#255 A cost-effective model for training in Robot-Assisted Sacrocolpopexy- Dr. Yair Daykan

This is one of the 2023 KS International Innovation Awards videos selected for inclusion in the Vattikuti Foundation – ORSI Humans on the Cutting Edge of Robotic Surgery Conference, October 6, 7 & 8, 2023 in Ghent, Belgium. Posting does not imply that is has been selected as a Finalist, just that the content will be discussed at the Conference.

From the entry: Description: A novel surgical model for the training of robotic-assisted sacrocolpopexy which is affordable and accessible.

ABSTRACT: A cost-effective model for training in Robot-Assisted Sacrocolpopexy

Yair Daykan 1,2, Rui Farinha 3,4, Steven E Schraffordt 5, Alexander Mottrie 3,4, Barry A O’Reilly1

1Department of Urogynaecology, Cork University Maternity Hospital, Cork, Ireland

2Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel

34 Department of Urology, OLV, Aalst, Belgium ORSI Academy,Melle, Belgium. 5Department of Urogynecology, Meander Medical Center, Amersfoort, Netherlands

Corresponding author: Yair Daykan Department of Urogynecology Cork University Maternity Hospital Wilton, Cork, Ireland Cell: +353-876029536

Email: yair.dykan@gmail.com

Orchid ID: 0000-0002-0447-2414

Conflict of interest: The authors have no conflicts of interest.

Abstract Background: The number of robotically assisted sacrocolpopexy procedures are increasing; therefore, experienced clinicians are needed. Simulation-based cadaver models are challenging in aspects of cost and availability. Therefore, we need to look at alternative and more cost-effective models.

Objective: The objective of this video was to design a novel surgical model for the training of robotic-assisted sacrocolpopexy, which is affordable and accessible. Methods: This simulation model was developed by experienced surgeons in the field of urogynecology at the Orsi Academy in Leuven, Belgium. We used a whole chicken model to simulate the female pelvic floor. Medtronic’s HugoTM RAS system was used as the robotic console in that procedure. A vaginal cuff was prepared from the proventriculus (stomach), and a Y shaped mesh was secured to the ischium to simulate the sacrocolpopexy procedure.

Conclusion: This model is easily constructed and in our view is cost-effective. We have demonstrated a new valuable education tool that can serve as a practical simulation model to teach the sacrocolpopexy procedure and to improve trainees’ skills. Further validations studies are warranted to determine this platform’s potential contribution to quality improvement and patient safety in the teaching environment.

Keywords: Robotic assisted surgery; Sacrocolpopexy; Hysteropexy; Pelvic floor repair

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