TissueDB/Tissues/Peritoneum and Serosa
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License: CC-BY-SA-3.0 by Nanoxyde
Peritoneum and serosa are thin, transparent membranes lining the abdominal cavity and covering abdominal organs, simulated to train delicate handling and safe peritoneal entry techniques.
Materials
| Material | Visual | Tactile | Simulator | Notes |
|---|---|---|---|---|
| Plastic Film | Trocar Placement Trainer, Appendectomy Simulator, Laparoscopic Ectopic Pregnancy Simulator, Open Appendectomy Simulator (Matthews), Laparoscopic Inguinal Hernia Repair Simulator (Kurashima) | Thin transparent peritoneal membrane | ||
| Fabric | Intra-abdominal Bleeding Simulator (Fernandes) | Semitransparent waterproof fabric membrane isolating peritoneal cavity from retroperitoneum; allows visual identification of underlying structures[1] | ||
| Plastic Film | Medeiros Abdominal Wall Defect Simulator | Omphalocele model only. Yellow cellophane (plastic film) forms the peritoneal sac covering the herniated viscera. The gastroschisis model has no covering sac — that absence is one of the signs distinguishing it from omphalocele.[2] | ||
| Masking tape + Contact adhesive paper | Laparoscopic Inguinal Hernioplasty TAPP 3D Simulator (Pires de Melo Filho) | Masking tape layered with Contact adhesive paper covers the entire internal model surface corresponding to the abdominal cavity. Allows anatomical structures to remain visible through transparency, enabling Stage 1 (peritoneum opening) and Stage 5 (peritoneum closure) maneuvers. Source: Pires de Melo Filho L et al. 2021, Acta Cir Bras 36(1):e360108. DOI 10.1590/ACB360108. | ||
| Non-lubricated condom | Pediatric Inguinal Hernia Repair Simulator (Heo) | Serves as the hernia sac in each modular cartridge. Membrane characteristics and global availability drove material selection; latex finger cots and plastic kitchen wrap were rejected during iteration. Source: Heo et al. 2025, J Pediatr Surg 60:162232. | ||
| Ioban™ 6648 self-adhesive plastic field | Laparoscopic Inguinal Hernia Repair Simulator (Hanssen) | Self-adhesive plastic field (Ioban™ 6648, 3M®, St. Paul, MN, USA) applied over the entire assembled hernia model to allow realistic dissection of the pre-peritoneal space without bleeding artefact. Source: Hanssen A et al. 2022, J Abdom Wall Surg 1:10305. DOI 10.3389/jaws.2022.10305. CC BY 4.0. | ||
| Transparent surgical glove | Pediatric Laparoscopic Inguinal Hernia Repair Simulator (Duboureau) | Second (transparent) surgical glove placed over the assembled bottle-funnel structure with fingers cut a few centimetres below the bottle neck. The transparent material supports visual dissection planes during simulated repair. Source: Duboureau H et al. 2021, J Pediatr Surg 56(4):674–677. DOI 10.1016/j.jpedsurg.2020.05.044. PMID 32631609. | ||
| Gelatin-Glycerol Gel | Patent Ductus Arteriosus Ligation Simulator | Parietal pleura cast as part of the gelatin-glycerol PDA model; trainees dissect it off the aorta to expose the PDA before ligation. | ||
| - | - | - | Chest Tube Simulator (Bettega) | Material not specified in source. |
| Gaffer Tape over cellophane (Plastic Film) | – | – | Chest Tube Insertion Simulator (Man-O-War) | Gaffer tape moulded over cellophane along the intercostal spaces, mimicking the parietal pleura (the trainer's pleura row resolves to this class). Source: Nasri et al. Afr J Emerg Med 2023;13(2):39–41. PMID 36864887. |
| Disposable shower cap, red-dyed fluid | - | - | Emergency Department Thoracotomy Simulator (Misra) | A disposable shower cap filled with red-dyed fluid, tied to the heart model to mimic the tamponade-filled pericardial sac; incised during pericardiotomy. Releasing the cap represents tamponade decompression and gives the resident the visual and tactile cue of tamponade release. One cap is used per training run.[3] |
References
[edit source]- ↑ Fernandes CO, Rodrigues LR, Silva do Amaral MLBS, de Morais Rodrigues SJ, Marton-Filho MA. Low-cost simulator for intra-abdominal bleeding. Rev Col Bras Cir 2023;50:e20233512. DOI: 10.1590/0100-6991e-20233512-en. PMID: 37971114. PMC: PMC10618030.
- ↑ Medeiros GA, Gualberto IJN, Domingues da Silva CHN, Bicudo Diniz AM, Felinto de Santana JB, Perecin Volpe F, Gadde R, Mazzo A, Cardoso de Oliveira R, Sbragia L. Development of a low-cost congenital abdominal wall defect simulator (wall-go) for undergraduate medical education: a validation study. BMC Medical Education. 2023;23:966. DOI: 10.1186/s12909-023-04929-3. PMID 38102605.
- ↑ Misra A, Chapman A, Watson WD, Bach JA, Bonta MJ, Elliott JO, Dominguez EP (2024). "Use of Low-Cost Task Trainer for Emergency Department Thoracotomy Training in General Surgery Residency Program." Journal of Surgical Education 81(1):134–144. DOI: 10.1016/j.jsurg.2023.09.009. PMID: 37926660.
At a Glance
Synonyms
Common names: Peritoneum, Serosa, Peritoneal lining, Abdominal lining
Anatomical terms: Visceral peritoneum, Parietal peritoneum, Serosal membrane, Serous membrane, Peritoneal cavity, Serosal surfaces, Mesentery
Clinical terms: Peritoneal entry, Peritoneal breach, Serosal tear, Adhesiolysis
Regional terms: Péritoine / Séreuse (French), Peritoneo / Sierosa (Italian), Peritoneo / Serosa (Spanish), Peritoneum / Serosa (German), Buikvlies (Dutch)