J. L. O. SIMÓN ET AL.
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into practice for avoiding gas leaks caused by the widen-
ing out of entry ports. We have used the same bladder up
to 10 times successfully. This novel trainer will allow
including critical variables of intra-abdominal pressure
during practice sessions in a dynamic and realistic way.
This trainer will certainly allow establish a one more step
to the training tasks collection th at contributes to enh an ce
the quality of newly graduated lapa roscopic surgeons.
4. Conclusion
We developed the first physical trainer with pneumo-
peritoneum. This novel trainer facilitates the integration
of the knowledge of the surgeon, based on the clinical
conditions of the patient. It allows the surgeon to practice
the Hasson technique, the safe insertion of the Veress
needle through an incision beneath the umbilical scar
while the abdominal wall is lifted with Alice forcep s. W e
tried basic laparoscopy MISTEL’s tasks that we do not
see any problem to simulate perivisceral laparoscopy
tasks. Entry related injuries such perforation of subsur-
face blood vessels will be reduced in the operating room
with the use of this system to train new laparoscopic
surgeons.
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