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A non-living, effective model for microvascular training

Authors :
Julio Morais-Besteiro
Daniel Imbassahy de Sa Bittencourt de Camara e Silva
Rolf Gemperli
Fauze Maluf
Cristina Pires Camargo
Source :
Acta Cirúrgica Brasileira v.32 n.12 2017, Acta Cirúrgica Brasileira, Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC), instacron:SBDPC, Acta Cirurgica Brasileira, Volume: 32, Issue: 12, Pages: 1087-1092, Published: DEC 2017, Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP, Acta Cirurgica Brasileira, Vol 32, Iss 12, Pp 1087-1092 (2017)
Publication Year :
2017
Publisher :
Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, 2017.

Abstract

Purpose: To introduce a nonliving microvascular training model based on vessels diameter and feasibility. Methods: We dissected ten oxen tongues, and divided the pedicles into three-thirds: proximal, middle and distal. We measured the external vessels diameter in all regions. We performed a descriptive statistical analysis. Three students (two beginner level and one intermediate level) performed this training. We evaluated the confidence, according Likert scale. Results: We dissected all oxen tongues, each tongue showed two parallel pedicles. Each pedicle was located at 1.5 - 2.0 cm from the midline. Proximal median artery and vein diameter were 3.9 ± 0.7, and 5.04 ± 1.44mm, respectively. In the middle third, the mean artery diameter was 3.3 ± 0.4mm, and the vein diameter was 3.5 ± 0.9mm. The distal third showed a mean artery diameter of 2.0 ± 0.42mm, and a vein diameter of 2.4 ± 0.82mm. The students performed ten anastomoses. This study showed a higher confidence level (CL) (p=0.03) than the pre training CL assessment. Conclusion: This study suggested a feasible non-animal model for microsurgical training process for beginners and intermediate trainees.

Details

Language :
English
Database :
OpenAIRE
Journal :
Acta Cirúrgica Brasileira v.32 n.12 2017, Acta Cirúrgica Brasileira, Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia (SBDPC), instacron:SBDPC, Acta Cirurgica Brasileira, Volume: 32, Issue: 12, Pages: 1087-1092, Published: DEC 2017, Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual), Universidade de São Paulo (USP), instacron:USP, Acta Cirurgica Brasileira, Vol 32, Iss 12, Pp 1087-1092 (2017)
Accession number :
edsair.doi.dedup.....abcc8b31c7ed8aaa1a9299c14cf1f38b