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. 2023 Dec;34(12):3059-3062.
doi: 10.1007/s00192-023-05604-3. Epub 2023 Jul 15.

A cost-effective model for training in Robot-Assisted Sacrocolpopexy

Yair Daykan  1   2 , Rui Farinha  3   4 , Steven E Schraffordt  5 , Alexander Mottrie  3   4 , Barry A O'Reilly  6
Affiliations

A cost-effective model for training in Robot-Assisted Sacrocolpopexy

Yair Daykan et al. Int Urogynecol J. 2023 Dec.

Abstract

Background: The number of robotically assisted sacrocolpopexy procedures are increasing; therefore, experienced clinicians are needed. Simulation-based cadaver models are challenging in aspects of cost and availability. Therefore, we need to look at alternative and more cost-effective models.

Objective: The objective of this video was to design a new surgical model for the training of robotic-assisted sacrocolpopexy, which is affordable and accessible.

Methods: We used a whole chicken model to simulate the female pelvic floor. We used Medtronic's Hugo™ RAS system as the robotic console in that procedure. A vaginal cuff was prepared from the proventriculus (stomach), and a Y shaped mesh was secured to the ischium to simulate the sacrocolpopexy procedure.

Conclusion: This model is easily constructed and in our view is cost-effective. We have demonstrated a new valuable education tool that can serve as a practical simulation model to teach the sacrocolpopexy procedure and to improve trainees' skills. A larger cohort study size is essential to demonstrate the learning curve among young trainees using this simulation model.

Keywords: Hysteropexy; Pelvic floor repair; Robotic assisted surgery; Sacrocolpopexy.

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References

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