Use of the Konnyaku Shirataki noodle as a low fidelity simulation training model for microvascular surgery in the operating theatre

Use of the Konnyaku Shirataki noodle as a low fidelity simulation training model for microvascular surgery in the operating theatre
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DOI:
10.1016/j.main.2013.12.003
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发表时间:
2014-04-01
影响因子:
--
通讯作者:
Facca, S.
Facca, S.
中科院分区:
医学3区
文献类型:
--
作者:
Prunieres, G. J. -C.;Taleb, C.;Facca, S.

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本研究的目的是测试一种名为“shirataki konnyaku”的日本面条用于手术室显微外科训练的可行性。 13 名没有显微外科经验的外科住院医生必须进行两次显微外科吻合:一次在大鼠股动脉模型(对照)上进行,另一次在魔芋白泷模型上进行。测量了两个定量变量(以分钟为单位的时间和执行吻合的针数)和两个定性变量(吻合的通畅性和紧密度)。对照模型进行了 60 次吻合,魔芋模型进行了 62 次吻合。对照组的解剖时间明显更长。两组的针数相似。对照组的吻合口通畅率明显较低。对照组的吻合紧密度(无渗漏)明显更高。 “魔芋白泷”模型由于其可用性、低成本以及与动物模型的结构相似性,可以改善显微外科的教学。 (C) 2014 年 Elsevier Masson SAS。版权所有。
The aim of this study was to test the feasibility of a type of Japanese noodle, named "shirataki konnyaku", for microsurgery training in the operating room. Thirteen surgical residents without experience in microsurgery had to perform two microsurgical anastomoses: one on a model of a femoral artery of a rat (control) and one on a model of a konnyaku shirataki. Two quantitative variables (time in minutes and number of stitches to perform the anastomosis) and two qualitative variables (patency and tightness of the anastomosis) were measured. Sixty anastomoses were performed with the control model and 62 anastomoses with the konnyaku model. The time of the anatomosis was significantly higher in the control group. The number of stitches was similar in both groups. The patency of the anastomosis was significantly lower in the control group. The tightness (no leak) of the anastomosis was significantly higher in the control group. The "konnyaku shirataki" model could improve the teaching of microsurgery due to its availability, low cost and structural similarity to the animal model. (C) 2014 Elsevier Masson SAS. All rights reserved.