WOFAPS 2025 8th World Congress of Pediatric Surgery

Sherif Mansour

Royal Hospital for Children & Young People, Edinburgh, United Kingdom

Aims:
Access to laparoscopic training tools remains limited in many paediatric surgical centres, particularly in resource-constrained settings. Commercially available simulation trainers are often cost-prohibitive. To address this gap, we developed a novel, low-cost paediatric laparoscopic simulator using a recycled shoe box and commonly available materials.

Methods:
A standard cardboard shoe box was repurposed to create a compact laparoscopic training device. Instrument ports were fashioned using rubber grommets, and a smartphone was adapted as an internal camera to simulate a laparoscopic view. Internal task modules—such as bead transfer, pegboard exercises, and suture practice—were developed using inexpensive household items. The box was designed to mimic the reduced working space typical of paediatric laparoscopic procedures. The total cost of materials per box was under £10. Usability and effectiveness were evaluated through feedback from paediatric surgical trainees, using a standardized questionnaire assessing realism, ergonomics, and educational value. Summary statistics were conducted.

Results:
A total of 12 trainees participated in initial testing. 83% reported that the simulator provided a realistic sense of intracorporeal instrument handling and depth perception. The device was rated highly for ease of use (mean 8/10, range 6/10-10/10), , portability (9/10, range 8/10-10/10), and cost-effectiveness (10/10). Improvements in task completion time and instrument coordination were noted after repeated practice.

Conclusion:
This innovative simulation box offers an affordable and accessible alternative for basic paediatric laparoscopic skills training. Its simple design and use of recycled materials make it particularly valuable for institutions with limited resources. Further validation and incorporation into structured training curricula may enhance early surgical skill acquisition and confidence among paediatric surgery trainees.