Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Development of a Five-Day Basic Microsurgery Simulation Training Course: A Cost Analysis

  • Singh, Masha (Academic Plastic Surgery Group, Centre for Cutaneous Research, Barts and the London School of Medicine and Dentistry, Blizard Institute) ;
  • Ziolkowski, Natalia (Department of General, Vascular and Oncologic Surgery, Medical University of Warsaw) ;
  • Ramachandran, Savitha (Department of Plastic Surgery, KK Women's and Children's Hospital) ;
  • Myers, Simon R. (Academic Plastic Surgery Group, Centre for Cutaneous Research, Barts and the London School of Medicine and Dentistry, Blizard Institute) ;
  • Ghanem, Ali Mahmoud (Academic Plastic Surgery Group, Centre for Cutaneous Research, Barts and the London School of Medicine and Dentistry, Blizard Institute)
  • Received : 2013.01.23
  • Accepted : 2013.03.26
  • Published : 2014.05.15
Download PDF
⟨ Previous Next ⟩

Abstract

The widespread use of microsurgery in numerous surgical fields has increased the need for basic microsurgical training outside of the operating room. The traditional start of microsurgical training has been in undertaking a 5-day basic microsurgery course. In an era characterised by financial constraints in academic and healthcare institutions as well as increasing emphasis on patient safety, there has been a shift in microsurgery training to simulation environments. This paper reviews the stepwise framework of microsurgical skill acquisition providing a cost analysis of basic microsurgery courses in order to aid planning and dissemination of microsurgical training worldwide.

Keywords

References

  1. Tamai S. History of microsurgery: from the beginning until the end of the 1970s. Microsurgery 1993;14:6-13. https://doi.org/10.1002/micr.1920140105
  2. Erel E, Aiyenibe B, Butler PE. Microsurgery simulators in virtual reality: review. Microsurgery 2003;23:147-52. https://doi.org/10.1002/micr.10106
  3. Creswell B, Marron C, Harrison E, et al. Optimising working hours to provide quality in training and patient safety: a position statement by the Association of Surgeons in Training [Internet]. London: Association of Surgeons in Training; 2009 [cited 2012 Mar 19]. Available from: http://www.asit.org/assets/documents/ASiT_EWTD_Position_Statement.pdf.
  4. Di Cataldo A, La Greca G, Rodolico M, et al. Experimental models in microsurgery. Microsurgery 1998;18:454-9. https://doi.org/10.1002/(SICI)1098-2752(1998)18:8<454::AID-MICR5>3.0.CO;2-J
  5. Fanua SP, Kim J, Shaw Wilgis EF. Alternative model for teaching microsurgery. Microsurgery 2001;21:379-82. https://doi.org/10.1002/micr.21812
  6. Ilie VG, Ilie VI, Dobreanu C, et al. Training of microsurgical skills on nonliving models. Microsurgery 2008;28:571-7. https://doi.org/10.1002/micr.20541
  7. Demirseren ME, Tosa Y, Hosaka Y. Microsurgical training with surgical gauze: the first step. J Reconstr Microsurg 2003; 19:385-6. https://doi.org/10.1055/s-2003-42634
  8. Yenidunya MO, Tsukagoshi T, Hosaka Y. Microsurgical training with beads. J Reconstr Microsurg 1998;14:197-8. https://doi.org/10.1055/s-2007-1000167
  9. Chan WY, Mishra A, Srinivasan J, et al. 360 degrees Microsurgical skills practice: a 'round-the-clock' training device. J Plast Reconstr Aesthet Surg 2008;61:1110-1. https://doi.org/10.1016/j.bjps.2007.10.088
  10. Lahiri A, Lim AY, Qifen Z, et al. Microsurgical skills training: a new concept for simulation of vessel-wall suturing. Microsurgery 2005;25:21-4. https://doi.org/10.1002/micr.20074
  11. Peled IJ, Kaplan HY, Wexler MR. Microsilicone anastomoses. Ann Plast Surg 1983;10:331-2. https://doi.org/10.1097/00000637-198304000-00015
  12. Korber KE, Kraemer BA. Use of small-caliber polytetrafluoroethylene (Gore-Tex) grafts in microsurgical training. Microsurgery 1989;10:113-5. https://doi.org/10.1002/micr.1920100208
  13. Hino A. Training in microvascular surgery using a chicken wing artery. Neurosurgery 2003;52:1495-7. https://doi.org/10.1227/01.NEU.0000065174.83840.62
  14. Krishnan KG, Dramm P, Schackert G. Simple and viable in vitro perfusion model for training microvascular anastomoses. Microsurgery 2004;24:335-8. https://doi.org/10.1002/micr.20031
  15. Marsh DJ, Norton SE, Mok J, et al. Microsurgical training: the chicken thigh model. Ann Plast Surg 2007;59:355-6. https://doi.org/10.1097/SAP.0b013e3180ca8739
  16. Funatsu MK, Esteban D, Junior AH, et al. New training model for reconstructive microsurgery. Plast Reconstr Surg 2005; 116:692-4. https://doi.org/10.1097/01.prs.0000175968.83612.6d
  17. Lausada NR, Escudero E, Lamonega R, et al. Use of cryopreserved rat arteries for microsurgical training. Microsurgery 2005;25:500-1. https://doi.org/10.1002/micr.20153

Cited by

  1. Regenerative effect of the polydeoxyribonucleotide after sciatic nerve transection in mouse vol.12, pp.6, 2014, https://doi.org/10.1007/s13770-015-0023-5
  2. Frankfurt microsurgery course: the first 175 trainees vol.43, pp.3, 2014, https://doi.org/10.1007/s00068-016-0759-1
  3. Innovative uses of disposable gloves in plastic surgery vol.40, pp.2, 2017, https://doi.org/10.1007/s00238-016-1250-2
  4. Outcomes and Disability After Massive Proximal Upper Extremity Reconstruction in a Resource-Limited Setting vol.41, pp.6, 2014, https://doi.org/10.1007/s00268-017-3902-1
  5. The Chicken Thigh Adductor Profundus Free Muscle Flap: A Novel Validated Non-Living Microsurgery Simulation Training Model vol.44, pp.4, 2014, https://doi.org/10.5999/aps.2017.44.4.293
  6. Current status of simulation training in plastic surgery residency programs: A review vol.45, pp.5, 2014, https://doi.org/10.5999/aps.2017.01585
  7. Achieving Microsurgical Competency in Orthopaedic Residents Utilizing a Self-Directed Microvascular Training Curriculum vol.101, pp.3, 2014, https://doi.org/10.2106/jbjs.17.01089
  8. Current status of simulation and training models in microsurgery: A systematic review vol.39, pp.7, 2014, https://doi.org/10.1002/micr.30513
  9. A Low-Cost 3D-Printed Tool with Multiaxial/Angular Vessel Orientation for Microvascular Anastomosis Training vol.8, pp.2, 2014, https://doi.org/10.1097/gox.0000000000002567
  10. Use of Simulation in Plastic Surgery Training vol.8, pp.7, 2014, https://doi.org/10.1097/gox.0000000000002896
  11. A novel three-in-one silicone model for basic microsurgery training vol.43, pp.5, 2014, https://doi.org/10.1007/s00238-020-01666-4
  12. Microsurgical Anastomosis Rating Scale (MARS10): A Final Product Scoring System for Initial Microsurgical Training vol.29, pp.4, 2014, https://doi.org/10.1177/2292550320969649