Alternative model for teaching microsurgery
Alternative model for teaching microsurgery
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DOI：
10.1002/micr.21812
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发表时间：
2001-01-01
期刊：
影响因子：
2.1
通讯作者：
Wilgis, EFS
中科院分区：
文献类型：
--
作者：
Fanua, SP;Kim, J;Wilgis, EFS
动物已被广泛用作显微外科教学的训练模型。然而，不受限制地进入动物实验室并不总是可能的，并且对实验室动物的道德使用的日益严格的审查是在教授显微外科手术时要考虑的一个主要因素。在这种情况下，需要一种替代方法用于显微外科培训技术，例如医用分级管和外科手套。这些替代教学工具提供了理想的培训模型，并为显微外科技术的教学提供了替代方案。它们在实验室里很容易获得和丰富。此外，这些替代工具可用于在进入临床环境之前提供初始培训。用医用手套和医用分级管设计的练习卡进行简单缝合练习。培训进展到一个更困难的水平，使用医疗级管端端吻合，端侧吻合，侧侧吻合，和游离移植物放置。这种替代方案对受训者来说具有挑战性，但观察到手部协调性有所改善。替代模型使受训者熟悉器械，并在进入更多临床环境之前制定手术方法。手术手套和医用分级管的使用大大减少了用于显微外科教学的实验室动物的数量，并降低了成本。(C)2001 Wiley-Liss，Inc.
Animals have been widely used as a training model for teaching microsurgery. However, unlimited access to the animal laboratory is not always possible, and increased scrutiny of the ethical use of laboratory animals is a major factor to consider when teaching microsurgery. In such situations, an alternative method is required for microsurgical training techniques, such as medical grading tubes, and surgical gloves, These alternative teaching tools provide an ideal training model and present an alternative for teaching microsurgical techniques. They are readily available and abundant in the laboratory. In addition, these alternative tools can be used to provide initial training before entering the clinical setting. A practice card designed from surgical gloves and medical grading tube was used to practice simple sutures. The training progressed to a more difficult level, using medical-grade tubing for end-to-end anastomosis, end-to-side anastomosis, side-to-side anastomosis, and free graft placement. This alternative proved challenging for the trainees, but improved hand coordination was observed. The alternative models familiarized trainees with the instruments and with developing a surgical approach before moving on to more clinical settings. The use of surgical gloves and medical grading tubes resulted in a significant reduction in the numbers of laboratory animals used for teaching microsurgery, as well as reduced cost. (C) 2001 Wiley-Liss, Inc.