{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T23:36:49Z","timestamp":1787614609717,"version":"build-2736575974"},"reference-count":26,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"08","license":[{"start":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T00:00:00Z","timestamp":1535068800000},"content-version":"vor","delay-in-days":23,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:p>\n            Objective\u2003To describe and evaluate the use of a simple, low-cost, and reproducible simulator for teaching the repair of obstetric anal sphincter injuries (OASIS).<\/jats:p><jats:p>\n            Methods\u2003Twenty resident doctors in obstetrics and gynecology and four obstetricians participated in the simulation. A fourth-degree tear model was created using low-cost materials (condom simulating the rectal mucosa, cotton tissue simulating the internal anal sphincter, and bovine meat simulating the external anal sphincter). The simulator was initially assembled with the aid of anatomical photos to study the anatomy and meaning of each component of the model. The laceration was created and repaired, using end-to-end or overlapping application techniques.<\/jats:p><jats:p>\n            Results\u2003The model cost less than R$ 10.00 and was assembled without difficulty, which improved the knowledge of the participants of anatomy and physiology. The sutures of the layers (rectal mucosa, internal sphincter, and external sphincter) were performed in keeping with the surgical technique. All participants were satisfied with the simulation and felt it improved their knowledge and skills. Between 3 and 6 months after the training, 7 participants witnessed severe lacerations in their practice and reported that the simulation was useful for surgical correction.<\/jats:p><jats:p>\n            Conclusion\u2003The use of a simulator for repair training in OASIS is affordable (low-cost and easy to perform). The simulation seems to improve the knowledge and surgical skills necessary to repair severe lacerations. Further systematized studies should be performed for evaluation.<\/jats:p>","DOI":"10.1055\/s-0038-1668527","type":"journal-article","created":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T22:41:58Z","timestamp":1535150518000},"page":"465-470","source":"Crossref","is-referenced-by-count":19,"title":["A Simple, Reproducible and Low-cost Simulator for Teaching Surgical Techniques to Repair Obstetric Anal Sphincter Injuries"],"prefix":"10.61622","volume":"40","author":[{"given":"Roxana","family":"Knobel","sequence":"additional","affiliation":[{"name":"Department of Ginecology and Obstetrics, Universidade Federal de Santa Catarina, Florian\u00f3polis, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lia Karina","family":"Volpato","sequence":"additional","affiliation":[{"name":"Department of Ginecology and Obstetrics, Universidade Federal de Santa Catarina, Florian\u00f3polis, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliam Cristini","family":"Gervasi","sequence":"additional","affiliation":[{"name":"Department of Ginecology and Obstetrics, Universidade Federal de Santa Catarina, Florian\u00f3polis, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raquel de Almeida","family":"Viergutz","sequence":"additional","affiliation":[{"name":"Department of Ginecology and Obstetrics, Universidade Federal de Santa Catarina, Florian\u00f3polis, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"J\u00fanior","given":"Alberto","family":"Trapani","sequence":"additional","affiliation":[{"name":"Department of Ginecology and Obstetrics, Universidade Federal de Santa Catarina, Florian\u00f3polis, SC, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"47794","published-online":{"date-parts":[[2018,8,24]]},"reference":[{"key":"ref1","volume-title":"Maternity Safety Thermometer","year":"2016"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1055\/s-0037-1602704","article-title":"Patient safety in maternity care in Brazil: the maternity safety thermometer as a tool to improve the quality of care","volume":"39","author":"H O Salgado","year":"2017","journal-title":"Rev Bras Ginecol Obstet"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"595","DOI":"10.2147\/CLEP.S99492","article-title":"The Danish National Quality Database for Births","volume":"8","author":"C B Andersson","year":"2016","journal-title":"Clin Epidemiol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1186\/1756-0500-7-471","article-title":"Can the risk of obstetric anal sphincter injuries (OASIs) be predicted using a risk-scoring system?","volume":"7","author":"K C McPherson","year":"2014","journal-title":"BMC Res Notes"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1111\/jog.12630","article-title":"Obstetrics anal sphincter injury and repair technique: a review","volume":"41","author":"T Temtanakitpaisan","year":"2015","journal-title":"J Obstet Gynaecol Res"},{"key":"ref6","volume-title":"Matriz de Compet\u00eancias em Ginecologia e Obstetr\u00edcia: um Novo Referencial para Programas de Resid\u00eancia M\u00e9dica no Brasil","year":"2017"},{"issue":"09","key":"ref7","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1111\/aogs.12909","article-title":"Factors predicting a failed primary repair of obstetric anal sphincter injury","volume":"95","author":"J Kirss","year":"2016","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1007\/s00192-008-0756-y","article-title":"Structured hands-on training in repair of obstetric anal sphincter injuries (OASIS): an audit of clinical practice","volume":"20","author":"V Andrews","year":"2009","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.ogc.2006.01.008","article-title":"From the simple to the sublime: incorporating surgical models into your surgical curriculum","volume":"33","author":"P J Woodman","year":"2006","journal-title":"Obstet Gynecol Clin North Am"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"257","DOI":"10.4300\/JGME-D-15-00082.1","article-title":"Low-cost simulation: how-to guide","volume":"7","author":"H Ellinas","year":"2015","journal-title":"J Grad Med Educ"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1097\/ACM.0b013e318217e119","article-title":"Does simulation-based medical education with deliberate practice yield better results than traditional clinical education? 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