INSTRUMENTS AND EQUIPMENTS
|Year : 2014 | Volume
| Issue : 4 | Page : 219-220
Use your phone to build a simple laparoscopic trainer
BH van Duren1, GI van Boxel2
1 Foundation Doctor, Oxford University Hospitals Trust, Oxford, United Kingdom
2 Core surgical trainee, Wycombe General Hospital, High Wycombe, United Kingdom
|Date of Submission||20-Jul-2013|
|Date of Acceptance||29-Jul-2013|
|Date of Web Publication||23-Sep-2014|
B H van Duren
Oxford Orthopaedic Engineering Centre (OOEC), Botnar Research Centre, NDORMS, University of Oxford, Windmill Road, Headington, Oxford, OX3 7LD
Source of Support: None, Conflict of Interest: None
Simulation is becoming increasingly integral to surgical training with progressive restrictions on working hours. This paper describes a unique, cable free, laparoscopic trainer that can be constructed using items readily available to the average surgical trainee. The trainer described is not a substitute for surgical practice but, nonetheless, a useful tool in developing skills such as hand-eye co-ordination, triangulation and depth queuing.
Keywords: Cable free, home built, laparoscopic trainer, simple, surgical training
|How to cite this article:|
van Duren B H, van Boxel G I. Use your phone to build a simple laparoscopic trainer
. J Min Access Surg 2014;10:219-20
Simulation has become an integral part of surgical training as it provides a safe method of acquiring core, transferable skills at a time where restrictions in working hours may limit exposure. Laparoscopic trainers are an example of a successful adjunct in developing skills such as hand-eye co-ordination, triangulation and depth queuing. Commercial laparoscopic trainers are expensive, making them unattainable to most trainees. Inexpensive, home-made laparoscopic trainers have previously been described , but these require the purchase of a webcam and the use of cables. Here, we describe a unique, cable free, laparoscopic trainer that can be constructed using items readily available to the average surgical trainee at no additional cost.
Four items are required: A smart phone, a tablet computer, a torch and a box. We used an iPhone 5, an iPad mini, a Petzl headlamp and a cardboard box. Step 1: Modify the box to create a bevelled surface to hold the smart phone [Figure 1]. Cut a hole for the smart phone camera. Place the torch inside the box. Step 2: Download/install an application to the phone and tablet allowing the phone camera to act as a remote camera (we used WiFi Camera). Step 3: Obtain laparoscopic tools (out-of-date equipment are often available) and the trainer is ready [Figure 2]. Many variations of the above can be constructed depending on type of smart phone, tablet computer and software available to the surgical trainee. Additionally, a conventional laptop or desktop can be used provided WiFi capability.
|Figure 1: Drawing showing box template, dimensions (in centimetres) and fold lines (a-e) 40 prior to and after assembly|
Click here to view
|Figure 2: Illustration showing the completed box trainer in use (stacking dice) with additional images of the screen from the perspective of the operating surgeon performing a matchstick exercise and a knot tying exercise|
Click here to view
The trainer described is simple, can be constructed in 15 minutes, with equipment often readily available. This is not a substitute for surgical practice but, nonetheless, a useful tool in developing laparoscopic skills.
| ¤ References|| |
|1.||Raptis DA, Mouzaki K, Gore DM. DIY laparoscopic kit. Ann R Coll Surg Engl 2008;90:167-8. |
|2.||Dennis R. A simple and cheap home built laparoscopic trainer. J Min Access Surg 2008;3:88. |
[Figure 1], [Figure 2]