Background: The totally extraperitoneal technique (TEP) is a well-establish
ed method for repairing inguinal hernias laparoscopically. It has a low rec
urrence rate with minimal morbidity. Good training is necessary to decrease
the length of the learning curve. Laparoscopic training courses at the Gui
ldford Minimal Access Therapy Training Unit (MATTU) include lectures, live
demonstrations, and practical training. In the absence of a commercially av
ailable TEP hernia model, the Guildford MATTU, along with Limbs and Things,
has developed a realistic artificial model.
Objective: The aim was to develop a model that would familiarize course par
ticipants with the different anatomical perspective and the steps needed to
complete the TEP repair, in an effort to shorten their learning curve. Eva
luation: The MATTU model has been evaluated in terms of anatomic accuracy,
realism, versatility, cost effectiveness, and ease of use.
Conclusions: The MATTU model accurately replicates TEP repair. It is robust
, easy to use, cost effective, and easy to maintain. It will be widely avai
lable.