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The Fun, Innovative, Nice and Enthusiastic plus Anything-Goes (F.I.N.E. A+) Way of Learning of Advance Laparoscopic Skills through Art in Laparoscopic Box

Michael Dennis I dela Paz, MD, Miguel C Mendoza, MD, Gretel B Puzon, MD. Asian Hospital and Medical Center

Last 2016, the paper entitled “The Fun, Innovative, Nice and Enthusiastic (F.I.N.E.) Way of Learning Laparoscopic Skills through Endoscopic Painting as Laparoscopic Box Exercise” had coined a new interesting way of developing hand eye coordination, non-dominant hand training, spatial orientation, tactile feedback, fine motor skills, and patience in art appreciation of a training surgeon which was well recognized locally and in the international community. The weakness of the exercise was that it was so basic as it will only be applicable laparoscopic cholecystectomy training. Further advance laparoscopic skills should be developed. Hence, further innovation in art was added in the laparoscopic box to introduce a fun, innovative, nice and enthusiastic way of Advance Skill Exercise in Laparoscopic Box Trainer through Modified Endoscopic Painting, Cross-Stitching, Miniature 3D Structure Painting and Bonsai Trimming.

The paper presents how the innovator supplements his training in laparoscopy by combining the art and the science of laparoscopy. Endoscopic art is a collective term for doing a miniature artwork inside the laparoscopic trainer box such as endoscopic painting, cross stitching and bonsai trimming. It is an art that unleased unlimited creative forms and expressions to the trainee making the skill exercise fun, relaxing and enthusiastic. It requires a modified laparoscopic box trainer equipped designed in such a way that it mimics advance procedure in laparoscopy. For instance, in endoscopic painting, the miniature canvas mimics the peritoneum as that in laparoscopic hernia repair that needed to be bluntly peeled down or of that that mimics the mesentery that needed to be grasped upward in order to be dissected. It still uses the modified laparoscopic brush for the dominant hand of the trainee to apply the color and a laparoscopic grasper for the non-dominant hand to control and manipulate the canvas and the rotating circular palette. Added new exciting exercises such as cross-stitching for knot tying skill exercise, miniature structure painting for 3 dimensional environment appreciation and bonsai trimming as cutting exercise. Materials are economical and readily available in a hobby shop.

Through the innovator’s experience, art in endoscopic is a feasible and alternative way of training a surgeon in both basic and advance laparoscopic skills. It was not a boring procedure, unlike the basic laparoscopic box training exercise, since it does not involve repetitive movements. The tangible end result of the exercise is a miniature art masterpiece such as painting which is a rewarding experience.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 78044

Program Number: P319

Presentation Session: Poster (Non CME)

Presentation Type: Poster

11

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