Mohsan M Malik1, Nadine Hachach-Haram2, Muaaz Tahir3, Musab Al-Musabi3, Dhalia Masud2, Pari-Naz Mohanna2. 1. Dept. of Plastic and Reconstructive Surgery, Guys and St Thomas Hospital, Westminster Bridge Road, London, SE1 7EH, UK. Electronic address: mohsan.m.malik@gmail.com. 2. Dept. of Plastic and Reconstructive Surgery, Guys and St Thomas Hospital, Westminster Bridge Road, London, SE1 7EH, UK. 3. Kings College London School of Medicine, Strand, London, WC2R 2LS, UK.
Abstract
INTRODUCTION: Acquisition of fine motor skills required in microsurgery can be challenging in the current training system. Therefore, there is an increased demand for novel training and assessment methods to optimise learning outside the clinical setting. Here, we present a randomised control trial of three microsurgical training models, namely laboratory tabletop training microscope (Laboratory Microscope, LM), low-cost jewellers microscope (Home Microscope, HM) and iPad trainer (Home Tablet, HT). METHODS:Thirty-nine participants were allocated to four groups, controln = 9, LM n = 10, HM n = 10 and HT n = 10. The participants performed a chicken femoral artery anastomosis at baseline and at the completion of training. The performance was assessed as follows: structured assessment of microsurgery skills (SAMS) score, time taken to complete anastomosis and time for suture placement. RESULT: No statistically significant difference was noted between the groups at baseline. There was a statistically significant improvement in all training arms between the baseline and post-training for SAMS score, time taken to complete the anastomosis and time per suture placement. In addition, a reduction was observed in the leak rate. No statistical difference was observed among the training arms. CONCLUSION: Our study demonstrated that at the early stages of microsurgical skill acquisition, home training using either the jewellers microscope or iPad produces comparable results to laboratory-based training using a tabletop microscope. Therefore, home microsurgical training is a viable, easily accessible cost-effective modality that allows trainees to practice and take ownership of their technical skill development in this area. Crown
RCT Entities:
INTRODUCTION: Acquisition of fine motor skills required in microsurgery can be challenging in the current training system. Therefore, there is an increased demand for novel training and assessment methods to optimise learning outside the clinical setting. Here, we present a randomised control trial of three microsurgical training models, namely laboratory tabletop training microscope (Laboratory Microscope, LM), low-cost jewellers microscope (Home Microscope, HM) and iPad trainer (Home Tablet, HT). METHODS: Thirty-nine participants were allocated to four groups, control n = 9, LM n = 10, HM n = 10 and HT n = 10. The participants performed a chicken femoral artery anastomosis at baseline and at the completion of training. The performance was assessed as follows: structured assessment of microsurgery skills (SAMS) score, time taken to complete anastomosis and time for suture placement. RESULT: No statistically significant difference was noted between the groups at baseline. There was a statistically significant improvement in all training arms between the baseline and post-training for SAMS score, time taken to complete the anastomosis and time per suture placement. In addition, a reduction was observed in the leak rate. No statistical difference was observed among the training arms. CONCLUSION: Our study demonstrated that at the early stages of microsurgical skill acquisition, home training using either the jewellers microscope or iPad produces comparable results to laboratory-based training using a tabletop microscope. Therefore, home microsurgical training is a viable, easily accessible cost-effective modality that allows trainees to practice and take ownership of their technical skill development in this area. Crown
Authors: Vadim Byvaltsev; Roman Polkin; Dmitry Bereznyak; Morgan B Giers; Phillip A Hernandez; Valery Shepelev; Marat Aliyev Journal: Surg Neurol Int Date: 2021-05-10
Authors: Tiago Guedes da Motta Mattar; Gustavo Bispo Dos Santos; João Paulo Mota Telles; Marcelo Rosa de Rezende; Teng Hsiang Wei; Rames Mattar Júnior Journal: Clinics (Sao Paulo) Date: 2021-10-18 Impact factor: 2.365