review

Chytas

Gyftopoulos

2023

ANZ Journal of Surgery

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Background Thiel‐embalmed cadavers (TeCs) have been proposed as an alternative and probably safer method of surgical training, compared to formalin‐embalmed cadavers. We aimed to perform a systematic review on the use of TeCs in urology training and their ability to represent real‐life anatomy. Methods PubMed, SCOPUS and Cochrane databases were searched for articles with purpose to explore the use of TeCs in urology training, without date restrictions, according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement. From each paper, we evaluated the type of procedure, the number of participants, the type of study, the educational outcomes and their level, according to Kirkpatrick hierarchy. Results Of the 225 records initially retrieved, eight articles were eventually included. All studies evaluated participants' perceptions about the procedure. Overall, urology trainees and specialists have positively commented on the educational value of TeCs, which have been also found able to adequately mimic real‐life conditions. In all the eight studies, trainees stated that tissue quality of TeCs was adequately realistic and considered TeCs as a useful surgical training tool. Conclusion Although the use of TeCs in urology training has so far been limited, their value as a surgical training tool has been positively perceived. These outcomes suggest that TeCs may also enhance urology trainees' surgical skills and may encourage their implementation as a simulation tool in urology training.

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“…A single study by Soler‐Silva et al 22 . involved multidisciplinary surgical staff, including urologists and urogynecologists, practicing pelvic floor surgery.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, training in a variety of urological procedures has been shown to be favoured by TeCs 1,16–22 . Throughout the spectrum of those procedures, there is general agreement that TeCs can mimic real‐life anatomy and tissue quality, with few exceptions 16–18 .…”

Section: Discussionmentioning

confidence: 99%

Use of Thiel‐embalmed cadavers in urology training and their ability to retain real‐life anatomy: a systematic review

Chytas

Gyftopoulos

2023

ANZ Journal of Surgery

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“…Cadaver simulation models have demonstrated to increase the competency of trainees in the fields of general surgery, urology, gynecology and vascular surgery in previous studies ( 12 , 13 , 14 ) . A recent study by Soler-Silva et al ( 8 ) described the thiel cadaver simulation model as the most realistic surgical simulation and found thiel cadavers superior to any other simulation model in terms of précising surgical skills and enhancing trainees’ confidence. Although obstetric emergencies, particularly the peripartum hemorrhages, are the most problematic scenarios of daily obstetric practice, information regarding the efficacy of courses including cadaver simulation models for obstetrics emergencies is lacking.…”

Section: Discussionmentioning

confidence: 99%

“…Unsatisfactory obstetrics and gynecology training, displays its effects on the daily practicesof postgraduate surgeons, curbs professional confidence, engenders circumstances that would end up with litigations against obstetricians and most importantly worsens patient outcomes. Previously, cadaver simulation models have been proposed as a solutions to overcome these problems in various fields of surgery ( 7 , 8 , 9 ) . Nevertheless data on the efficiency of cadaver simulation training in obstetrical emergencies are lacking.…”

Section: Introductionmentioning

confidence: 99%

Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral

Akar¹,

Ceylan²,

Kahraman³

et al. 2022

tjod

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Objective: In this study, we aimed to evaluate the effects of obstetric emergencies workshops combining theoretical lectures, simulation trainers and fresh cadaver models on daily practices and referrals of obstetrics and gynecology specialists. Materials and Methods: This is a prospective observational study involving obstetrics and gynecology specialists attending the Turkish Society of Obstetrics and Gynecology endorsed obstetrics hemorrhage management courses held in 2018 and 2019. The training course is an annually organized two-day course, one day allotted to theoretical lectures and the other day to practical training on both simulators and fresh cadavers. Trainees participating in the course was surveyed with an anonymous questionnaire on their motivation to attend the course and their juridical history of obstetric patient management. Attendees were asked to disclose whether they had ever independently performed the procedures stated in the questionnaire or not, before commencing the course and 1 year after attending the course. Results: Among the attendees 22% (n=32) had at least one obstetrical malpractice lawsuit and 36.1% (n=52) were accused of Health Care Complaints Comission. The main motivation of the attendees for taking this course was Professional development followed by reducing maternal mortality and morbidity and avoiding malpractice. One year after the course, attendees applying uterine devascularization surgery increased by 36.1% (52/144), uterine compression sutures increased by 52.7% (76/144), and ability to apply uterine balloon tamponade increased by 59.7% (86/144). Besides improvement in other obstetric surgical skills an indirect effect seen that the attandees operated on high-risk cases increased in placenta previa (15.3%), placenta acreata spectrum (30.5%), operative deliveries (27.7%), peripartum hysterectomy (24.9%) and relaparotomy for postpartum hemorrhage (34.7%). Conclusion: Opportunities of attending well organized fresh cadaveric workshops on managing postpartum hemorrhage and other obstetric surgeries, can quickly adapt to daily practice, restore the professional confidence of obstetric and gynecology specialists, and eventually decrease patient referral.

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“…The Thiel cadaveric method was considered by most responders to be the best for the simulation of surgical procedures on the pelvic oor and perineum. Most of the surgeons surveyed recommended conducting these courses with Thiel cadavers for different colleagues in other specialties as a reliable simulation method for training for di cult surgical procedures 15 .…”

Section: Discussionmentioning

confidence: 99%

Is the Thiel-embalmed cadaver model a good option for colorectal laparoscopic surgery training programs?A survey on trainees and professors

Prieto-Nieto

Rubio-Pérez

Torres

et al. 2021

Preprint

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Background: Colorectal surgery is one of the most demanding surgical subspecialties, where trainees need to have a deep knowledge and understanding of the anatomy plus acquire specific technical skills. The use of human cadavers as a training modality is a very good option as they are anatomically identical to the patients. The Thiel-embalming method has demonstrated to allow laparoscopic surgical training. Objective: The aim of this study was to evalutate the idoneity of Thiel embalmed cadavers for training the surgical skills necessary for laparoscopic colorectal surgery.Design: Prospective observational studySettings: University Medical InstitutionSubjects: Trainees and faculties attending to the training course of laparoscopic colorectal surgery on Thiel-embalmed cadaversInterventions: A specific questionnaire was designed to evaluate the training experience.Main outcome measures: 11 questions about the Thiel cadavers, skills, and performance.Results: 41 participants (24 trainees and 17 teachers) completed the questionnaire. 94.1% of teachers and 88% of trainees considered the Thiel cadaver to be a better model for laparoscopic surgery practice than animal models. 82.4% of the teachers and 72% of the trainees believed that training with a Thiel-embalmed cadaver should be a compulsory part of the training before performing colorrectal surgery in vivo. However, 88% of the trainees and 70.6% of the teachers considered that this model lacked authenticity due to the absence of bleeding.Limitations: Data obtained from only one course.Conclusions: Laparoscopic surgical training using Thiel-embalmed cadaver models can be a realistic and feasible option to develop technical skills in surgical residents and junior consultants.

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The Thiel cadaveric model for pelvic floor surgery: Best rated in transferable simulation-based training for postgraduate studies

Cited by 7 publications

References 27 publications

Use of Thiel‐embalmed cadavers in urology training and their ability to retain real‐life anatomy: a systematic review

Use of Thiel‐embalmed cadavers in urology training and their ability to retain real‐life anatomy: a systematic review

Obstetric hemorrhage and surgical emergencies training workshops on fresh cadavers and simulators result in high application in daily practices and decreased patient referral

Is the Thiel-embalmed cadaver model a good option for colorectal laparoscopic surgery training programs?A survey on trainees and professors

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