A "cooler" simulation model for robotic cuff closure and sacrocolpopexy

Introduction and hypothesis The objective of this video was to demonstrate the build and use of a single robotic simulation model for a double-layer vaginal cuff closure and sacrocolpopexy vaginal mesh attachment. Simulation models are frequently used to improve surgical skills and augment operating room experience for surgical trainees. Methods To create our robotic simulation model, we utilized the Advincula arch manipulator handle with a sacrocolpopexy tip attached to the ALLY Uterine Positioning System. To simulate the vagina, we used a pink, slim can cooler/coozie attached to the sacrocolpopexy tip. The edges of the coozie represented the vaginal cuff following a hysterectomy. Mesh attachment was demonstrated using a precut Y-shaped polypropylene mesh. Conclusions Simulation has become a critical part of education in surgical training programs as it enhances learner knowledge and improves surgical confidence and preparedness in the operative setting.