An enhanced fresh cadaveric model for reconstructive microsurgery training
| Autor: | Lucy Watson, Jamil Ahmed, Tarak Chouari, Alain Curnier, Ellen Bradshaw, Simon H. Parson, Karen Lindsay |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Original Paper Microsurgery business.industry medicine.medical_treatment Surgical training Hand surgery 030230 surgery Tissue handling Surgery 03 medical and health sciences Plastic surgery 0302 clinical medicine 030220 oncology & carcinogenesis Reconstructive microsurgery medicine Fresh frozen Gelatine injection Cadaveric spasm business Cadaveric training |
| Zdroj: | European Journal of Plastic Surgery Watson, L, Chouari, T A M, Lindsay, K, Bradshaw, E, Parson, S, Ahmed, J & Curnier, A 2018, ' An enhanced fresh cadaveric model for reconstructive microsurgery training ', European Journal of Plastic Surgery . https://doi.org/10.1007/s00238-018-1414-3, https://doi.org/10.1007/s00238-018-1414-3 |
| ISSN: | 0930-343X |
| DOI: | 10.1007/s00238-018-1414-3 |
| Popis: | Background: Performing microsurgery requires a breadth and depth of experience that has arguably been reduced as result of diminishing operating exposure. Fresh frozen cadavers provide similar tissue handling to real-time operating; however, the bloodless condition restricts the realism of the simulation. We describe a model to enhance flap surgery simulation, in conjunction with qualitative assessment. Methods: The fresh frozen cadaveric limbs used in this study were acquired by the University. A perfused fresh cadaveric model was created using a gelatin and dye mixture in a specific injection protocol in order to increase the visibility and realism of perforating vessels, as well as major vessels. A questionnaire was distributed amongst 50 trainees in order to assess benefit of the model. Specifically, confidence, operative skills, and transferable procedural-based learning were assessed. Results: Training with this cadaveric model resulted in a statistically significant improvement in self-reported confidence (p < 0.005) and prepared trainees for unsupervised bench work (p < 0.005). Respondents felt that the injected model allowed easier identification of vessels and ultimately increased the similarity to real-time operating. Our analysis showed it cost £10.78 and took 30 min. Conclusions: Perfusion of cadaveric limbs is both cost- and time-effective, with significant improvement in training potential. The model is easily reproducible and could be a valuable resource in surgical training for several disciplines. Level of Evidence: Not ratable. |
| Databáze: | OpenAIRE |
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