J Hand Microsurg 2022; 14(01): 58-63
DOI: 10.1055/s-0040-1710169
Original Article

Design, Development, and Validation of a High-Fidelity “Ganglion Cyst” Model for Cadaveric Hand Surgery Training

Vaikunthan Rajaratnam
1   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
,
1   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
,
Amir A. Ahmad
2   Department of Orthopaedic Surgery, International Medical University, Seremban, Negeri Sembilan, Malaysia
,
Thommen T. Kuruvilla
1   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
,
Bharathi M. Shanmugam
1   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
,
Rebosura C. K. Pueblos
1   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
,
P. Yein Tong
1   Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore, Singapore
› Author Affiliations

Abstract

Introduction This study presents a design and developmental model with prospective validation. This study was aimed to design, develop, and validate a cadaveric model simulator of a ganglion cyst to train surgeons in its surgical excision.

Materials and Methods A novel “ganglion cyst” was designed using a latex powder-free glove and water-based, water-soluble lubricant (K-Y jelly). This “ganglion cyst” was then inserted subcutaneously into a cadaveric hand, positioned over the dorsum of the wrist to simulate a ganglion lesion. This simulation model was prospectively validated using postsimulation surveys conducted on novices and experts in hand surgery. The simulation was conducted during a basic hand surgery cadaveric workshop that included a practical station on ganglion excision.

Results Both the novices and experts had a concurrent agreement that the simulator provided relevance, realism, and value as a simulator for the teaching, excision and procedural assessment of ganglions in the hand.

Conclusion The role of high-fidelity simulation has been documented in the literature for surgical procedures. This simple and affordable model that we have developed and validated allows for the creation of a high-fidelity ganglion simulator in the cadaveric hand for teaching, excision, and procedural assessment among trainees.



Publication History

Article published online:
04 May 2020

© 2020. Society of Indian Hand & Microsurgeons. This article is published by Thieme.

Thieme Medical and Scientific Publishers Private Ltd.
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