Acta Scientific Gastrointestinal Disorders (ISSN: 2582-1091)

Research ArticleVolume 4 Issue 5

Smartphones and Tablets as Endoscopic Surgical Trainers

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.

Abstract

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

Bibliography

  1. Benan M Dala-Ali., et al. “The uses of the iPhones for Surgeons”. The Surgeon 9 (2011): 44-48.
  2. Grossman L. “Invention of the year: the iPhone”. The Times (2008).
  3. Mosso Vázquez José Luis. “Smartphones in 2011 for Telemedicine in Emergency Surgery and 7 years later”. Acta Scientific of Gastrointestinal Disorders Journal (2021): 1-6.
  4. José Luis Mosso Vazquez., et al. “Pain Reduction with VR in Indigenous vs Urban Patients in Ambulatory Surgery”. Annual Review of Cybertheory and Telemedicine 17 (2019): 99-104.
  5. José Luis Mosso Vázquez., et al. “Virtual Reality Pain Mitigation During Elective Cesarean Surgical Delivery”. Annual Review of Cybertherapy and Telemedicine 17 (2019): 105-112.
  6. José Luis Mosso Vázquez., et al. “Virtual Reality and Minimal Analgesia Attenuate Pain During Spine Surgery”. Annual Review of Cybertherapy and Telemedicine 17 (2019): 153-157.
  7. Roy M., et al. “Smartphone Application as an Education Platform in Hepato-Pancreato-Biliary Surgery”. Surgical Innovation 5 (2019): 613-620.
  8. Kulendran M., et al. “Surgical smartphone applications across different platforms: their evolution, uses, and users”. Surgical Innovation 4 (2014).
  9. Aebersold M. “The History of Simulation and Its Impact on the Future”. AACN Advanced Critical Care 1 (2016): 56-61.
  10. Kleinert R., et al. “Embedding a Virtual Patient Simulator in an Interactive Surgical lecture”. The Journal of Surgical Education 3 (2016): 433-441.
  11. Childs BS., et al. “Novel Education and Simulation Tools in Urologic Training”. Current Urology Reports 12 (2019): 81.
  12. Pafitanis G., et al. “The use of mobile computing devices in microsurgery”. Archives of Plastic Surgery 2 (2019): 102-107.
  13. Nehme J., et al. “Development and Evaluation of a Novel Pan-Specialty Virtual Reality Surgical Simulator for Smartphones”. Studies in Health Technology and Informatics 220 (2016): 251-255.
  14. Hoopes S., et al. “Home Surgical Skill Training Resources for Obstetrics and Gynecology Trainees During a Pandemic”. Obstetrics and Gynecology 1 (2020): 56.

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.



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is June 30, 2021.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of “Best Article of the Issue”.
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.
  • Contact US