Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.

INTRODUCTION: Pediatric hydrocephalus is highly prevalent and therefore a major neurosurgical problem in Africa. In addition to ventriculoperitoneal shunts, which have high cost and potential complications, endoscopic third ventriculostomy is becoming an increasingly popular technique especially in...

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Autores: González-López P, Gómez-Revuelta C, Puchol Rizo M, Verdú Martínez I, Fernández Villa de Rey Salgado J, Lafuente J, Fernández-Jover E, Fernández-Cornejo V, Nieto-Navarro J
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p9760
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones9760
https://www.sciencedirect.com/science/article/pii/S2772529423000243?via%3Dihub
Access Level:acceso abierto
Palabra clave:Global neurosurgery
Health equity
Hydrocephalus
Low- and middle-income countries
Neuroendoscopy
Neurosurgical training
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spelling Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.González-López PGómez-Revuelta CPuchol Rizo MVerdú Martínez IFernández Villa de Rey Salgado JLafuente JFernández-Jover EFernández-Cornejo VNieto-Navarro JGlobal neurosurgeryHealth equityHydrocephalusLow- and middle-income countriesNeuroendoscopyNeurosurgical trainingINTRODUCTION: Pediatric hydrocephalus is highly prevalent and therefore a major neurosurgical problem in Africa. In addition to ventriculoperitoneal shunts, which have high cost and potential complications, endoscopic third ventriculostomy is becoming an increasingly popular technique especially in this part of the world. However, performing this procedure requires trained neurosurgeons with an optimal learning curve. For this reason, we have developed a 3D printed training model of hydrocephalus so that neurosurgeons without previous experience with endoscopic techniques can acquire these skills, especially in low-income countries, where specific techniques training as this, are relatively absent. RESEARCH QUESTION: Our research question was about the possibility to develop and produce a low-cost endoscopic training model and to evaluate the usefulness and the skills acquired after training with it. MATERIAL AND METHODS: A neuroendoscopy simulation model was developed. A sample of last year medical students and junior neurosurgery residents without prior experience in neuroendoscopy were involved in the study. The model was evaluated by measuring several parameters, as procedure time, number of fenestration attempts, diameter of the fenestration, and number of contacts with critical structures. RESULTS: An improvement of the average score on the ETV-Training-Scale was noticed between the first and last attempt (11.6, compared to 27.5 points; p<0.0001). A statistically significant improvement in all parameters, was observed. DISCUSSION AND CONCLUSION: This 3D printed simulator facilitates acquiring surgical skills with the neuroendoscope to treat hydrocephalus by performing an endoscopic third ventriculostomy. Furthermore, it has been shown to be useful to understand the intraventricular anatomical relationships.ELSEVIER2023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://isabial.portalinvestigacion.com/publicaciones9760https://www.sciencedirect.com/science/article/pii/S2772529423000243?via%3DihubBrain and SpineISSN: 27725294reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicanteinstname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)Inglésinfo:eu-repo/semantics/openAccessoai:isabial.fundanetsuite.com:p97602026-06-12T10:20:37Z
dc.title.none.fl_str_mv Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.
title Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.
spellingShingle Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.
González-López P
Global neurosurgery
Health equity
Hydrocephalus
Low- and middle-income countries
Neuroendoscopy
Neurosurgical training
title_short Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.
title_full Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.
title_fullStr Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.
title_full_unstemmed Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.
title_sort Development and evaluation of a 3d printed training model for endoscopic third ventriculostomy in low-income countries.
dc.creator.none.fl_str_mv González-López P
Gómez-Revuelta C
Puchol Rizo M
Verdú Martínez I
Fernández Villa de Rey Salgado J
Lafuente J
Fernández-Jover E
Fernández-Cornejo V
Nieto-Navarro J
author González-López P
author_facet González-López P
Gómez-Revuelta C
Puchol Rizo M
Verdú Martínez I
Fernández Villa de Rey Salgado J
Lafuente J
Fernández-Jover E
Fernández-Cornejo V
Nieto-Navarro J
author_role author
author2 Gómez-Revuelta C
Puchol Rizo M
Verdú Martínez I
Fernández Villa de Rey Salgado J
Lafuente J
Fernández-Jover E
Fernández-Cornejo V
Nieto-Navarro J
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Global neurosurgery
Health equity
Hydrocephalus
Low- and middle-income countries
Neuroendoscopy
Neurosurgical training
topic Global neurosurgery
Health equity
Hydrocephalus
Low- and middle-income countries
Neuroendoscopy
Neurosurgical training
description INTRODUCTION: Pediatric hydrocephalus is highly prevalent and therefore a major neurosurgical problem in Africa. In addition to ventriculoperitoneal shunts, which have high cost and potential complications, endoscopic third ventriculostomy is becoming an increasingly popular technique especially in this part of the world. However, performing this procedure requires trained neurosurgeons with an optimal learning curve. For this reason, we have developed a 3D printed training model of hydrocephalus so that neurosurgeons without previous experience with endoscopic techniques can acquire these skills, especially in low-income countries, where specific techniques training as this, are relatively absent. RESEARCH QUESTION: Our research question was about the possibility to develop and produce a low-cost endoscopic training model and to evaluate the usefulness and the skills acquired after training with it. MATERIAL AND METHODS: A neuroendoscopy simulation model was developed. A sample of last year medical students and junior neurosurgery residents without prior experience in neuroendoscopy were involved in the study. The model was evaluated by measuring several parameters, as procedure time, number of fenestration attempts, diameter of the fenestration, and number of contacts with critical structures. RESULTS: An improvement of the average score on the ETV-Training-Scale was noticed between the first and last attempt (11.6, compared to 27.5 points; p<0.0001). A statistically significant improvement in all parameters, was observed. DISCUSSION AND CONCLUSION: This 3D printed simulator facilitates acquiring surgical skills with the neuroendoscope to treat hydrocephalus by performing an endoscopic third ventriculostomy. Furthermore, it has been shown to be useful to understand the intraventricular anatomical relationships.
publishDate 2023
dc.date.none.fl_str_mv 2023
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://isabial.portalinvestigacion.com/publicaciones9760
https://www.sciencedirect.com/science/article/pii/S2772529423000243?via%3Dihub
url https://isabial.portalinvestigacion.com/publicaciones9760
https://www.sciencedirect.com/science/article/pii/S2772529423000243?via%3Dihub
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv Brain and Spine
ISSN: 27725294
reponame:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
instname:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
instname_str Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
reponame_str r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
collection r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
repository.name.fl_str_mv
repository.mail.fl_str_mv
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