This frugal simulator allows medical officers (non-specialist physicians) and general surgeons to become confident and competent in the gentle handling of delicate infant tissues as part of neonatal colostomy procedures performed in low to middle income countries (LMICs). The thin cigarette paper, especially when moistened, simulates the delicate tissue of neonatal bowel.
Materials
1 reusable cup with clean water
Pair of cigarettes (costs between 5¢ to 10¢ USD)
4-0 or 5-0 silk suture with a round bodied (tapered) needle
Standard needle driver
Smooth (non-toothed) dissecting forceps
Mayo scissors (used to cut sutures and stabilize the proximal end of the cigarette closest to you)