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Advanced Open Surgical Skills »  Lab Manager Manual

Lab Manager Manual

The following information is intended to guide skills lab personnel in supporting home and in-lab simulation. 

 

Home Simulation

If providing residents with equipment needed for home simulation, the following should be provided to residents in a home kit:

 

Quantity

Picture

3D printed iliac fossa model

1

Model

~5 inch x 3 inch rectangle of white spandex fabric with 1-2 inch slit

1

Fabric

Fine needle holder (e.g., Castro or Ryder/BM27)

1

Needle Holder

Fine pickups (e.g., Gerald or fine Debakey)

1

 Pickup

Suture pad

1

Suture Pad

6-0 Prolene single armed suture w/ C-1 needle

11

Single Arm Suture

6-0 Prolene double armed suture w/ C-1 needles

 

10

Double Arm Suture


In-Lab Simulation

If conducting practice or assessment sessions in the skills center (e.g., as part of a circuit of individual tasks), the following is needed for each task:

Task 1: Suture tying without needle

    • 3D-printed iliac fossa model
    • ~5 inch x 3 inch rectangle of white spandex fabric with 1-2 inch slit
    • One fine needle holder (e.g., Castro, BM27, Ryder)
    • One fine forceps (e.g., Gerald, fine Debakey)
    • 75cm 6-0 single armed–C-1 Prolene [or 6-0 double armed–C-1 Prolene]
    • Suture pad

Task 2: Suture tying with needle

    • 3D-printed iliac fossa model
    • ~5 inch x 3 inch rectangle of white spandex fabric with 1-2 inch slit
    • One fine needle holder (e.g., Castro, BM27, Ryder)
    • One fine forceps (e.g., Gerald, fine Debakey)
    • 75cm 6-0 double armed–C-1 Prolene
    • Suture pad

Task 3: Continuous suturing, pitch and catch, superficial

    • 3D-printed iliac fossa model
    • ~5 inch x 3 inch rectangle of white spandex fabric with 1-2 inch slit
    • One fine needle holder (e.g., Castro, BM27, Ryder)
    • One fine forceps (e.g., Gerald, fine Debakey)
    • One 5-0 or 6-0 Prolene suture on a C1 cut to 15cm
    • Suture pad

Task 4: Continuous suturing, push-push-pull, superficial

    • 3D-printed iliac fossa model
    • ~5 inch x 3 inch rectangle of white spandex fabric with 1-2 inch slit
    • One fine needle holder (e.g., Castro, BM27, Ryder)
    • One fine forceps (e.g., Gerald, fine Debakey)
    • One 5-0 or 6-0 Prolene suture on a C1 cut to 15cm
    • Suture pad

Task 5: Continuous suturing, pitch and catch, at depth

    • 3D-printed iliac fossa model
    • ~5 inch x 3 inch rectangle of white spandex fabric with 1-2 inch slit
    • One fine needle holder (e.g., Castro, BM27, Ryder)
    • One fine forceps (e.g., Gerald, fine Debakey)
    • One 5-0 or 6-0 Prolene suture on a C1 cut to 15cm
    • Suture pad

Task 6: Continuous suturing, push-push-pull, at depth

    • 3D-printed iliac fossa model
    • ~5 inch x 3 inch rectangle of white spandex fabric with 1-2 inch slit
    • One fine needle holder (e.g., Castro, BM27, Ryder)
    • One fine forceps (e.g., Gerald, fine Debakey)
    • One 5-0 or 6-0 Prolene suture on a C1 cut to 15cm
    • Suture pad
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