Inchauste Suzanne M, Deptula Peter L, Zelones Justin T, Nazerali Rahim S, Nguyen Dung H, Lee Gordon K
From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University Medical Center, Palo Alto, CA.
Ann Plast Surg. 2020 May;84(5S Suppl 4):S273-S277. doi: 10.1097/SAP.0000000000002403.
Lack of surgical care for trauma, burns, congenital anomalies, and other surgical diseases is a growing portion of global disability and death accounting for 30% of the global disease burden. Global surgical and anesthesia care aim to achieve excellence and equality of clinical care through leadership, innovation, teaching, research, and advocacy. Stanford University Division of Plastic Surgery faculty partnered with ReSurge International to teach reconstructive microsurgery in low- and middle-income countries.
Global surgery teaching and training are challenged by limited resources. Surgical loupes and operating microscopes used to perform complex microsurgery magnify the surgical field are very expensive. Our goal was to identify low-cost alternatives to teach and practice microsurgery suturing.
Use cell phone camera with zoom capacity to teach and practice microsurgery suturing.
Cell phones with zoom feature are widely available even in low- and middle-income countries. A cell phone was placed on a stand over a microsurgery practice station. The camera was used to zoom and focus on the suturing station to mimic a surgical field with loupes or microscope magnification. Nine attending surgeons and 7 residents practiced microsurgery with microsurgical instruments and 9-0 nylon suture under the magnification of a cell phone camera. The Stanford Microsurgery and Resident Training Scale was used to track their progress. A feedback survey was given to the participants to identify the usefulness of the cell phone setup for microsurgery suture practice.
Global surgery teaching and training face many challenges especially limited resources. Identifying low-cost alternative is crucial. Cell phone camera with zoom is a low-cost alternative to loupes or operating microscope for microsurgical teaching and training.
创伤、烧伤、先天性畸形及其他外科疾病缺乏手术治疗，在全球残疾和死亡中所占比例日益增加，占全球疾病负担的30%。全球外科和麻醉护理旨在通过领导力、创新、教学、研究和宣传实现临床护理的卓越和平等。斯坦福大学整形外科系教师与国际重建外科组织合作，在低收入和中等收入国家教授显微重建外科手术。
全球外科教学和培训面临资源有限的挑战。用于进行复杂显微手术以放大手术视野的手术放大镜和手术显微镜非常昂贵。我们的目标是找到低成本的替代方法来教授和练习显微手术缝合。
使用具有变焦功能的手机摄像头来教授和练习显微手术缝合。
即使在低收入和中等收入国家，具有变焦功能的手机也很普遍。将一部手机放置在显微手术练习台上方的支架上。使用摄像头进行变焦并聚焦于缝合台，以模拟使用放大镜或显微镜放大的手术视野。9名主治外科医生和7名住院医生在手机摄像头的放大下，使用显微手术器械和9-0尼龙缝线练习显微手术。使用斯坦福显微手术和住院医生培训量表来跟踪他们的进展。向参与者进行了反馈调查，以确定手机设置对显微手术缝合练习的有用性。
全球外科教学和培训面临许多挑战，尤其是资源有限。确定低成本替代方案至关重要。具有变焦功能的手机摄像头是用于显微手术教学和培训的放大镜或手术显微镜的低成本替代品。
