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尽管资源有限,仍成功建立神经外科尸头实验室。

Development of a Neurosurgical Cadaver Laboratory despite Limited Resources.

机构信息

Section of Neurosurgery, Department of Surgery, School of Medicine, University of Puerto Rico Medical Sciences Campus, San Juan, Puerto Rico.

出版信息

P R Health Sci J. 2022 Sep;41(3):153-156.

Abstract

OBJECTIVE

Our neurosurgical program did not have a cadaver laboratory. The need to create one arose following a decrease in elective cranial cases at our institution after Hurricane Maria. Many neurosurgical programs are in countries where financial support for projects such as developing a cadaver research laboratory cannot be expected from their parent institutions. This article describes how, despite limited resources, a neurosurgical cadaver dissection laboratory can be created and maintained to promote resident education and stimulate future research.

MATERIALS AND METHODS

The University of Puerto Rico Institutional Review Board evaluated and approved the proposal for creating a neurosurgical cadaver laboratory. The process to establish the laboratory was broken into steps. After obtaining the basic materials, the laboratory was created.

RESULTS

The creation of our neurosurgical cadaver laboratory was divided into discrete steps that can be undertaken by any institution with a similar goal. First, a suitable workspace was identified. Second, the surgical instruments and equipment required to perform dissections were obtained. Third, cadaveric specimens for dissection and for practicing surgical approaches were acquired. Last, documentation regarding the laboratory's development was maintained, and an expansion plan was created. We created a dissection laboratory by gathering decommissioned or donated operating room equipment, seeking out contributions from other institutions, and, sometimes, by monetary contribution from the faculty or residents.

CONCLUSION

Clear goals, interdepartmental collaboration, and a high degree of motivation were essential in creating, despite limited resources, a working neurosurgical cadaver laboratory to improve resident education.

摘要

目的

我们的神经外科项目没有尸体实验室。在飓风玛丽亚之后,我们机构的择期颅脑病例减少,因此需要建立一个实验室。许多神经外科项目所在的国家,无法期望从其所属机构获得开发尸体研究实验室等项目的财政支持。本文描述了如何在资源有限的情况下创建和维护神经外科尸体解剖实验室,以促进住院医师教育并激发未来的研究。

材料和方法

波多黎各大学机构审查委员会评估并批准了建立神经外科尸体实验室的提案。建立实验室的过程分为几个步骤。在获得基本材料后,创建了实验室。

结果

我们的神经外科尸体实验室的创建分为几个离散的步骤,任何有类似目标的机构都可以采用。首先,确定了一个合适的工作空间。其次,获得了进行解剖所需的手术器械和设备。第三,获得了用于解剖和练习手术入路的尸体标本。最后,保存了有关实验室发展的文件,并制定了扩展计划。我们通过收集退役或捐赠的手术室设备、寻求其他机构的捐赠以及有时由教师或住院医师提供资金来创建一个解剖实验室。

结论

尽管资源有限,但明确的目标、跨部门合作和高度的积极性对于创建一个可行的神经外科尸体实验室以改善住院医师教育至关重要。

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