Neurosurgical endoscopic training via a realistic 3-dimensional model with pathology
V Waran, V Narayanan, R Karuppiah… - Simulation in …, 2015 - journals.lww.com
Simulation in Healthcare, 2015•journals.lww.com
Methods Multiple models of the head of a patient with hydrocephalus were created using 3D
rapid prototyping technique. These models were modified to allow for a fluid-filled ventricular
system under appropriate tension. The models were qualitatively assessed in the various
steps involved in an endoscopic third ventriculostomy and intraventricular biopsy procedure,
initially by 3 independent neurosurgeons and subsequently by 12 participants of an
intraventricular endoscopy workshop. Results All 3 surgeons agreed on the ease and …
rapid prototyping technique. These models were modified to allow for a fluid-filled ventricular
system under appropriate tension. The models were qualitatively assessed in the various
steps involved in an endoscopic third ventriculostomy and intraventricular biopsy procedure,
initially by 3 independent neurosurgeons and subsequently by 12 participants of an
intraventricular endoscopy workshop. Results All 3 surgeons agreed on the ease and …
Methods
Multiple models of the head of a patient with hydrocephalus were created using 3D rapid prototyping technique. These models were modified to allow for a fluid-filled ventricular system under appropriate tension. The models were qualitatively assessed in the various steps involved in an endoscopic third ventriculostomy and intraventricular biopsy procedure, initially by 3 independent neurosurgeons and subsequently by 12 participants of an intraventricular endoscopy workshop.
Results
All 3 surgeons agreed on the ease and usefulness of these models in the teaching of endoscopic third ventriculostomy, performing endoscopic biopsies, and the integration of navigation to ventriculoscopy. Their overall score for the ventricular model realism was above average. The 12 participants of the intraventricular endoscopy workshop averaged between a score of 4.0 to 4.6 of 5 for every individual step of the procedure.
Discussion
Neurosurgical endoscopic training currently is a long process of stepwise training. These 3D printed models provide a realistic simulation environment for a neuroendoscopy procedure that allows safe and effective teaching of navigation and endoscopy in a standardized and repetitive fashion.
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