Developing a novel laparoscopic training model during the Covid-19 pandemic in a resource-limited setting

Dr Hansraj Mangray; Dr Sanele Madziba; Dr Shamaman Harilal; Dr Vishendran Govindasamy; Dr Morganyagi Govender; Dr Lucien Ferndale; Dr Thembi Mbebe; Dr Ashish Dasrath; Prof Damian L Clarke

doi:10.1016/j.sipas.2023.100170

Developing a novel laparoscopic training model during the Covid-19 pandemic in a resource-limited setting

Surg Pract Sci. 2023 Jun:13:100170. doi: 10.1016/j.sipas.2023.100170. Epub 2023 Apr 23.

Authors

Dr Hansraj Mangray¹, Dr Sanele Madziba¹, Dr Shamaman Harilal¹, Dr Vishendran Govindasamy², Dr Morganyagi Govender², Dr Lucien Ferndale², Dr Thembi Mbebe², Dr Ashish Dasrath², Prof Damian L Clarke^{2

3}

Affiliations

¹ Department of Paediatric Surgery, Grey's Hospital, University of KwaZulu-Natal, Pietermaritzburg, South Africa.
² Department of Surgery, Grey's Hospital, University of KwaZulu-Natal, Pietermaritzburg, South Africa.
³ Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Abstract

Background: This paper describes the development and implementation of a unique laparoscopic suturing course in a resource-constrained setting and reviews the initial experience with the program.

Methods: This study describes the development of Grey's laparoscopic suturing course (GLSC) and reviews the questionnaires and feedback over the past year.

Results: The GLSC has been run for over a year and has enrolled 47 participants. Most participants were registrars, followed by consultants and medical officers, and most participants had limited minimal access surgery (MAS) experience. Only three had previously undertaken a formal course or observership. The mean result for the pre-course test was 50%, and for the post-course test, 88%. During the skills laboratory session, every participant competently performed intra-corporeal suturing. The entire group unanimously agreed that the GLSC should be recommended for all surgical trainees in the evaluation form. All participants expressed interest in an advanced MAS course.

Conclusion: We have demonstrated that developing a local MAS suturing course with limited resources and industry support during the Covid 19 pandemic is possible. It has benefited a large group of trainees thus far and hopefully will become part of the curriculum of surgical trainees in South Africa.

Keywords: Covid; Laparoscopy; Limited-resource; Minimal access surgery; Training.