Banana fruit: An "appealing" alternative for practicing suture techniques in resource-limited settings.
Am J Otolaryngol
; 39(5): 582-584, 2018.
Article
em En
| MEDLINE
| ID: mdl-30135033
ABSTRACT
PURPOSE:
Suturing is an important core surgical competency that requires continued practice. The purpose of this study was to evaluate bananas as a medium for practicing suture techniques in resource-limited settings. MATERIALS ANDMETHODS:
Using a crossover design, 20 University of Rwanda medical students practiced suturing on banana peels and commercial foam boards. Students were randomized into 2 groups group A practiced on foam boards first and then bananas, and group B practiced on banana peels first and then foam boards. A post-workshop survey was then administered to students to gauge their attitude towards banana peels as a suturing practice material. Suture performance for each student was graded by three fellowship-trained facial plastic surgeons based on consistent spacing, knot location, appropriate knot, absence of air knots, and adequate bite size.RESULTS:
Suture performance graded by facial plastic surgeons demonstrated that suturing outcomes with bananas were equal or superior to foam in 56.7% of instances. Twenty students participated in the workshop; 16 students responded to the survey (response rateâ¯=â¯80%). Students were comfortable practicing suturing with banana peels (Mdnâ¯=â¯4, IQRâ¯=â¯1) and strongly agreed that suturing banana peels was a useful activity (Mdnâ¯=â¯5, IQRâ¯=â¯1). Students thought banana peels and foam were comparable learning platforms (Mdnâ¯=â¯3.5, IQRâ¯=â¯1) and felt their suturing abilities improved with practice on banana peels (Mdnâ¯=â¯4, IQRâ¯=â¯1.3).CONCLUSIONS:
Banana peels are a low cost, equally viable alternative to synthetic suture media.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Otolaringologia
/
Pobreza
/
Técnicas de Sutura
/
Musa
Tipo de estudo:
Clinical_trials
Limite:
Humans
País/Região como assunto:
Africa
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article