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An enhanced fresh cadaveric model for reconstructive microsurgery training
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 simul...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061477/ https://www.ncbi.nlm.nih.gov/pubmed/30100677 http://dx.doi.org/10.1007/s00238-018-1414-3 |
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author | Chouari, Tarak Agrebi Moumni Lindsay, Karen Bradshaw, Ellen Parson, Simon Watson, Lucy Ahmed, Jamil Curnier, Alain |
author_facet | Chouari, Tarak Agrebi Moumni Lindsay, Karen Bradshaw, Ellen Parson, Simon Watson, Lucy Ahmed, Jamil Curnier, Alain |
author_sort | Chouari, Tarak Agrebi Moumni |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6061477 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-60614772018-08-09 An enhanced fresh cadaveric model for reconstructive microsurgery training Chouari, Tarak Agrebi Moumni Lindsay, Karen Bradshaw, Ellen Parson, Simon Watson, Lucy Ahmed, Jamil Curnier, Alain Eur J Plast Surg Original Paper 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. Springer Berlin Heidelberg 2018-04-25 2018 /pmc/articles/PMC6061477/ /pubmed/30100677 http://dx.doi.org/10.1007/s00238-018-1414-3 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Paper Chouari, Tarak Agrebi Moumni Lindsay, Karen Bradshaw, Ellen Parson, Simon Watson, Lucy Ahmed, Jamil Curnier, Alain An enhanced fresh cadaveric model for reconstructive microsurgery training |
title | An enhanced fresh cadaveric model for reconstructive microsurgery training |
title_full | An enhanced fresh cadaveric model for reconstructive microsurgery training |
title_fullStr | An enhanced fresh cadaveric model for reconstructive microsurgery training |
title_full_unstemmed | An enhanced fresh cadaveric model for reconstructive microsurgery training |
title_short | An enhanced fresh cadaveric model for reconstructive microsurgery training |
title_sort | enhanced fresh cadaveric model for reconstructive microsurgery training |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061477/ https://www.ncbi.nlm.nih.gov/pubmed/30100677 http://dx.doi.org/10.1007/s00238-018-1414-3 |
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