Literature DB >> 23730596

Evaluation of the microvascular research center training program for assessing microsurgical skills in trainee surgeons.

Seiji Komatsu1, Kiyoshi Yamada, Shuji Yamashita, Narushi Sugiyama, Eijiro Tokuyama, Kumiko Matsumoto, Ayumi Takara, Yoshihiro Kimata.   

Abstract

BACKGROUND: We established the Microvascular Research Center Training Program (MRCP) to help trainee surgeons acquire and develop microsurgical skills. Medical students were recruited to undergo the MRCP to assess the effectiveness of the MRCP for trainee surgeons.
METHODS: Twenty-two medical students with no prior microsurgical experience, who completed the course from 2005 to 2012, were included. The MRCP comprises 5 stages of training, each with specific passing requirements. Stages 1 and 2 involve anastomosing silicone tubes and blood vessels of chicken carcasses, respectively, within 20 minutes. Stage 3 involves anastomosing the femoral artery and vein of live rats with a 1-day patency rate of >80%. Stage 4 requires replantation of free superficial inferior epigastric artery flaps in rats with a 7-day success rate of >80%. Stage 5 involves successful completion of one case of rat replantation/transplantation. We calculated the passing rate for each stage and recorded the number of anastomoses required to pass stages 3 and 4.
RESULTS: The passing rates were 100% (22/22) for stages 1 and 2, 86.4% (19/22) for stage 3, 59.1% (13/22) for stage 4, and 55.0% (11/20) for stage 5. The number of anastomoses performed was 17.2±12.2 in stage 3 and 11.3±8.1 in stage 4.
CONCLUSIONS: Majority of the medical students who undertook the MRCP acquired basic microsurgical skills. Thus, we conclude that the MRCP is an effective microsurgery training program for trainee surgeons.

Entities:  

Keywords:  Microsurgery; Program evaluation; Tissue transplantation

Year:  2013        PMID: 23730596      PMCID: PMC3665864          DOI: 10.5999/aps.2013.40.3.214

Source DB:  PubMed          Journal:  Arch Plast Surg        ISSN: 2234-6163


  23 in total

1.  Non-vital, prosthetic, and virtual reality models of microsurgical training.

Authors:  D A Lannon; J A Atkins; P E Butler
Journal:  Microsurgery       Date:  2001       Impact factor: 2.425

2.  Design of a new suture practice card for microsurgical training.

Authors:  Jesús Usón; M Carmen Calles
Journal:  Microsurgery       Date:  2002       Impact factor: 2.425

Review 3.  Validation of microsurgical models in microsurgery training and competence: a review.

Authors:  Woan-Yi Chan; Paolo Matteucci; Stephen J Southern
Journal:  Microsurgery       Date:  2007       Impact factor: 2.425

4.  Advanced non-animal microsurgical exercises.

Authors:  N L Crosby; J B Clapson; H J Buncke; L Newlin
Journal:  Microsurgery       Date:  1995       Impact factor: 2.425

5.  Factors influencing microsurgical skill acquisition during a dedicated training course.

Authors:  Emmeline Nugent; Cormac Joyce; Gustavo Perez-Abadia; Johannes Frank; Michael Sauerbier; Paul Neary; Anthony G Gallagher; Oscar Traynor; Sean Carroll
Journal:  Microsurgery       Date:  2012-10-22       Impact factor: 2.425

6.  A simple model on which to practise microsurgical technique: a fresh chicken.

Authors:  A Govila
Journal:  Br J Plast Surg       Date:  1981-10

Review 7.  Flap models in the rat: a review and reappraisal.

Authors:  R M Dunn; J Mancoll
Journal:  Plast Reconstr Surg       Date:  1992-08       Impact factor: 4.730

8.  Tracking the learning curve in microsurgical skill acquisition.

Authors:  Jesse C Selber; Edward I Chang; Jun Liu; Hiroo Suami; David M Adelman; Patrick Garvey; Matthew M Hanasono; Charles E Butler
Journal:  Plast Reconstr Surg       Date:  2012-10       Impact factor: 4.730

9.  A novel model for supermicrosurgery training: the superficial inferior epigastric artery flap in rats.

Authors:  Shuji Yamashita; Narushi Sugiyama; Kenjiro Hasegawa; Yuzaburo Namba; Yoshihiro Kimata
Journal:  J Reconstr Microsurg       Date:  2008-10-16       Impact factor: 2.873

10.  Penis allotransplantation model in the rat.

Authors:  Erhan Sonmez; Serdar Nasir; Maria Siemionow
Journal:  Ann Plast Surg       Date:  2009-03       Impact factor: 1.539

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  1 in total

1.  A Novel Basic Training Laboratory Model on Live Subjects for Supermicrosurgery: Mouse Femoral Artery, Vein and Nerve.

Authors:  Soysal Bas; Mert Sızmaz; Ali Can Aydın; Semra Karsıdag
Journal:  World J Plast Surg       Date:  2022-03
  1 in total

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