EXPERIENCE OF APPLICATION OF MODERN TECHNIQUES OF PRACTICAL TRAINING FOR DEVELOPMENT OF MANUAL SKILLS IN LAPAROSCOPIC SURGERY

Introduction. Experience of doctors training in skills of laparoscopic surgery under conditions of a training class is stated in the article.

Methods. The training class is created in 2010 on the basis of PI “Dnipropetrovsk Medical Academy of Ministry of Health ofUkraine” at the Surgery Department N 1. The Center is equipped with four full-fledged worplaces. Each place consists of laparoscopic racks with a totality of Karl Storz production equipment, exercise machines and a model for work with tissues of animals. Development of new techniques of training in manual skills in endoscopic surgery and improvement of techniques which exist, with use of various exercise machines and models was the purpose of work.

Results. The program of training was calculated on 72 class periods from which 8 hours of theoretical training and 64 hours practical, and it is constructed on the principle “from simple action to complicated one”. The technique offered by the prof. K. V. Puchkov which was modified by trainers of a course was the basis for the training program. All program of practical training is divided into 6 main stages, transition from a stage to a stage is carried out after delivery of the temporary standard for performance of a task at the previous stage.

Conclusions. It was proved that the training technique — “from simple action to complicated one” — is effective and allows any trained to master skills of an internal surgical seam.