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P078

INNOVATIVE LOW-COST MODELS FOR MASTERING CRITICAL STEPS IN TAPP HERNIA REPAIR

Part of Topic

Abdominal Wall Hernias

Introduction:

Transabdominal preperitoneal (TAPP) repair is widely used but has a prolonged learning curve. Critical-step errors may lead to complications, yet accessible procedure-specific simulators remain limited. We developed a low-cost physical model to practice three key TAPP steps.

Methods

Low-cost pelvic simulators reproduced pelvic curvature relevant to TAPP repair. Targeted steps: Peritoneal flap creation, mesh positioning, intracorporeal peritoneal closure

The model incorporated a reusable silicone flap and a Velcro-based mesh deployment system. Educational impact was assessed using a structured 5-point Likert survey.


Reaction and satisfaction were analyzed according to Kirkpatrick Level 1, scores of 3.5–4.2 were considered as good and ≥4.3 as excellent.


RESULTS

n=15, 10 general,  5 digestive

Mean design score: 4.0. Expert ratings favored the model across design, material quality, and educational value.

4.5 Adequacy as a training model, 4.1 peritoneal flap consistency, 3.7 mesh deployment

Conclusion

Low-cost TAPP models were feasible and highly rated for design, material quality, and educational value. They offer an accessible, cost-effective way to practice three critical procedural steps.




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