1st International Congress for Innovation in Global Surgery
ABSTRACT FIRST PRESENTED: 20.04.2022
Lap-Pack: a low fidelity laparoscopic box trainer
Manish Chauhan , Noel Aruparayil, Jesudian Gnanaraj, Sukumar Maiti, Anurag Mishra, Aaron Quyn, William Bolton, Joshua Burke, David Jayne, Pietro ValdastriUniversity of York, York, United Kingdom; Leeds Institute of Medical Research, St. James’s University Hospital, Leeds; Association of Rural Surgeons of India, India; Calcutta Medical College, Kolkata, India; Maulana Azad Medical College, New Delhi, India
Need of an innovation: The requirement for high-quality training to maximize the benefits of laparoscopic surgery is well documented. Laparoscopic training for rural surgeons operating in low resource settings is limited due to access to expensive commercial training equipment, lack of training opportunities, poorly developed training program, financial constraints, and limited health system.
Innovation: ‘Lap-Pack’ is a low-fidelity, sturdy, lightweight, portable, low-cost laparoscopic trainer. It comprises a user-adjustable (slide back-forth, rotate, twist in an angular direction and be fixed in a suitable position) camera (compatible with phone, tablet, laptop etc.) for monitoring the operative field.
Utility: Lap-Pack has been evaluated to train 85 participants through a structured training program, the TARGET study through 2 stages. In stage, laparoscopic simulation training was based on the 5 domains of fundamentals of laparoscopic surgery, which assessed skill acquisition across 7 rural surgeons from North-East India. The MISTELS criteria was used to statistically analyse trainee performance between pretraining and post-training sessions. Also, Lap-Pack was qualitatively compared with a commercial box trainer, Inovus Pyxus HD. Stage II involved a multi-centre usability study in 2 centres of India and the United Kingdom (2019).
Impact: Stage I, the total post-training MISTELS score for Lap-Pack was higher, that is 773.37 (SD: 183.67) than the pretraining score, is 351.2 (SD: 471.5). The post-training scores showed laparoscopic skill acquisition with statistically significant (P< 0.05] out of a possible 6. It scored highest (scale: 1= low to 7=high) in Usability 6.14 (95% CI: 6.05–6.22, P< 0.05) and Camera 6.14 (95% CI: 6.01–6.27, P <0.05).
Conclusion: Lap-Pack allowed simulated skills acquisition that was at least as good as a commercially available laparoscopic trainer. The low-cost design and portability make it particularly attractive for low resource settings.
Future: Lofto Design, an Indian design organization is a proud partner of the University of Leeds in taking LapPack to the commercial market. Lap-Pack is proposed to integrate with a smartphone-based learning module that tracks the learning progress of the trainees.
Use of autologous platelet rich fibrin in minimally invasive treatment of perianal abscess
Carica papaya fruit in the management of chronic non healing ulcer wounds
The Buddy System: An initiative to slow down the antibiotic misuse
SOCH – India (Students’ Orbit for Collaborative Healthcare – India)
Need of an Autopsy Kit in resource limited settings
Device for non-invasive detection of meconium stained amniotic fluid
A Novel Stethoscope In COVID 19 Times
Explainable AI decision model for ECG data of cardiac disorders
Satyanveshi: A New Age Mentorship Program in Medical School
Predict Easy :Pre-eclampsia Risk Stratification Tool
A new approach to stoma management
Neonatal care platform to facilitate the practice of delayed cord clamping
Urine congophilia dipstick test for preeclampsia screening in resource limited settings
Lap-Pack: a low fidelity laparoscopic box trainer
SurgiPod -The Smallest Portable Modular OT
Automatic Uterine Incision closure device
OsteQuant -A comprehensive bone age and bone health estimation tool
MeeT: A Platform for Innovation
The Metaverse as a platform for education and training within medicine and surgery
An inexpensive surgical glove bag for gall bladder retrieval during laproscopic cholecystectomy
Frugal indigenous methods for chest tube insertion and venesection
Digital videoproctoscopy: a new diagnostic test in proctology
Identifying palliative care needs for tribal-rural populations
Training 750 General surgeons in this decade for district hospitals in Kenya
Introduction of WALANT in Kenya: An innovative method to alleviate poverty
Condition monitoring of Ilizarov frames using vibration sensors
External Fixation in Polytrauma Patients from Low and Middle Income Countries – A Case Report
Lumbar Disc Degeneration, A Transdifferentiation Process-An Electron Microscopic Observation
Designing Global Surgical Technology: Benefits of a Participatory Design Approach for the Surgeon
Reverse Innovation in Healthcare from India
A New Innovation in Yogasan (A new Yogasan for quick relief of tension and sleeplessness)