Modules of the UW Virtual TURP SimulatorA Movie of ALL FEATURES: [Quicktime – Standard MOV (17 MB)] |
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Anatomy ID
Cutting Module
Coagulation Module
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Anatomy
Identification (ID) Module [Mpeg] [MOV]
The trainee
will be given verbal prompts to identify the key anatomical landmarks
associated with performing a cystoscopy in preparation for TURP. The trainee then identifies the structure
by touching the loop to the structure. Objectives: 1. Teach anatomy
of the lower urinary tract as seen endoscopically (basic cystoscopy) 2. Orientation using
an actual resectoscope in a 3-dimensional working space given 2-dimensional
visual cues 3. Identification
of landmarks and hazards to avoid during TURP Metrics: ·
Time to task ·
Number of
correct and incorrect responses Cutting Module [Mpeg] [MOV]
After being
shown one of a series of different sized virtual 3-D objects, the trainee
uses the footpedal cutting current to cut from within the object to an edge
as close as possible in a given amount of time. Objectives: 1. Dealing with
obstructing chips 2. Cutting
efficiency and accuracy 3. Coordination
of both hands and foot-pedal during real time simulation 4. Assessment of
visuo-spatial skills Metrics: ·
Time to task ·
Number of
chips ·
Grams
resected ·
Area of perforation
through object ·
Times cut
pedal depressed ·
Grams/Cut ·
Number of
perforations outside the object ·
Amount of
time spent with a sticky chip ·
Amount of
charring of tissue
Coagulation Module [Mpeg]
[MOV]
Working in a cylinder,
bleeding vessels appear along the surface and the trainee coagulates them
using the coagulation foot pedal. As
time progresses, the bleeding vessels appear faster and faster requiring the
trainee to use the irrigation in order to prevent red-out. The task ends when red-out occurs. Objectives: 1. Dealing with
issues of hemostasis 2. Management
of fluid irrigant using inflow and outflow stopcocks 3. Coordination
of both hands and foot-pedal during real time simulation Metrics: ·
Number of bleeders
coagulated ·
Average
amount of time taken to coagulate bleeders ·
Amount of
irrigant used ·
Total blood
loss Advanced
Resection Module [Mpeg]
[MOV]
The trainee will be performing a complete anatomical operation.
Will have to address issues related to camera and loop orientation, footpedal
controlled cutting and coagulation and stopcock controlled fluid
management. Objectives: 1. Address
issues related to camera and loop orientation 2. Footpedal
controlled cutting and coagulation 3. Refining
ability to minimize blood loss and efficiently use fluid irrigant 4. Studying and
acquiring more efficient patterns and styles of resection (Pearls) Metrics: ·
Time to task ·
Grams
resected ·
Blood loss ·
Amount of
irrigant used ·
Grams/Cut ·
Cut and Coag
count ·
Time spent on
orientation ·
Time spent
cutting ·
Blood loss /
Grams resected ·
Time spent
with coagulation ·
Number and
type of errors made ·
Peak and mean
force applied to tissue |
