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FAST FACTS
Many general surgery procedures can be performed laparoscopically including:
• Appendectomy
• Hernia repair
• Gastric bypass
• Pancreatectomy
(removal of pancreas)
• Liver resection
• Colon resection
• Small bowel obstruction
• Partial gastrectomy (removal of part of stomach)

Other specialties that can benefit from FLS training include thoracic surgery, gynaecology, and paediatric surgery.

About Telesimulation

Dr. Okrainec conducts a telesimulation session with a trainee

The Temerty/Chang International Centre for Telesimulation and Innovation in Medical Education is the first of its kind to offer accessible training programs for surgeons in developing or remote regions. Using surgical simulators, internet connections and laptops, surgeons anywhere in the world can have access to the Temerty/Chang Telesimulation Centre’s world-leading surgical training programs.

Dr. Okrainec and his team set up surgical simulators and internet connections in the location where surgeons will be training. Surgeons can train from any location that has internet access.

The trainees’ surgical simulators are connected through laptops and by video link to Dr. Okrainec’s lab in Toronto where he conducts regular mentoring and teaching sessions with each surgeon. Both instructor and trainee can see the contents of each other’s surgical simulator, in real time, on a projected screen.

Dr. Okrainec conducts a telesimulation session with a trainee - click here to play. VIDEO
Dr. Okrainec conducts a telesimulation session with a trainee - click here to play
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The telesimulation program is currently training surgeons on the Fundamentals of Laparoscopic Surgery (FLS), the international industry standard established by the Society of Gastrointestinal and Endoscopic Surgeons.

Laparoscopic, or minimally invasive surgery (MIS), is often used for abdominal procedures such as cholecystectomy (gall bladder removal). In the developed world, laparoscopic cholecystectomy is preferred over open surgery: there is less risk of blood loss, less pain, and decreased chance of infection. Patients can usually return home the same day. An open procedure to remove the gall bladder requires extensive recovery time and is associated with higher risks and greater discomfort for the patient.

The long-range goal for the Temerty/Chang Telesimulation Centre is to offer surgical training in other procedures and in other areas of medicine such as anesthesiology, obstetrics, emergency medicine, community health and technical support.