TissueDB/Tissues/Fascia
License: Public domain by U.S. National Cancer Institute
Fascia refers to bands or sheets of connective tissue, primarily collagen, beneath the skin that enclose and separate muscles and organs; in simulation, it is the primary load-bearing layer for suture practice. An aponeurosis is the flat sheet form of it. A fascial plane, also called a fascial layer, is the surface between muscles that blunt dissection follows. An intermuscular septum is the sheet that separates one muscle compartment from the next, and the transversalis fascia is the abdominal-wall layer that the hernia repair builds below work through.
Materials
| Material | Visual | Tactile | Simulator | Notes |
|---|---|---|---|---|
| Felt | Trocar Placement Trainer | White felt; packing tape on both sides simulates fascial rigidity | ||
| Foam Fabric | Z-Plasty Simulator | Traditional Felt variant | ||
| Plastic Wrap | Appendectomy Simulator, Open Appendectomy Simulator (Matthews) | Membranous sheet between fat layers | ||
| Cotton Fabric | Appendectomy Simulator, Open Appendectomy Simulator (Matthews) | Fascial sheet over muscle | ||
| Packing Tape | Trocar Placement Trainer | Provides fascial rigidity. | ||
| Stretchy fabric | Laparoscopic Inguinal Hernia Repair Simulator (Kurashima) | White stretchy fabric wrapped around each muscle sponge layer to create the fascia on the disposable multilayer insert.[1] | ||
| Silicone poured onto power mesh | Pediatric Inguinal Hernia Repair Simulator (Heo) | Stretchy, thin sheet representing the external oblique aponeurosis.[2] |
References
[edit source]- ↑ Kurashima Y, Feldman LS, Al-Sabah S, Kaneva PA, Fried GM, Vassiliou MC. A novel low-cost simulator for laparoscopic inguinal hernia repair. Surg Innov. 2011;18(2):171–175. DOI: 10.1177/1553350610395949. PMID: 21307013.
- ↑ Heo K, Greaney E, Haehl J, Stunden C, Lindner A, Malik PRA, Rosenbaum DG, Muensterer O, Zakani S, Jacob J, Joharifard S. "Iterative Design and Manufacturing of a 3D-Printed Pediatric Open and Laparoscopic Integrated Simulator for Hernia Repair (POLISHeR)." Journal of Pediatric Surgery. 2025;60:162232. DOI: 10.1016/j.jpedsurg.2025.162232. PMID: 40011165. CC BY-NC 4.0.