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Novel simulation model for emergency laparotomy
  1. Chris Brown1,
  2. David Robinson1,
  3. Tarig Abdelrahman1,
  4. Richard Egan2,
  5. Stuart Goddard3,
  6. John Pollitt4,
  7. Neil Warren3,
  8. Wyn Lewis1
  1. 1 Department of Surgery, University Hospital of Wales, Cardiff, UK
  2. 2 Department of Surgery, Morriston Hospital, Swansea, UK
  3. 3 Surgical Education Centre, Welsh Institute for Minimal Access Therapy (WIMAT), Cardiff, UK
  4. 4 Department of Surgery, Prince Charles Hospital, Chermside, Queensland, Australia
  1. Correspondence to Chris Brown, Department of Surgery, University Hospital of Wales, Cardiff, CF14 4XW, UK; chrisbrown87{at}doctors.org.uk

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Background

Emergency laparotomy is one of six index operations for which all higher general surgery trainees (HST) are required to demonstrate both a minimum indicative number and competence level, prior to the award of a certificate of completion of training. It is a high-risk procedure associated with significant morbidity and mortality and has been subject to several contemporary, high profile national initiatives not least the National Emergency Laparotomy Audit (NELA),1 aimed at improving the quality of care for patients. Compounded by out of hours presentations and the high risks associated with the procedure, training opportunities for emergency …

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