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TissueDB/Materials/Elastic ties

From Appropedia
An assortment of coloured rubber bands
An assortment of coloured rubber bands.
License: CC-BY-SA-3.0 by Bill Ebbesen

Elastic ties are small elastic loops, bands, or strips — including hair elastics, ponytail holders, rubber bands and elastic bands — used in low-cost surgical simulators to secure components, apply tension, or restrain soft parts. They serve in two roles. As tissue analogues, two contrasting-colour elastic loops stand in for the vas deferens and the testicular artery in a paediatric laparoscopic inguinal hernia trainer, colour-coded to train duct-versus-vessel discrimination.[1] As fixation elements, bands maintain orientation and anchor tissue during ligation and dissection practice.[2]

Tissues

Tissue Visual Tactile Simulator Notes
Bowel segmentationMeckel's Diverticulectomy SimulatorSecure rolled cloth bowel at regular intervals for handling practice — the build uses 10 rubber bands, pushed through eight holes cut 4 in (10 cm) apart under the rolled bed sheet and tied to secure the roll, with further bands forming the root of the mesentery and the ileocecal valve.[2]
Vas deferensPediatric Laparoscopic Inguinal Hernia Repair Simulator (Duboureau)One elastic loop (colour A) — e.g. Ethiloops or a "scoubidou" lanyard — set inside the bottle neck and taped in place. Colour-coded against the testicular artery to train duct-versus-vessel discrimination.[1]
Testicular arteryPediatric Laparoscopic Inguinal Hernia Repair Simulator (Duboureau)One elastic loop (colour B, contrasting) — e.g. Ethiloops or a "scoubidou" lanyard — set inside the bottle neck and taped in place. Colour-coded against the vas deferens to train duct-versus-vessel discrimination.[1]




Alternatives

Alternative Best For Trade-offs
Suture Material Fine knot-tying practice on a tissue substrate Higher cost, single-use, requires substrate
Silicone Tubing Vessel simulation with elastic properties Higher cost, requires careful handling




References

  1. 1.0 1.1 1.2 Duboureau H, Renaud-Petel M, Klein C, Haraux E. Development and evaluation of a low-cost part-task trainer for laparoscopic repair of inguinal hernia in boys and the acquisition of basic laparoscopy skills. Journal of Pediatric Surgery 2021;56(4):674–677. DOI 10.1016/j.jpedsurg.2020.05.044. PMID 32631609. © 2020 Elsevier Inc., all rights reserved.
  2. 2.0 2.1 ALL-SAFE Consortium. Meckel's build instructions (PDF, 9 pages) — ALL-SAFE/Meckel's Diverticulum/Simulation on Appropedia. Build instructions PDF. Not indexed in PubMed; primary source linked directly.


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