Summary
Background
Profound anatomical knowledge is mandatory for coloproctologists. We established a training concept for young surgeons consisting of an anatomical and surgical skills lab as part of a coloproctological training course. The aim is to apply anatomical skills to surgical approaches within a training curriculum, and to offer workstations for implementing new techniques in coloproctology.
Methods
The 2-day training course comprises a gross anatomy course using preserved pelvic specimens for compartmental dissection of the pelvic floor. Lectures on embryological development and systematic and topographical anatomy of the pelvic floor precede the hands-on training in the wet lab. On day 2, the participants are trained in specific coloproctological techniques at four dummy workstations in a step-by-step approach by experienced coloproctologists.
Results
The participants benefit from the direct application of their anatomical skills to specific surgical questions.
Conclusions
Skills labs support surgical training concepts and are proposed to be integrated in postdoctoral educational curricula. Anatomical basics are mandatory for coloproctological approaches and implementing new techniques into clinical routine. Proper mentorship is the foundation for training quality surgeons.
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References
Theodoropoulos GE, Michalopoulos NV, Linardoutsos D, et al. Rectoanal repair versus suture haemorrhoidopexy: a comparative study on suture mucopexy procedures for high-grade haemorrhoids. Tech Coloproctol. 2012;16(3):237–41.
Pescatori M, Aigner F. Stapled transanal rectal mucosectomy ten years after. Tech Coloproctol. 2007;11(1):1–6.
Paschold M, Schröder M, Kauff DW, et al. Virtual reality laparoscopy: which potential trainee starts with a higher proficiency level? Int J Comput Assist Radiol Surg. 2011;6(5):653–62.
Entezami P, Franzblau LE, Chung KC. Mentorship in surgical training: a systematic review. Hand (N Y). 2012;7(1):30–6.
Larkin TA, McAndrew DJ. Factors influencing students’ decisions to participate in a short “dissection experience” within a systemic anatomy course. Anat Sci Educ. 2012. doi:10.1002/ase.1323.
Knight JS, Senapati A, Lamparelli MJ. National UK audit of procedure for prolapsing haemorrhoids on behalf of the Association of Coloproctology of Great Britain and Ireland. Colorectal Dis. 2008;10(5):440–5.
Scheyer M, Antonietti E, Rollinger G, Mall H, Arnold S. Doppler-guided hemorrhoidal artery ligation. Am J Surg. 2006;191(1):89–93.
Strandbygaard J, Bjerrum F, Maagaard M, et al. Instructor feedback versus no instructor feedback on performance in a laparoscopic virtual reality simulator: a randomized trial. Ann Surg. 2013;257(5):839–44.
Fitzgerald JEF, White MJ, Tang SW, Maxwell-Armstrong CA, James DK. Are we teaching sufficient anatomy at medical school? The opinions of newly qualified doctors. Clinical Anatomy. 2008;21(7):718–24.
Bhangu A, Boutefnouchet T, Yong X, Abrahams P, Joplin R. A three-year prospective longitudinal cohort study of medical students’ attitudes toward anatomy teaching and their career aspirations. Anat Sci Educ. 2010;3(4):184–90.
Older J. Anatomy: A must for teaching the next generation. The Surgeon. 2004;2(2):79–90.
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Aigner, F., Resch, T., Oberhuber, R. et al. Anatomical–coloproctological skills lab. Eur Surg 46, 21–24 (2014). https://doi.org/10.1007/s10353-013-0239-3
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DOI: https://doi.org/10.1007/s10353-013-0239-3