Simulation Education: for TAPP and TEP Laparoscopic Inguinal Hernia Repair

Y Kurashima, MD PhD, P A Kaneva, MSc, L S Feldman, MD, G M Fried, MD, M C Vassiliou, MD MEd. Steinberg-Bernstein Centre for Minimally Invasive Surgery McGill University

Laparoscopic inguinal hernia repair (LIHR) has been shown to be advantageous for bilateral or recurrent hernias, however, it has not gained widespread acceptance. One of the reasons for this is the steeper learning curve compared to the open technique. Simulation may have a role to play in addressing this training challenge. We have previously described the McGill Laparoscopic Inguinal Hernia Simulator (MLIHS), which can be used to perform both transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) repairs. In addition, we developed the Global Operative Assessment of Laparoscopic Skills -Groin Hernia (GOALS-GH), which is a reliable and valid measure of skill, in the operating room and the simulator. We are designing a simulation-based curriculum for LIHR using these tools. As part of this program, we have created an instructional video, which demonstrates each step of the procedures. This video helps learners to relate the simulated anatomy and techniques to real clinical procedures. Furthermore, GOALS-GH items are embedded into the video to guide learners as they view it.

Session: SS06
Program Number: V019

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