Table of Contents Author Guidelines Submit a Manuscript
Obstetrics and Gynecology International
Volume 2010 (2010), Article ID 852647, 5 pages
http://dx.doi.org/10.1155/2010/852647
Research Article

Resident Education in Principles and Technique of Bowel Surgery Using an Ex-Vivo Porcine Model

1Department of Obstetrics and Gynecology, Temple University School of Medicine, Philadelphia, 19104 PA, USA
2Temple University School of Medicine, Philadelphia, 19104 PA, USA
3Institute for Clinical Simulation and Patient Safety, Temple University School of Medicine, Philadelphia, 19104 PA, USA

Received 11 August 2009; Accepted 11 January 2010

Academic Editor: William T. Creasman

Copyright © 2010 M. Bijoy Thomas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. improve competency of residents with lysis of adhesion (LOA) and bowel surgery using a porcine model. Study Design. Pig bowel was removed at time of an anatomy laboratory, cleansed, and used to demonstrate surgical techniques and principles of LOA, repair of enterotomy, bowel resection, and anastomosis. Participants were surveyed pre- and posttraining session using 10 point Likert scale. Results. Thirty one residents at varying levels of training participated. After the training session, there was a significant improvement noted in mean scores for comfort level with LOA (6.3 versus 7.7, 𝑃 = . 0 0 7 ), comfort level with enterotomy repair (2.8 versus 6.4, 𝑃 < . 0 0 0 1 ), understanding principles of LOA (5.0 versus 7.7, 𝑃 < . 0 0 0 1 ), understanding principles of enterotomy repair (3.5 versus 7.0, 𝑃 < . 0 0 0 1 ), and familiarity with instruments used (5.8 versus 7.3, 𝑃 = . 0 1 ). Conclusion. Training sessions using ex-vivo porcine model improve resident perception of knowledge and comfort with LOA and enterotomy repair.