Affordable Microsurgical Training System for a Beginning Neurosurgeon: How to Realize the Self-laboratory.

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Affordable Microsurgical Training System for a Beginning Neurosurgeon: How to Realize the Self-laboratory.

World Neurosurg. 2017 Jun 06;:

Authors: Chung SB, Ryu J, Chung Y, Lee SH, Choi SK

Abstract
OBJECTIVE: Based on our experience, this report provides detailed information about how to realize a self-laboratory including cost-effective microsurgical instruments especially for the novice trainee.
METHODS: Our training model was designed to allow microsurgical practice to be performed in a cost-effective way. A used stereoscopic microscope was prepared for microsurgical training. A sufficient working distance for microsurgical practice was obtained by attaching an auxiliary objective lens. The minimum instrument list included two jeweler's forceps, iris scissors, and alligator clips. The iris scissors and alligator clip were used as good alternatives for micro-scissors and a microvascular clamp.
RESULTS: The training model allowed daily practice since it did not require a long time to set up the microscope and suture the gauze with micro-forceps. It took about 15 minutes to suture 10 neighboring fibers of the gauze with 10-0 Nylon; thus, we can easily complete the training within a short amount of time.
CONCLUSION: We established an inexpensive and efficient micro-anastomosis training system using a stereoscopic microscope and minimal micro-instruments. Especially for novice trainee, our detailed experience provides high accessibility for a microsurgical training.

PMID: 28599906 [PubMed - as supplied by publisher]

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