@article{KieselBeyersKaliszetal.2022, author = {Kiesel, Matthias and Beyers, Inga and Kalisz, Adam and Joukhadar, Ralf and W{\"o}ckel, Achim and Herbert, Saskia-Laureen and Curtaz, Carolin and Wulff, Christine}, title = {A 3D printed model of the female pelvis for practical education of gynecological pelvic examination}, series = {3D Printing in Medicine}, volume = {8}, journal = {3D Printing in Medicine}, doi = {10.1186/s41205-022-00139-7}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-313347}, year = {2022}, abstract = {Background Pelvic palpation is a core component of every Gynecologic examination. It requires vigorous training, which is difficult due to its intimate nature, leading to a need of simulation. Up until now, there are mainly models available for mere palpation which do not offer adequate visualization of the concerning anatomical structures. In this study we present a 3D printed model of the female pelvis. It can improve both the practical teaching of gynecological pelvic examination for health care professionals and the spatial understanding of the relevant anatomy. Methods We developed a virtual, simplified model showing selected parts of the female pelvis. 3D printing was used to create a physical model. Results The life-size 3D printed model has the ability of being physically assembled step by step by its users. Consequently, it improves teaching especially when combining it with commercial phantoms, which are built solely for palpation training. This is achieved by correlating haptic and visual sensations with the resulting feedback received. Conclusion The presented 3D printed model of the female pelvis can be of aid for visualizing and teaching pelvic anatomy and examination to medical staff. 3D printing provides the possibility of creating, multiplying, adapting and sharing such data worldwide with little investment of resources. Thus, an important contribution to the international medical community can be made for training this challenging examination.}, language = {en} } @article{KieselBeyersKaliszetal.2022, author = {Kiesel, Matthias and Beyers, Inga and Kalisz, Adam and W{\"o}ckel, Achim and L{\"o}b, Sanja and Schlaiss, Tanja and Wulff, Christine and Diessner, Joachim}, title = {Evaluating a novel 3D printed model for simulating Large Loop Excision of the Transformation Zone (LLETZ)}, series = {3D Printing in Medicine}, volume = {8}, journal = {3D Printing in Medicine}, doi = {10.1186/s41205-022-00143-x}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-313356}, year = {2022}, abstract = {Background Electrosurgical excisions are common procedures for treating cervical dysplasia and are often seen as minor surgeries. Yet, thorough training of this intervention is required, as there are considerable consequences of inadequate resections, e.g. preterm birth, the risk of recurrence, injuries and many more. Unfortunately, there is a lack of sufficiently validated possibilities of simulating electrosurgeries, which focus on high fidelity and patient safety. Methods A novel 3D printed simulator for examination and electrosurgical treatment of dysplastic areas of the cervix was compared with a conventional simulator. Sixty medical students experienced a seminar about cervical dysplasia. Group A underwent the seminar with the conventional and Group B with the novel simulator. After a theoretical introduction, the students were randomly assigned by picking a ticket from a box and went on to perform the hands-on training with their respective simulator. Each student first obtained colposcopic examination training. Then he or she performed five electrosurgical excisions (each). This was assessed with a validated score, to visualize their learning curve. Furthermore, adequate and inadequate resections and contacts between electrosurgical loop and vagina or speculum were counted. Both groups also assessed the seminar and their simulator with 18 questions (Likert-scales, 1-10, 1 = strongly agree / very good, 10 = strongly disagree / very bad). Group B additionally assessed the novel simulator with four questions (similar Likert-scales, 1-10). Results Nine of 18 questions showed statistically significant differences favoring Group B (p < 0.05). Group B also achieved more adequate R0-resections and less contacts between electrosurgical loop and vagina or speculum. The learning curves of the performed resections favored the novel simulator of Group B without statistically significant differences. The four questions focusing on certain aspects of the novel simulator indicate high appreciation of the students with a mean score of 1.6 points. Conclusion The presented novel simulator shows several advantages compared to the existing model. Thus, novice gynecologists can be supported with a higher quality of simulation to improve their training and thereby patient safety.}, language = {en} } @article{KieselBeyersKaliszetal.2022, author = {Kiesel, Matthias and Beyers, Inga and Kalisz, Adam and W{\"o}ckel, Achim and Quenzer, Anne and Schlaiß, Tanja and Wulff, Christine and Diessner, Joachim}, title = {Evaluating the value of a 3D printed model for hands-on training of gynecological pelvic examination}, series = {3D Printing in Medicine}, volume = {8}, journal = {3D Printing in Medicine}, doi = {10.1186/s41205-022-00149-5}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-313365}, year = {2022}, abstract = {Background Simulation in the field of gynecological pelvic examination with educational purposes holds great potential. In the current manuscript we evaluate a 3D printed model of the female pelvis, which improves practical teaching of the gynecological pelvic examination for medical staff. Methods We evaluated the benefit of a 3D printed model of the female pelvis (Pelvisio®) as part of a seminar ("skills training") for teaching gynecological examination to medical students. Each student was randomly assigned to Group A or B by picking a ticket from a box. Group A underwent the skills training without the 3D printed model. Group B experienced the same seminar with integration of the model. Both groups evaluated the seminar by answering five questions on Likert scales (1-10, 1 = "very little" or "very poor", 10 equals "very much" or "very good"). Additionally, both groups answered three multiple-choice questions concerning pelvic anatomy (Question 6 to 8). Finally, Group B evaluated the 3D printed model with ten questions (Question 9 to 18, Likert scales, 1-10). Results Two of five questions concerning the students' satisfaction with the seminar and their gained knowledge showed statistically significant better ratings in Group B (6.7 vs. 8.2 points and 8.1 vs. 8.9 points (p < 0.001 and p < 0.009). The other three questions showed no statistically significant differences between the traditional teaching setting vs. the 3D printed model (p < 0.411, p < 0.344 and p < 0.215, respectively). The overall mean score of Question 1 to 5 showed 8.4 points for Group B and 7.8 points for Group A (p < 0.001). All three multiple-choice questions, asking about female pelvic anatomy, were answered more often correctly by Group B (p < 0.001, p < 0.008 and p < 0.001, respectively). The mean score from the answers to Questions 9 to 18, only answered by Group B, showed a mean of 8.6 points, indicating, that the students approved of the model. Conclusion The presented 3D printed model Pelvisio® improves the education of female pelvic anatomy and examination for medical students. Hence, training this pivotal examination can be supported by a custom designed anatomical model tailored for interactive and explorative learning.}, language = {en} } @article{KieselBeyersKaliszetal.2022, author = {Kiesel, Matthias and Beyers, Inga and Kalisz, Adam and W{\"o}ckel, Achim and Herbert, Saskia-Laureen and Curtaz, Carolin and Diessner, Joachim and Joukhadar, Ralf and Wulff, Christine}, title = {Introducing a novel model for simulating large loop excision of the transformation zone (LLETZ) using 3D printing technique}, series = {Archives of Gynecology and Obstetrics}, volume = {305}, journal = {Archives of Gynecology and Obstetrics}, number = {3}, issn = {1432-0711}, doi = {10.1007/s00404-021-06209-1}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:20-opus-266739}, pages = {703-712}, year = {2022}, abstract = {Purpose Electrosurgery is the gold-standard procedure for the treatment of cervical dysplasia. The quality of the outcome depends on the accuracy of performance, which underlines the role of adequate training of surgeons, especially, as this procedure is often performed by novice surgeons. According to our knowledge, medical simulation has up until now lacked a model, which focuses on realistically simulating the treatment of cervical dysplasia with the concerning anatomy. Methods and Result In our work, we present a model created using 3D printing for holistically simulating diagnostic, as well as surgical interventions of the cervix, as realistically as possible. Conclusion This novel simulator is compared to an existing model and both are evaluated. By doing so, we aim to provide novice gynecologists with standardized and high-quality simulation models for practicing to improve their proficiency.}, language = {en} }