A novel training model for the loop electrosurgical excision procedure: an innovative replica helped workshop participants improve their LEEP

Am J Obstet Gynecol. 2012 Jun;206(6):535.e1-4. doi: 10.1016/j.ajog.2012.01.016. Epub 2012 Jan 13.

Abstract

We wanted to evaluate the feasibility and effect of a hands-on loop electrosurgical excision procedure (LEEP) 2.5-day intensive surgical skills workshop, using a novel training model on porcine tissue. Hands-on simulation-based training was conducted to emphasize colposcopy, local anesthesia, uterine cervix and vulva punch biopsy, LEEP, and complication management. Performance of 51 participants' technical skills was assessed before and after training completion. LEEP performance was significantly better after completion of the training (P < .001). Before and after training mean scores (SD) of 18.0 (3.5) and 23.4 (2.1) were assessed. Multivariate analysis revealed that the training effects were independent of previous surgical expertise. The LEEP workshop was feasible and effective and we recommend implementing hands-on LEEP training into gynecology training programs.

Publication types

  • Evaluation Study
  • Video-Audio Media

MeSH terms

  • Animals
  • Biopsy
  • Cervix Uteri / pathology
  • Cervix Uteri / surgery*
  • Clinical Competence
  • Colposcopy / education
  • Electrosurgery / education*
  • Electrosurgery / methods
  • Feasibility Studies
  • Female
  • Gynecologic Surgical Procedures / education*
  • Gynecologic Surgical Procedures / methods
  • Humans
  • Models, Anatomic*
  • Multivariate Analysis
  • Prospective Studies
  • Regression Analysis
  • Swine
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / surgery
  • Vulva / pathology
  • Vulva / surgery