Delpech P O, Danion J, Oriot D, Richer J P, Breque C, Faure J P
CHU de Poitiers, Université de Poitiers, Service d'Urologie, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
Université de Poitiers, Faculté de Médecine et de Pharmacie, ABS Lab (Laboratoire d'Anatomie, Biomécanique et Simulation), 6, rue de la Milétrie, BP 199, 86034 Poitiers cedex, France; CHU de Poitiers, Université de Poitiers, Service de Chirurgie Viscérale et endocrinienne, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
J Visc Surg. 2017 Feb;154(1):15-20. doi: 10.1016/j.jviscsurg.2016.06.006. Epub 2016 Jun 22.
Alike becoming a pilot requires competences, acquisition of technical skills is essential to become a surgeon. Halsted's theory on surgical education "See one, do one, and teach one" is not currently compatible with the reality of socio-economic constraints of the operating room, the patient's safety demand and the reduction of residents' work hours.
In all countries, this brings mandatory to simulation education for surgery resident's training. Many models are available: video trainers or pelvi-trainers, computed simulator, animal models or human cadaver… Human cadaveric dissection has long been used to teach surgical anatomy.
Surgery on human cadaveric model brings greatest accuracy to the haptic characteristics of surgical procedures. Learning in an appropriate and realistic simulation context increases the level of acquisition of the residents' skills and reduces stress and anxiety when performing real procedures.
We present a technique of perfusion and ventilation of a fresh human cadaver that restores pulsatile circulation and respiratory movements of the model.
就像成为一名飞行员需要具备相应能力一样,掌握技术技能对于成为一名外科医生至关重要。霍尔斯特德关于外科教育的理论“看一次,做一次,教一次”目前与手术室的社会经济限制、患者安全需求以及住院医师工作时间的减少等现实情况不相容。
在所有国家,这使得外科住院医师培训必须采用模拟教育。有许多模型可供使用:视频训练器或骨盆训练器、计算机模拟器、动物模型或人体尸体……人体尸体解剖长期以来一直用于教授外科解剖学。
在人体尸体模型上进行手术能使手术操作的触觉特征达到最高的准确性。在适当且逼真的模拟环境中学习可提高住院医师技能的掌握水平,并在进行实际手术时减轻压力和焦虑。
我们提出了一种对新鲜人体尸体进行灌注和通气的技术,该技术可恢复模型的搏动性循环和呼吸运动。