Fachbereich Veterinärmedizin



    Improving VET SKILLS: Construction of a asimulator for training ceasarian section in bovines (2017)

    Fischer-Tenhagen, Carola (WE 19)
    Schüller, Laura (WE 19)
    Heuwieser, Wolfgang (WE 19)
    21st Annual Conference of the European Society for Domestic Animal Reproduction (ESDAR)
    Bern, Schweiz, 24. – 25.08.2017
    Reproduction in domestic animals = Zuchthygiene; 52(Supplement S3) — S. 86
    ISSN: 0936-6768
    DOI: 10.1111/rda.13026
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    Abstract / Zusammenfassung

    A caesarean section (CS) is an important obstetrical technique in ruminants to treat cases of dystocia. To perform a CS for training purposes without a medical indication is a relevant welfare issue. Teaching CS is often restricted to theoretical explanations and video demonstration. The objective of this project was, to construct a simulator for a CS with which students can train 1) vaginal palpation of the obstetrical patient, 2) local anesthesia, 3) surgical techniques including incision and suture of the abdominal wall, 4) exteriorization of the uterus and extraction of the calf, and 5) incision and suture of the uterus. The scope of this simulator was to provide a realistic procedure of manual skills necessary for a CS. A life- sized cow used for decoration purpose was modified. Various pieces of the model were removed for the surgical approach in order to gain access to the abdominal cavity and to allow vaginal examination. A vaginal cavity and uterus was sewn with 8 mm neoprene. For simulating the abdominal wall a suture pad (50 × 50 cm) was casted with silicon and rubber foam to simulate the different layers of the abdominal wall. Overall costs for this were € 2100. A 25 kg dystocia calf model (VSI; Canada) is inserted into the uterus for the training session. The simulator is used in the clinical rotation of the Clinic of Animal Reproduction with groups of 9 students in their 5th year. All students described their learn experience as valuable and intense. The simulator helps them to understand the complex procedure of this obstetrical intervention. Furthermore, this is the first simulator that allows to train diagnosis and handling of the intrauterine calf and to exteriorize the uterus into the abdominal incision.