Feasibility of the Epiduroscopy Simulator as a Training Tool: A Pilot Study

Jong Joo Lee, Junho Ko, Yeomin Yun, Seong Wook Jang, Yoon Ha, Yoon Sang Kim, Dong Ah Shin

Research output: Contribution to journalArticle

Abstract

Epiduroscopy is a type of spinal intervention that visualizes the epidural space through the sacral hiatus using a fiberoptic scope. However, it is technically difficult to perform compared to conventional interventions and susceptible to complications. Surgery simulator has been shown to be a promising modality for medical education. To develop the epiduroscopy simulator and prove its usefulness for epiduroscopy training, we performed a case-control study including a total of 20 physicians. The participants were classified as the expert group with more than 30 epiduroscopy experiences and the beginner group with less experience. A virtual simulator (EpiduroSIM™, BioComputing Lab, KOREATECH, Cheonan, Republic of Korea) for epiduroscopy was developed by the authors. The performance of the participants was measured by three items: time to reach a virtual target, training score, and number of times the dura and nerve are violated. The training score was better in the expert group (75.00 vs. 67.50; P<0.01). The number of violations was lower in the expert group (3.50 vs. 4.0; P<0.01). The realism of the epidural simulator was evaluated to be acceptable in 40%. Participants improved their simulator skills through repeated attempts. The epiduroscopy simulator helped participants understand the anatomical structure and actual epiduroscopy.

Original languageEnglish
Article number5428170
JournalPain Research and Management
Volume2020
DOIs
Publication statusPublished - 2020

All Science Journal Classification (ASJC) codes

  • Neurology
  • Anesthesiology and Pain Medicine

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