Intensive 2-days training on perfused human placenta for microvascular anastomoses

Background and Purpose We report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring system was elaborated to evaluate the participants’ microsurgical skills and report the participants’ results. Materials and Methods Trainees...

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Published inActa neurochirurgica Vol. 166; no. 1; p. 459
Main Authors Colombo, Elisa, Wolf, Fabian, Helg, Fiona, Höbner, Lara, Watson, Jennifer A., Sebök, Martina, Haslinger, Christian, van Doormaal, Tristan, Regli, Luca, Esposito, Giuseppe
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Published Vienna Springer Vienna 15.11.2024
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Abstract Background and Purpose We report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring system was elaborated to evaluate the participants’ microsurgical skills and report the participants’ results. Materials and Methods Trainees who attended the Zurich Microsurgery Courses in 2023 were included in the study. Before performing the microanastomoses, each participant received a visual didactic training. Training was made on perfused human placenta models. To perform the microvascular anastomoses, vessels of different diameters were chosen, and 9–0 and 10–0 microsutures were used. The course was structured in two days. On day one, participants practiced microvascular dissection, microsuturing and end-to-end anastomoses, while the second day was dedicated to end-to-side and to repeat the most useful microanastomosis depending on the specialty. A score system for the evaluation of a successful microanastomosis was developed and applied to assess the participants’ anastomoses. User satisfaction was measured by means of a survey-based questionnaire. Results Fifty-two participants from different institutions, specializations and levels of experience were included. A significant improvement in the overall microsurgical skills of the included cohort was documented ( p  < 0.005). The initial average score per anastomosis of 3.56 points (SD 0.71) increased to an average of 3.8 points (SD 0.87) at the end of the course. The steepest learning curve was observed in the placement of knots (Δ 0.48 points, p  = 0.003) and microvascular dissection (Δ 0.44 points, p  = 0.002). Most participants rated the fidelity and importance of the placental microsuturing course as extremely high. Conclusion The two-day training program is efficient to teach microvascular dissection and microanastomosis techniques. A significant improvement of participants’ microsurgical skills was reported. The human placenta model proved to be a high-fidelity simulator with great user satisfaction.
AbstractList We report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring system was elaborated to evaluate the participants' microsurgical skills and report the participants' results. Trainees who attended the Zurich Microsurgery Courses in 2023 were included in the study. Before performing the microanastomoses, each participant received a visual didactic training. Training was made on perfused human placenta models. To perform the microvascular anastomoses, vessels of different diameters were chosen, and 9-0 and 10-0 microsutures were used. The course was structured in two days. On day one, participants practiced microvascular dissection, microsuturing and end-to-end anastomoses, while the second day was dedicated to end-to-side and to repeat the most useful microanastomosis depending on the specialty. A score system for the evaluation of a successful microanastomosis was developed and applied to assess the participants' anastomoses. User satisfaction was measured by means of a survey-based questionnaire. Fifty-two participants from different institutions, specializations and levels of experience were included. A significant improvement in the overall microsurgical skills of the included cohort was documented (p < 0.005). The initial average score per anastomosis of 3.56 points (SD 0.71) increased to an average of 3.8 points (SD 0.87) at the end of the course. The steepest learning curve was observed in the placement of knots (Δ 0.48 points, p = 0.003) and microvascular dissection (Δ 0.44 points, p = 0.002). Most participants rated the fidelity and importance of the placental microsuturing course as extremely high. The two-day training program is efficient to teach microvascular dissection and microanastomosis techniques. A significant improvement of participants' microsurgical skills was reported. The human placenta model proved to be a high-fidelity simulator with great user satisfaction.
Background and Purpose We report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring system was elaborated to evaluate the participants’ microsurgical skills and report the participants’ results. Materials and Methods Trainees who attended the Zurich Microsurgery Courses in 2023 were included in the study. Before performing the microanastomoses, each participant received a visual didactic training. Training was made on perfused human placenta models. To perform the microvascular anastomoses, vessels of different diameters were chosen, and 9–0 and 10–0 microsutures were used. The course was structured in two days. On day one, participants practiced microvascular dissection, microsuturing and end-to-end anastomoses, while the second day was dedicated to end-to-side and to repeat the most useful microanastomosis depending on the specialty. A score system for the evaluation of a successful microanastomosis was developed and applied to assess the participants’ anastomoses. User satisfaction was measured by means of a survey-based questionnaire. Results Fifty-two participants from different institutions, specializations and levels of experience were included. A significant improvement in the overall microsurgical skills of the included cohort was documented ( p  < 0.005). The initial average score per anastomosis of 3.56 points (SD 0.71) increased to an average of 3.8 points (SD 0.87) at the end of the course. The steepest learning curve was observed in the placement of knots (Δ 0.48 points, p  = 0.003) and microvascular dissection (Δ 0.44 points, p  = 0.002). Most participants rated the fidelity and importance of the placental microsuturing course as extremely high. Conclusion The two-day training program is efficient to teach microvascular dissection and microanastomosis techniques. A significant improvement of participants’ microsurgical skills was reported. The human placenta model proved to be a high-fidelity simulator with great user satisfaction.
We report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring system was elaborated to evaluate the participants' microsurgical skills and report the participants' results.BACKGROUND AND PURPOSEWe report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring system was elaborated to evaluate the participants' microsurgical skills and report the participants' results.Trainees who attended the Zurich Microsurgery Courses in 2023 were included in the study. Before performing the microanastomoses, each participant received a visual didactic training. Training was made on perfused human placenta models. To perform the microvascular anastomoses, vessels of different diameters were chosen, and 9-0 and 10-0 microsutures were used. The course was structured in two days. On day one, participants practiced microvascular dissection, microsuturing and end-to-end anastomoses, while the second day was dedicated to end-to-side and to repeat the most useful microanastomosis depending on the specialty. A score system for the evaluation of a successful microanastomosis was developed and applied to assess the participants' anastomoses. User satisfaction was measured by means of a survey-based questionnaire.MATERIALS AND METHODSTrainees who attended the Zurich Microsurgery Courses in 2023 were included in the study. Before performing the microanastomoses, each participant received a visual didactic training. Training was made on perfused human placenta models. To perform the microvascular anastomoses, vessels of different diameters were chosen, and 9-0 and 10-0 microsutures were used. The course was structured in two days. On day one, participants practiced microvascular dissection, microsuturing and end-to-end anastomoses, while the second day was dedicated to end-to-side and to repeat the most useful microanastomosis depending on the specialty. A score system for the evaluation of a successful microanastomosis was developed and applied to assess the participants' anastomoses. User satisfaction was measured by means of a survey-based questionnaire.Fifty-two participants from different institutions, specializations and levels of experience were included. A significant improvement in the overall microsurgical skills of the included cohort was documented (p < 0.005). The initial average score per anastomosis of 3.56 points (SD 0.71) increased to an average of 3.8 points (SD 0.87) at the end of the course. The steepest learning curve was observed in the placement of knots (Δ 0.48 points, p = 0.003) and microvascular dissection (Δ 0.44 points, p = 0.002). Most participants rated the fidelity and importance of the placental microsuturing course as extremely high.RESULTSFifty-two participants from different institutions, specializations and levels of experience were included. A significant improvement in the overall microsurgical skills of the included cohort was documented (p < 0.005). The initial average score per anastomosis of 3.56 points (SD 0.71) increased to an average of 3.8 points (SD 0.87) at the end of the course. The steepest learning curve was observed in the placement of knots (Δ 0.48 points, p = 0.003) and microvascular dissection (Δ 0.44 points, p = 0.002). Most participants rated the fidelity and importance of the placental microsuturing course as extremely high.The two-day training program is efficient to teach microvascular dissection and microanastomosis techniques. A significant improvement of participants' microsurgical skills was reported. The human placenta model proved to be a high-fidelity simulator with great user satisfaction.CONCLUSIONThe two-day training program is efficient to teach microvascular dissection and microanastomosis techniques. A significant improvement of participants' microsurgical skills was reported. The human placenta model proved to be a high-fidelity simulator with great user satisfaction.
Background and PurposeWe report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring system was elaborated to evaluate the participants’ microsurgical skills and report the participants’ results.Materials and MethodsTrainees who attended the Zurich Microsurgery Courses in 2023 were included in the study. Before performing the microanastomoses, each participant received a visual didactic training. Training was made on perfused human placenta models. To perform the microvascular anastomoses, vessels of different diameters were chosen, and 9–0 and 10–0 microsutures were used. The course was structured in two days. On day one, participants practiced microvascular dissection, microsuturing and end-to-end anastomoses, while the second day was dedicated to end-to-side and to repeat the most useful microanastomosis depending on the specialty. A score system for the evaluation of a successful microanastomosis was developed and applied to assess the participants’ anastomoses. User satisfaction was measured by means of a survey-based questionnaire.ResultsFifty-two participants from different institutions, specializations and levels of experience were included. A significant improvement in the overall microsurgical skills of the included cohort was documented (p < 0.005). The initial average score per anastomosis of 3.56 points (SD 0.71) increased to an average of 3.8 points (SD 0.87) at the end of the course. The steepest learning curve was observed in the placement of knots (Δ 0.48 points, p = 0.003) and microvascular dissection (Δ 0.44 points, p = 0.002). Most participants rated the fidelity and importance of the placental microsuturing course as extremely high.ConclusionThe two-day training program is efficient to teach microvascular dissection and microanastomosis techniques. A significant improvement of participants’ microsurgical skills was reported. The human placenta model proved to be a high-fidelity simulator with great user satisfaction.
ArticleNumber 459
Author Haslinger, Christian
Sebök, Martina
Regli, Luca
Esposito, Giuseppe
Höbner, Lara
Wolf, Fabian
Watson, Jennifer A.
van Doormaal, Tristan
Colombo, Elisa
Helg, Fiona
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Keywords Training
Microsurgery
Microanastomosis
Placenta
Language English
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Snippet Background and Purpose We report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring...
We report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring system was elaborated to...
Background and PurposeWe report on an intensive two-day training program on microanastomoses performed on perfused human placenta models. A specific scoring...
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SourceType Open Access Repository
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StartPage 459
SubjectTerms Anastomosis
Anastomosis, Surgical - education
Anastomosis, Surgical - methods
Clinical Competence
Dissection
Female
Humans
Interventional Radiology
Medicine
Medicine & Public Health
Microsurgery
Microsurgery - education
Microsurgery - methods
Microvasculature
Minimally Invasive Surgery
Neurology
Neuroradiology
Neurosurgery
Observational learning
Placenta
Placenta - blood supply
Placenta - surgery
Pregnancy
Surgical Orthopedics
Training
User satisfaction
Vascular Surgical Procedures - education
Vascular Surgical Procedures - methods
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Title Intensive 2-days training on perfused human placenta for microvascular anastomoses
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