Construction of a Low Cost Homemade Laparoscopic Simulator for Use in a Caribbean Setting.

Introduction To the modern surgeon in training, the acquisition of laparoscopic skills is essential. Laparoscopic simulators are effective but in the often resource poor setting of the Caribbean, the cost of these simulators is often prohibitive. We describe the construction of a simulator which is cheap, easy to assemble and effective. It is also relatively easy to mass produce for use in training programmes across the region. Materials and methods The simulator is constructed using a semi-transparent plastic box. Realistic access ports are fashioned using gel type shoe inserts and excellent vision is achieved by mounting a high definition camera on the inside of the box. As the box readily transmits light, a light source is not a necessity. The total cost of this unit is US$48 and construction time is approximately 30 minutes. Results This trainer was easy to construct and offered a realistic laparoscopic experience. We believe construction is easily reproducible. Conclusion This simulator is effective and is easy to construct. It may have applications in surgical training programs within the Caribbean region and beyond.