ABSTRACT
OBJECTIVE: To compare surgical models for teaching enterotomies to students. STUDY DESIGN: Prospective, randomized study. SAMPLE POPULATION: Second-year veterinary students (n = 59) and faculty surgeons/surgery residents (n = 19). METHODS: Participants performed an enterotomy on each of 3 models (equine cadaver intestine, SurgiReal small intestine simulator, and SynDaver canine bowel) and completed a survey comparing them to either an enterotomy on an anesthetized pig (students) or intestinal surgery experience (faculty/residents). Surveys results were compiled and analyzed. RESULTS: Both student and faculty/resident groups rated cadaver intestine as more similar to live intestine compared with the synthetic models for incision, tissue handling, mucosal eversion, needle passage, knot tying, and best preparing for live intestine. Students rated SynDaver as more similar to live intestine than SurgiReal for incision and ranked SurgiReal as more similar to live intestine than SynDaver for mucosal eversion. There was no difference between the ranks assigned to SurgiReal and SynDaver for faculty/residents. Faculty/residents responded most often that cadaver intestine would be the model they recommend for training students. CONCLUSION: Cadaver intestine was the model most similar to live intestine for all variables tested. SurgiReal and SynDaver models were comparable to each other but did not simulate live intestine as well as cadaver intestine. CLINICAL SIGNIFICANCE: Cadaver intestine more closely approximated live intestine compared with either synthetic model. SurgiReal and SynDaver may be adequate alternatives if cadaver intestine is unavailable.
Subject(s)
Digestive System Surgical Procedures/veterinary , Education, Veterinary/methods , Models, Anatomic , Animals , Cadaver , Clinical Competence , Dogs , Horses , Humans , Internship and Residency , Intestine, Small , Prospective Studies , Students , Surveys and Questionnaires , SwineABSTRACT
Therapeutic shoeing is best directed at a specific diagnosis, but in the absence of a specific diagnosis, it is frequently directed at a symptom. There are only so many ways to modify the function of the foot with trimming and shoeing. The design of a horse shoe may often be modified to improve one aspect of foot function. Modifying a horse shoe to improve one aspect of foot function almost invariably impacts another aspect of foot function. The application of horse shoes may be based on a specific diagnosis or directed at a symptom. The application of shoeing principles is best approached using theoretical reasoning based on the research data that are available and experience.
