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Trainer box simulator as a tool for training and teaching in bariatric laparoscopic surgery



Video surgery requires psychomotor skills that differ from those required for open surgery. The aim of this study was to examine the Boxer Trainer Simulator, a new laparoscopic simulator skills, as a tool for surgical education, when compared to a standard laparoscopic trainer (SLT).

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A random margin study was designed to compare comparison with SLT as a tool for training laparoscopic bariatric skills. Participants were assigned to carry out a task simulating an incorporated operation. Each subject evaluated the simulators associated with simulating laparoscopic procedures by comparing a questionnaire: comparison, resistance and resilience, spatial view (stereotaxy), ergonomics and position, inversion movements, visibility, design, technical resources and technology for training and education. The overall score was defined as the median value received. There were 37 participants registered in the study, including 29 experienced surgeons (78.37%) and 08 (21.63%) surgical residents.


Better performance compared to the SLT was observed on 7 of the 10 items assessed in the questionnaire. In addition, the overall score (median of 4, very good) was much higher (P <0.0001) than the SLT (median of 3, good). For the items, triangulation, resistance and resilience, ergonomics, design, training, technology and teaching, the evaluation was very good and excellent, which was much higher than the SLT received. Also, it was cheaper.


It has shown that it presents excellent technical and technological performances and appears to be a useful cost-effective commitment instrument for the teaching and training of laparoscopic bariatric surgical skills.


Using technical and instrumental training with simulators, the capacity of the surgical trainees was assessed. Teaching capabilities have improved, reducing the difficulties encountered by routine clinical surgery curriculum teaching. He studied the effects of the basic learning curve and the proficiency of star-based virtual training, and looked at translating the learning curve into simulated laparoscopic procedures carried out in a surgical skills laboratory (SSL) compared with the operating room (OR). A resident with simulator pressure and improved technical capability and competence compared to routine surgical training. Video surgery requires psychomotor skills that differ from those required for open surgery, such as: limited surgical area, fulcrum effect (reverse movements, such as abdominal wall fulcrum), limited force response, lack of three-dimensional vision and understanding modified spatial depth (stereotaxic). High-loyalty models are used for psychomotor and the ability to develop spatial visual capabilities on the external operation (external interface).

The Educational training in order to obtain adequate proficiency in satisfactory performance at real time in surgical patients. It cataloged and researched 253 surgical programs and assessed prevalence, usage, equipment, types of training, supervision and laboratory costs of various operating skills. From 162 pro-grams general surgical training surveyed, 64 used their full training with SSL. The authors concluded that the vast majority of programs considered that the use of SSL was necessary, and that 45 of the programs did not have surgical simulator facilities. Through the simulator it is possible to understand the basic laparoscopy procedures, to validate the technical skills, to integrate the lack of adequate training in the surgical curriculum and to compensate it.  To implement it as a video training instrument at a surgical teaching platform aimed at promoting technological development and innovation. It is designed with the support of architectural design, graphic design, electrical engineering and mechatronics. A patent application was lodged by the Property under the number. This was made possible by the experience and clinical observation gained through the handling of a number of other models of simulators, demonstrations of prototypes at surgical conferences and the implementation of laparoscopic ongoing training courses. Progression stations were simulations used based on extensive training using the SSL model  the objective of increasing its methodology as recommended in this study. Therefore, assuming it is a useful new device for training in the context of laparoscopic surgical simulation teaching, based on concepts of video surgery (ergonomics, ste).

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