José Luis Mosso Vázquez1,2*, David Gallardo Ceja2,3, Ivan Alvarez Martínez2, Jesus Antonio Gaytan2, Viviana Dolores2, Luis Zararía Ramón2, Edmundo García Valle1, Sara del Carmen Santos Dimas1, Luis Ignacio Magaña Olguin1, Gregorio Tomás Obrador Vera1 and José Luis Mosso Lara4
1School of Medicine, Universidad Panamericana, México City, Mexico
2Hospital General y Regional No. 25 of the IMSS, Mexico City, Mexico
3Unidad Médica de Alta Especialidad, Hospital de traumatología, Ortopedia y Rehabilitación Dr. Victorio de la Fuente Narvaez, IMSS, Mexico City, Mexico
4Schjool of Medicine, Universidad Anahuac, Mexico
*Corresponding Author: José Luis Mosso Vázquez, School of Medicine, Universidad Panamericana, México City, Mexico.
Received: March 11, 2021; Published: April 23, 2021
Citation: José Luis Mosso Vázquez., et al. “Smartphones and Tablets as Endoscopic Surgical Trainers”. Acta Scientific Gastrointestinal Disorders 4.5 (2021): 43-47.
Objective: We present hold graspers for tablets and smartphones as surgical trainers and the experience of this system training in one session with 5 residents of surgery.
Methodology: We designed an acrylic base of 25 cm length, 12 cm width and 2 cm of thickness. We install on this base a commercial tablet and smartphone holder (Specific for windshields). To the center and in the back of the holder we attached a horizontal arm, 22 cm large and 1.5 cm width, 2 holes end with 1 cm each in diameter (Holder for smartphones) and 30 cm lengths for tablets, getting the total systems 30 cm height and 25 cm width (See figure 1 and 2). 5 residents of surgery in the first year of residency at the Regional Hospital number 25 of the IMSS participated in 2010 (See figure 3). They trained just one session. They perform the following tasks, to grasp 4 acrylic cubes and 2 acrylic tubes with right grasper and place it to the left grasper and then place into a hole, the second task is performed knots.
Results: Remarkable decreasing time in both tasks are shown in graph 1 and 2. Resident 2 and 3 performed 11 tasks more with remarkable results showing in graph 3 and 4 in a second session. In the beginning, training represents a degree of difficulty but later, warming up decreases time.
Conclusion: Surgical simulators need tablets and smart phones as endoscopes. The systems are easy to use and install. New generations as undergraduate students, residents, fellowships and surgeons are potential users. Up to this day, mobile’s technology has developed in the last generation high resolution and new applications. Camera integrated permits us to become mobiles in zero-degree scope. With this experience residents used this trainer by 4 months all weekend after guards. We will design new trainers for new students’ generations in future works and we started the program of laparoscopy in the school of medicine at the Universidad Panamericana in 2010 with this experience. This simulator is useful for warming up for laparoscopic surgeons before real endoscopic surgeries on humans also.
Keywords: Smartphone; Tablet; Surgical Trainer; Simulation
Copyright: © 2021 José Luis Mosso Vázquez., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.