Programa de entrenamiento en reparacion vascular en modelo experimental para residentes de cirugía general
| Autor: | Christian I. Cruz-Romero, Ansony R Godínez-Vidal, Miguel A. Sierra-Juárez, Marco A Durán-Padilla |
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| Rok vydání: | 2018 |
| Předmět: |
Models
Educational business.industry Biological modeling Experimental model Anastomosis Surgical Internship and Residency 030204 cardiovascular system & hematology Anastomosis Simulation training 03 medical and health sciences 0302 clinical medicine General Surgery 030220 oncology & carcinogenesis Surgical skills Humans Medicine Surgery Technical skills business Training program Simulation Training Humanities End to end anastomosis |
| Zdroj: | Cirugía y Cirujanos. 86 |
| ISSN: | 0009-7411 |
| DOI: | 10.24875/ciru.18000163 |
| Popis: | Introduccion Los programas de entrenamiento simulado permiten optimizar recursos, aumentar la practica tecnica y acortar curvas de aprendizaje, y constituyen un metodo seguro, estandarizado y validado de aprendizaje para todos los entrenados. Objetivo Desarrollar un programa de entrenamiento vascular mediante la elaboracion de una anastomosis termino-terminal de un vaso en un modelo experimental para residentes de cirugia general. Metodo Para el desarrollo de este modelo de entrenamiento se utilizo una extremidad amputada a nivel supracondileo libre de proceso medico-legal. Se realizo la diseccion de la arteria femoral, se dividio en dos porciones y se realizo una anastomosis termino-terminal. Se diseno un sistema que incluye la evaluacion de las siguientes variables utlizando la escalas OSATS (Objetive Structured Assesment of Technical Skills) y Likert: 1) nudo manual y punto simple; 2) permeabilidad de la anastomosis; 3) simetria de los puntos; 4) fuga de anastomosis; y 5) tiempo total de anastomosis. Discusion Al reconocer las ventajas del entrenamiento experimental, se propone un modelo biologico experimental reproducible, estandarizado y de bajo costo. Conclusiones El desarrollo de modelos biologicos experimentales permite al cirujano general la adquisicion de habilidades y destrezas quirurgicas, mejorando el desempeno durante un procedimiento quirurgico y reduciendo riesgos. Introduction Simulated training programs allow to optimize resources, increase technical practice and shorten learning curves, constituting a safe, standardized and validated method of learning for all those trained. Objective Develop a vascular training program through the elaboration of an end to end anastomosis of a vessel in an experimental model for General Surgery residents. Method For the development of this training model, an amputated limb was used at the supracondylar level free of medical-legal process. The dissection of the femoral artery was performed, it was divided into two portions and an end to end anastomosis was performed. A system was designed that included the evaluation of the following variables using the OSATS (Objective Structured Assessment of Technical Skills) and Likert scales: 1) manual knot and single stitch; 2) permeability of the anastomosis; 3) symmetry of the stitches; 4) Anastomosis leakage; and 5) total time of the anastomosis. Discussion Recognizing the advantages of experimental training, a reproducible, standardized, and low cost experimental biological model is proposed. Conclusions The development of experimental biological models, allows the general surgeon the acquisition of surgical skills and abilities, improving performance during a surgical procedure and reducing risks. |
| Databáze: | OpenAIRE |
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