Skip to main content
Journal cover image

Teaching learners to raise the roof: a vaginal surgery simulator for apical suspension.

Publication ,  Journal Article
Kisby, CK; Baker, MV; Green, IC; Occhino, JA
Published in: Int Urogynecol J
October 2019

INTRODUCTION AND HYPOTHESIS: The objective was to discuss the importance of apical suspension following vaginal hysterectomy and demonstrate a surgical model to aide in educating learners on a variety of apical suspension procedures. METHODS: Rates of pelvic organ prolapse are not insignificant following hysterectomy. Re-support of the vaginal apex should be performed at the time of hysterectomy in those with or without a diagnosis of prolapse. Exposure to vaginal apical support procedures may be limited owing to declining rates of vaginal hysterectomy and limited trainee work hours. Surgical models are increasingly being used to supplement operating room experience. The model we present was originally developed for hysterectomy, although its design allows for teaching a variety of apical support procedures that incorporate the uterosacral ligament (USL) for support. We demonstrate performing a USL suspension, internal McCall suture, and modified McCall suture using the model. RESULTS: The model is constructed from readily available supplies, is multi-use, and inexpensive. It allows learners to identify relevant anatomy, understand/visualize surgical steps, and practice suturing technique. CONCLUSION: Pelvic organ prolapse is common in women, although opportunities to teach apical suspension procedures may be limited. The proposed vaginal surgery simulator can be used to supplement the experience of gynecological surgery trainees with apical suspension procedures.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Int Urogynecol J

DOI

EISSN

1433-3023

Publication Date

October 2019

Volume

30

Issue

10

Start / End Page

1771 / 1773

Location

England

Related Subject Headings

  • Simulation Training
  • Pelvic Organ Prolapse
  • Obstetrics & Reproductive Medicine
  • Humans
  • Gynecologic Surgical Procedures
  • Female
  • 4204 Midwifery
  • 3215 Reproductive medicine
  • 1114 Paediatrics and Reproductive Medicine
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kisby, C. K., Baker, M. V., Green, I. C., & Occhino, J. A. (2019). Teaching learners to raise the roof: a vaginal surgery simulator for apical suspension. Int Urogynecol J, 30(10), 1771–1773. https://doi.org/10.1007/s00192-019-03985-y
Kisby, Cassandra K., Mary V. Baker, Isabel C. Green, and John A. Occhino. “Teaching learners to raise the roof: a vaginal surgery simulator for apical suspension.Int Urogynecol J 30, no. 10 (October 2019): 1771–73. https://doi.org/10.1007/s00192-019-03985-y.
Kisby CK, Baker MV, Green IC, Occhino JA. Teaching learners to raise the roof: a vaginal surgery simulator for apical suspension. Int Urogynecol J. 2019 Oct;30(10):1771–3.
Kisby, Cassandra K., et al. “Teaching learners to raise the roof: a vaginal surgery simulator for apical suspension.Int Urogynecol J, vol. 30, no. 10, Oct. 2019, pp. 1771–73. Pubmed, doi:10.1007/s00192-019-03985-y.
Kisby CK, Baker MV, Green IC, Occhino JA. Teaching learners to raise the roof: a vaginal surgery simulator for apical suspension. Int Urogynecol J. 2019 Oct;30(10):1771–1773.
Journal cover image

Published In

Int Urogynecol J

DOI

EISSN

1433-3023

Publication Date

October 2019

Volume

30

Issue

10

Start / End Page

1771 / 1773

Location

England

Related Subject Headings

  • Simulation Training
  • Pelvic Organ Prolapse
  • Obstetrics & Reproductive Medicine
  • Humans
  • Gynecologic Surgical Procedures
  • Female
  • 4204 Midwifery
  • 3215 Reproductive medicine
  • 1114 Paediatrics and Reproductive Medicine