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. 2024 Aug;38(8):4229-4235.
doi: 10.1007/s00464-024-10932-6. Epub 2024 Jun 10.

Standardized porcine integrated robotic inguinal hernia training: the SPIRIT model

Maaike Vierstraete  1 , Filip Muysoms  2
Affiliations

Standardized porcine integrated robotic inguinal hernia training: the SPIRIT model

Maaike Vierstraete et al. Surg Endosc. 2024 Aug.

Abstract

Background: Implementing a robotic system for minimally invasive surgical procedures necessitates a comprehensive training regimen. This involves not only mastering the technological aspects of the robotic system but also enhancing surgical proficiency in manipulating robotic instruments. Furthermore, procedural expertise in specific surgeries is critical. Minimally invasive inguinal hernia repair is particularly suitable as an initial procedure for human application. The development of a comprehensive training model for this type of repair is a crucial element of such an educational pathway.

Method: Anatomical dissections were carried out on pigs to assess both the similarities and differences between pig and human anatomy. A structured minimally invasive inguinal hernia repair was performed to determine the suitability of the porcine inguinal region for training purposes.

Results: A detailed anatomical description of the porcine inguinal region is outlined, to provide a framework for assessing the critical view of the porcine myopectineal orifice. By integrating the human 'ten golden rules' for safe and effective minimally invasive inguinal hernia repair, the standardized porcine integrated robotic inguinal hernia training (SPIRIT) model describes a step-by-step approach to practice surgical techniques in a realistic setting.

Conclusion: The SPIRIT model is designed to be a well-structured training model for minimally invasive inguinal hernia repair and incorporates the specific surgical steps as encountered in a human patient.

Keywords: Hernia surgery; Inguinal hernia; Porcine model; Robotic minimally invasive surgery; Training.

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References

    1. Vierstraete M, Simons M, Borch K, de Beaux A, East B, Reinpold W et al (2022) Description of the current da vinci® training pathway for robotic abdominal wall surgery by the European Hernia Society. J Abdom Wall Surg. https://doi.org/10.3389/jaws.2022.10914 - DOI - PubMed - PMC
    1. Friedrich U, Backhaus J, Zipper CT, Konig S, Mavroveli S, Wiegering A et al (2020) Validation and educational impact study of the NANEP high-fidelity simulation model for open preperitoneal mesh repair of umbilical hernia. Hernia 24(4):873–881. https://doi.org/10.1007/s10029-019-02004-9 - DOI - PubMed
    1. Zipper CT, Friedrich U, Backhaus J, Konig S, Mavroveli S, Wiegering A et al (2020) Incisional hernia repair in a high-fidelity silicone model for open retro-muscular mesh implantation with preparation of the fatty triangle: validation and educational impact study. Hernia 24(6):1307–1315. https://doi.org/10.1007/s10029-019-02094-5 - DOI - PubMed
    1. Gonçalves MR, Novo de Matos J, Oliveira A, Marinho R, Cadime I, Carlos Alves P et al (2023) Robotic4all project: results of a hands-on robotic surgery training program. Laparosc Endosc Robot Surg 6(1):1–8. https://doi.org/10.1016/j.lers.2023.01.002 - DOI
    1. Greenberg JA, Schwarz E, Paige J, Dort J, Bachman S (2021) At-home hands-on surgical training during COVID19: proof of concept using a virtual telementoring platform. Surg Endosc 35(5):1963–1969. https://doi.org/10.1007/s00464-021-08470-6 - DOI - PubMed - PMC

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