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    Sánchez Hurtado, M.A.; Díaz-Güemes Martín-Portugués, I.; Correa Martin, L.; Enciso, S.; Fernández Tomé, B.; Moreno Naranjo, B.; Bachiller Burgos, J.; Serrano Pascual, A.; Sánchez Margallo, F.M.

    Journal of pediatric urology, October 2021, 2021-10-00, 20211001, Letnik: 17, Številka: 5
    Journal Article

    Reconstructive and ablative urologic techniques require special technical mastery, especially the intracorporeal suturing. To report the subjective evaluation of a versatile ex-vivo model aimed to practice laparoscopic ureteric reconstructive techniques (LURT) on box-trainer. The model is a continuous portion of porcine urinary bladder (“dilated pelvis”), the vesico-ureteral joint (“stenosis”) and healthy ureter. All 127 participants (n = 119 urologists and n = 8 paediatric surgeons) performed on the model laparoscopic Anderson-Hynes dismembered pyeloplasty, and then, in the animal model, different LURT procedures (ureteroneocystostomy, ureteric reimplantation and/or dismembered pyeloplasty). The model was subjectively evaluated (face and content validity), through a 12 items questionnaire, based on a Likert scale (1–5 points) and a global question (1–10 points). The total mean rating for 11/12 items was very high (>4points). Only one was rated under 3 points. The overall total mean rating from 1 to 10 points was very high (9.19 ± 0.82 points). In 10/12 items, expert's feedback (content validity) prevailed over non-experts (face validity). The model was highly accepted for the practice of LURT techniques. Additionally, it is cost-effective, easy to assemble, ethically considerate, and realistic. Display omitted