A simple, inexpensive device for teaching the loop electrosurgical excision procedure

Objective: To develop an inexpensive and practical inanimate model to teach the loop electrosurgical excision procedure in a resident clinic. Technique: A vaginal speculum is inserted into one end of a cardboard tube. At the opposite end, a piece of knockwurst sausage is inserted into the ca rdboard tube. A grounding pad is attached to the distal end of the sausage. The teaching session proceeds using a colposcope or direct visualization. After the training session, the excised and uncut portions of sausage can b e examined. Experience: Faculty found this inanimate model an excellent way to teach re sidents how to use the loop electrode, and the resident staff appreciated i ts merits as a useful prelude to treating cervical disease in women. The ho use staff adapted to the confines of the vagina and transferred skills acqu ired from working with the cardboard tube, where instruction and constructi ve criticism can be given without the presence of apprehensive patients. Conclusion: A simple, inexpensive, inanimate model has been developed to te ach the loop electrosurgical excision procedure. The materials required to construct it are available to any colposcopy clinic. (C) 1999 by The Americ an College of Obstetricians and Gynecologists.