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Loop electrosurgical excision procedure

An effective, inexpensive, and durable teaching model
      The effectiveness of simulation training for enhancing operative skills is well established. Here we describe the construction of a simple, low-cost model for teaching the loop electrosurgical excision procedure. Composed of common materials such as polyvinyl chloride pipe and sausages, the simulation model, shown in the accompanying figure, can be easily reproduced by other training programs. In addition, we also present an instructional video that utilizes this model to review loop electrosurgical excision procedure techniques, highlighting important steps in the procedure and briefly addressing challenging situations and common mistakes as well as strategies to prevent them. The video and model can be used in conjunction with a simulation skills laboratory to teach the procedure to students, residents, and new practitioners.

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      References

        • Hefler L.
        • Grimm C.
        • Kueronya V.
        • Clemens T.
        • Reinthaller A.
        • Polterauer S.
        A novel training model for the loop electrosurgical excision procedure: an innovative replica helped workshop participants improve their LEEP.
        Am J Obstet Gynecol. 2012; 206: 535.e1-535.e4
        • Reznick R.K.
        • MacRae H.
        Teaching surgical skills—changes in the wind.
        N Engl J Med. 2006; 355: 2664-2669
        • Duggan B.D.
        • Felix J.C.
        • Muderspach L.I.
        • et al.
        Cold-knife conization versus conization by the loop electrosurgical excision procedure: a randomized, prospective study.
        Am J Obstet Gynecol. 1999; 180: 276-282
        • Borahay M.A.
        • Haver M.C.
        • Eastham B.
        • Patel P.R.
        • Kilic G.S.
        Modular comparison of laparoscopic and robotic simulation platforms in residency training: a randomized trial.
        J Minim Invasive Gynecol. 2013; S1553-4650: 326-329
        • Larsen C.R.
        • Soerensen J.L.
        • Grantcharov T.P.
        • et al.
        Effect of virtual reality training on laparoscopic surgery: randomized controlled trial.
        BMJ. 2009; 338: b1802
        • Rackow B.W.
        • Solnik M.J.
        • Tu F.F.
        • Senapati S.
        • Pozolo K.E.
        • Du H.
        Deliberate practice improves obstetrics and gynecology residents’ hysteroscopy skills.
        J Grad Med Educ. 2012; 4: 329-334
        • Lentz G.M.
        • Mandel L.S.
        • Lee D.
        • Gardella C.
        • Melville J.
        • Goff B.A.
        Testing surgical skills of obstetric and gynecologic residents in a bench laboratory setting: validity and reliability.
        Am J Obstet Gynecol. 2001; 184: 1462-1468