resident education in principles and technique of bowel surgery using an ex-vivo porcine model居民的教育原则和肠道手术使用体外猪模型的技术.pdfVIP

Hindawi Publishing Corporation Obstetrics and Gynecology International Volume 2010, Article ID 852647, 5 pages doi:10.1155/2010/852647 Research Article Resident Education in Principles and Technique of Bowel Surgery Using an Ex-Vivo Porcine Model M. Bijoy Thomas,1 V. Dandolu,1 P. Caputo,2 R. Milner,3 and E. Hernandez1 1 Department of Obstetrics and Gynecology, Temple University School of Medicine, Philadelphia, 19104 PA, USA 2 Temple University School of Medicine, Philadelphia, 19104 PA, USA 3 Institute for Clinical Simulation and Patient Safety, Temple University School of Medicine, Philadelphia, 19104 PA, USA Correspondence should be addressed to M. Bijoy Thomas, mbijoyt@ Received 11 August 2009; Accepted 11 January 2010 Academic Editor: William T. Creasman Copyright © 2010 M. Bijoy Thomas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective. improve competency of residents with lysis of adhesion (LOA) and bowel surgery using a porcine model. Study Design. Pig bowel was removed at time of an anatomy laboratory, cleansed, and used to demonstrate surgical techniques and principles of LOA, repair of enterotomy, bowel resection, and anastomosis. Participants were surveyed pre- and posttraining session using 10 point Likert scale. Results. Thirty one residents at varying levels of training participated. After the training session, there was a significant improvement noted in mean scores for comfort level with LOA (6.3 versus 7.7, P = .007), comfort level with enterotomy repair (2.8 versus 6.4, P .0001), understanding principles of LOA (5.0 versus 7.7, P .0001), understa