Low cost Simulation model for training MIS repair of duodenal atresia combined with tele-monitoring technology.

Low cost simulation model for training MIS repair of dudena attrition combined with sele mentoring technology from the division of Pediatric Surgery and telemedicine Program Garraham Children's Hospital, Buenos Aires, Argentina. We have previously presented our low cost TEF esophageal attricia simulation model for training in IPEC 2013. Sages describes telementoring as a relationship facilitated by telecommunication technology in which an expert provides guidance to a less experienced learner from a remote location. We started a project to look at the efficacy of telementoring, starting with simulation. The aim of this video is to present a low-cost simulation model for training MIS repair of Dodina nutrition and our first steps with combining telementoring technology. Two pediatric surgery fellows were mentored by 3 faculties which focused in both the use of the lens and performance of the correct steps to repair odenal nutrition. Mentors and mentees had a human and academic previous relationship. Both of them had previously attended a basic and advanced MIS hands-on program in our institution. And develop skills for advanced tutoring and work in small spaces. The use of MIS stimulation models has been included in our residency program curricula and hands-on courses since 2013. The video camera was connected with the video conference equipment via internet under 1 megabyte for telementoring. The base model was introduced into the abdominal cavity of a rubber doll that resembles a 3 kg newborn. We use silicon finger covers and tubular latex balloons as proximal and distal duodenum and bowel. The cost of materials was less than $50. Vi endoscopic equipment and 3 millimeter instruments were used. We reproduced all steps of the procedure dissection of the proximal pouch, finding the distal duodenum below the transverse meso column, opening of both blind duodenal ends, and performance of a duodeno duodenal anastomosis. We use a validation sheet to evaluate the performance, number of errors, type of injuries, quality of the anastomosis, and time of practice. The development checklist sheet was filled after consensus. The procedure was completed without injuries in 75 minutes. Interaction was successful, without need to assist them in person. Telementoring MIS simulation could assist in the provision of teaching advanced skills worldwide.