ALL SAFE Laparoscopic Box Trainer/Target tissue

▼This page is part of ALL-SAFE and the Global Surgical Training Challenge.It is not open edit.

The simulator is composed of the target tissues:

• Part A - Uterus
• Part B - Ovaries
• Part C - Ectopic contents

Tape, stapler, scissors and measuring tools (ruler, marker).

N/A

1. Take one large sock, stuffing the toe with cotton material (Stuffing can be a matched sock, fabric or lap pad based on availability of materials). This will form the “fundus” of the uterus.
2. Narrow the foot of the sock by folding the ends over and securing into place with glue or staples to form the body of the uterus.
3. Trim any excess sock material.

1. Take small (approximately 5x5 cm) squares of cotton fabric and fold into a round ball.
2. Secure ends with staples or glue.

Note

Playdough is preferable if available. Bright colors will be more visible and thus recommended.

• If playdough is not available, Make home-made dough with the following recipe:
  • Flour – ½ cup
  • Salt – 1/8 cup
  • Nescafe- 1/8 cup
  • Water – ¼ cup
• Mix dry ingredients.
• Add water, mixing thoroughly. Mixture should form a soft ball. If too soft or hard, add flour or water.

• Take the Penrose drain, securing a suture tie approximately 1/3 of the way along one end.
• Fill a Toomey syringe with dough filling approx. 5-10 cc into the drain, until “ectopic pregnancy” is appropriate size.
• Tie a second tie to keep the dough in place.
• Using a marker or pen, place a single circular mark at the superior side of the ectopic pregnancy. This mark will be used later when practicing intracorporal suturing and knot tying skills.
• Cut 3-4 approximately 1 cm slits in ends of drain to form fimbriae.

Note

It will be easier to perform the operation if you tape the ectopic simulation to a paper plate, and then tape this paper plate to the table for stability

1

Secure tubes to uterus. Using a stapler or fabric glue, secure the center of the Penrose drain to the fundus of the constructed uterus, so that each half is clearly visible to either side. Use plastic wrap to form mesosalpinx. Place uterus, tubes, and ovaries onto a sheet of plastic wrap in appropriate anatomic positioning.

Use this checklist to ensure that the simulator is correctly made and calibrated.

Cardboard box is stable

The rubber bands correctly hold a phone

All of the pieces are secured together