How to Use DASIE...

 
 

  1. 1.To use your DASIE, tape each end to the surface of a table to prevent rotation with the side you plan to incise facing upward (see picture above).  The DASIE can be turned over in order to use multiple surfaces for cutting and suturing practice.

  2. 2.The DASIE can be used to practice draping and application of a laparotomy sheet but can also be used as is.

  3. 3.Once your DASIE is stable, incise the DASIE as you would tissues, identifying and gradually incising each layer:

    i.  First cut through the skin layer (faux-suede), below you will encounter end-on vessels that mimic subcutaneous / dermal bleeders.  Practice clamping and ligating vessels.
    ii. Then incise the subcutaneous tissues (foam)
    iii.  Finally, elevate the subcutaneous tissues to identify the abdominal wall, grasp the wall, stab and then incise.  The abdominal wall mimics a slight paramedian incision where the external rectus fascia, rectus abdominal muscle and internal fascia peritoneum  are seen as separate layers.
    iv. Within the abdominal cavity is an intestine-like tube that can be used to practice enterotomy and closure as well as resection and anastomosis.

  4. 4.Each abdominal wall layer can then be closed individually:
                * the abdominal wall (full thickness or external fascia only)
                * the subcutaneous fat
                * the intradermal tissue (if desired)
                * the skin


Practice any suture pattern on any of the layers.  The deeper subcutaneous layer is used to practice burying the knot.  If an area becomes less amenable to suture, turn the DASIE over and repeat the above steps in a different area.


With time, the DASIE layers are liable to de-lamination because some materials are less responsive to glue.  These materials were specifically chosen to mimic normal tissues during incising and suturing.  The learning opportunity provided by DASIE is not compromised by de-lamination.  DASIE is a work in progress.  We continually strive to improve the model and will continue to improve the materials in order to achieve the best results possible.


We hope DASIE will serve you well in your training and the training of your students. 


Sincerely,


Brigitte A. Brisson DMV, DVSc, Dip. ACVS

DASIE Surgical Training Tools

First things first...

The DASIE is to be used for the sole purpose of practicing suturing skills.  The DASIE should only be used by trained and licensed medical professionals such as veterinarians, doctors, and nurses, or veterinary, medical and nursing students under proper supervision and instruction.  Proper care and attention should be exercised at all times the DASIE is in use or handled.  DASIE Surgical Training Tools is not responsible for any injury, harm or damage from the use or misuse of a DASIE purchased from us.  DASIE is not intended nor implied to be a substitute for proper medical training.  Children or animals should not be permitted to handle, use, touch or play with the DASIE.