Basic microsurgery training. Center for Experimental Surgery, "Victoria de Girón" Institute of Basic and Pre-Clinical Sciences

<p><strong>Introduction</strong>: Microsurgical techniques are currently applied in different surgical specialties worldwide. During the 90´s, our center began to implement vascular and nerve microsurgery trainings to specialists and national and foreign residents, respectively. &l...

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Main Authors: Víctor Manuel Rodríguez Sosa (Author), Heberto Arides Domínguez López (Author), Iriana Zubizarreta Hernández (Author), Adrián Gutiérrez González (Author), Yilenis Aliaga Aliaga (Author)
Format: Book
Published: Universidad de Ciencias Médicas de La Habana, 2019-01-01T00:00:00Z.
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Summary:<p><strong>Introduction</strong>: Microsurgical techniques are currently applied in different surgical specialties worldwide. During the 90´s, our center began to implement vascular and nerve microsurgery trainings to specialists and national and foreign residents, respectively. </p><p><strong>Objective</strong>: To evaluate the results of microsurgery training that it is taught in the Center for Experimental Surgery at "Victoria de Girón" Institute of Basic and Pre-Clinical Sciences.</p><p><strong>Material and methods</strong>: A retrospective longitudinal study was carried out to evaluate the microsurgery training program. The training was divided into three main parts:  theoretical lessons; practices upon the latex simulator; end-to-end anastomosis of small intestine on the rat; and finally, the development of basic microsurgical techniques on different vascular structures (abdominal aorta and vein) and the sciatic nerve of the rat, for a total of 90 hours of training.  The total enrollment during the mentioned period was 203 students to whom a survey was applied at the end of the training; also, the time of realization of anastomosis and the vascular permeability were measured and evaluated as Bad, Good, and Excellent.</p><p><strong>Results</strong>: The results were satisfactory in general, but 90% of students that were carrying out their studies of a surgical specialty showed better skills in a shorter period than those that didn't practice surgery, demonstrating a less time-consuming exercise in the realization of vessel anastomosis and obtaining a good vascular permeability in this group.</p><p><strong>Conclusions</strong>: This teaching method constitutes a useful tool so that the students develop the necessary skills to carry out microsurgical practices in clinical surgery successfully.</p><p><strong>Keywords:</strong> Microsurgery, microsurgical training, microsurgical teaching method, microsurgical techniques, vascular microsuture, nervous microsuture, end-to-end microsutute.</p>
Item Description:1729-519X