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- W2917555575 abstract "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. Rates of pelvic organ prolapse are not insignificant following hysterectomy. Re-support of the vaginal apex may be performed at the time of hysterectomy in those with or without a diagnosis of prolapse. Training in vaginal surgery often emphasizes teaching the hysterectomy, though it is important for learners to be able to address apical support defects following hysterectomy. Exposure to these procedures may be limited due to declining rates of vaginal hysterectomy and limited trainee work hours. To ameliorate the problem with limited vaginal hysterectomy exposure, academic medical centers have turned to supplementing operating room experience with a variety of high and low fidelity surgical models; a model for apical suspension procedures involving the uterosacral ligament (USL) has not yet been described in the literature. The model we present was originally developed for hysterectomy, though its design allows for teaching a variety of apical support procedures that incorporate the USL for support. We demonstrate performing a USL suspension, internal McCall suture, and modified McCall suture using the model. The model is constructed from readily available supplies (PVC pipe, heat shrink tubing, hosiery, alligator clips, Velcro), is multi-use, and inexpensive. The model allows learners to identify relevant anatomy, understand/visualize surgical steps, and practice suturing technique. Pelvic organ prolapse is common in women, though opportunities to teach apical suspension procedures may be limited. The proposed vaginal surgery simulator can be used to supplement gynecologic surgery trainees’ experience with apical suspension procedures." @default.
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- W2917555575 date "2019-03-01" @default.
- W2917555575 modified "2023-10-14" @default.
- W2917555575 title "02: Teaching learners to raise the roof: a vaginal surgery simulator to teach apical suspension" @default.
- W2917555575 doi "https://doi.org/10.1016/j.ajog.2019.01.136" @default.
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