Training on skin flap elevation in hand surgery using cadavers embalmed by the saturated salt solution method: effectiveness and usefulness

Training on skin flap elevation in hand surgery using cadavers embalmed by the saturated salt solution method: effectiveness and usefulness
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饱和盐溶液防腐尸体手外科皮瓣抬高训练:有效性和实用性

DOI:
10.1007/s12565-022-00668-5
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发表时间:
2022
影响因子:
1.2
通讯作者:
Itoh Masahiro
Itoh Masahiro
中科院分区:
医学4区
文献类型:
--
作者:
Shirai Takayuki;Hayashi Shogo;Matsumura Hajime;Kawata Shinichi;Nagahori Kenta;Miyawaki Makoto;Ida Yukiko;Itoh Masahiro

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Thiel防腐和新鲜冷冻的尸体主要用于手外科培训。我们举办了一个关于使用饱和盐溶液法防腐的尸体进行皮瓣提升的培训研讨会。本研究旨在评估这种训练的有用性,并验证饱和盐溶液防腐尸体手外科培训的适用性。参与者接受了斜三角形、反向指动脉、反向前臂桡侧和反向掌背动脉皮瓣的提升手术培训。48名外科医生参加了三次研讨会(2017年、2018年和2019年各举办一次)。在研讨会之前和之后立即对参与者的手术技能进行了自我评估,并根据视觉感知,能力,与现实世界的手术环境的比较和有用性确定了饱和盐溶液防腐尸体的适用性。所有技能的信心水平在研讨会后立即增加。外科医生报告说,饱和盐溶液防腐尸体的视觉感知和触觉与活体相当,并且尸体的有用性得到了更高的评价。手外科研讨会使用尸体防腐饱和盐溶液的方法被认为是有用的培训皮瓣技术。
Thiel embalmed and fresh-frozen cadavers have been mainly used for hand surgery training. We held a training seminar on skin flap elevation using cadavers embalmed by the saturated salt solution method. This study aimed to evaluate the usefulness of such training and to validate the suitability of saturated salt solution-embalmed cadavers for hand surgery training. Participants were trained in elevation procedures for the oblique triangular, reverse digital artery, reverse radial forearm, and reverse dorsal metacarpal artery flaps. Forty-eight surgeons participated in three seminars (one held in 2017, 2018, and 2019 each). A self-assessment of the participants’ confidence levels for their surgical skills was performed before and immediately after the seminar, and the suitability of saturated salt solution-embalmed cadavers was determined in terms of visual perception, tactility, comparison with real-world surgical settings, and usefulness. The confidence level for all skills increased immediately after the seminar. The surgeons reported that the visual perception and tactility of the saturated salt solution-embalmed cadavers were comparable to those of a living body, and the cadavers were rated higher with respect to their usefulness. Hand surgery seminars using cadavers embalmed by the saturated salt solution method are considered useful for training in skin flap techniques.
DOI: 10.1002/ar.10030
发表时间: 2001-12-15
期刊: ANATOMICAL RECORD
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