Manikumari Baswa, Jaggavarapu Sasidhar Reddy, Subha Kakumanu, Kalpana Tumma, Muni Roopesh Kumar Nambi, Kishve Prajakta, Bheemesh P
Department of Plastic Surgery, ESIC Medical College, Hyderabad, Telangana, India.
Department of Anatomy, ESIC Medical College, Hyderabad, Telangana, India.
Indian J Plast Surg. 2022 Oct 9;55(3):262-267. doi: 10.1055/s-0042-1750375. eCollection 2022 Jun.
Cadaveric dissection courses-comprising flap harvesting techniques, vessel dissections, flap transfers to the defect, and microvascular anastomosis-would help residents gain confidence and master these difficult major reconstructive microsurgery procedures. Formalin embalmed bodies lack natural softness and many other features of a live body. Many soft embalming techniques have evolved to mimic live tissue and Theil technique is the most popular one among them. We explored alternate soft embalming options and started using Genelyn. Over a span of 2 years (2019-2021), we have conducted three flap dissection workshops using soft-embalmed cadavers. Six soft-embalmed and two formalin-embalmed cadavers were used. Total number of participants was 80. Feedback of experience from the third course participants in the form of grades (1-5) for different criteria was obtained and evaluated. Confidence in the dissection of the various flaps and microsurgery is noticeable in all the participants. Based on our experience, we propose that flap dissection and microsurgery training on soft-embalmed cadavers be included as a teaching module in the plastic surgery postgraduate curriculum.
尸体解剖课程，包括皮瓣切取技术、血管解剖、皮瓣转移至缺损部位以及微血管吻合，将有助于住院医师增强信心并掌握这些难度较大的主要重建显微外科手术。福尔马林防腐处理的尸体缺乏天然的柔软度和活体的许多其他特征。许多软组织防腐技术已经发展到可以模拟活体组织，其中泰尔技术是最受欢迎的一种。我们探索了其他软组织防腐方法，并开始使用Genelyn。在2年（2019年至2021年）的时间里，我们使用软组织防腐尸体举办了三次皮瓣解剖工作坊。使用了6具软组织防腐尸体和2具福尔马林防腐尸体。参与者总数为80人。我们以评分（1 - 5分）的形式获取并评估了第三期课程参与者对不同标准的体验反馈。所有参与者在各种皮瓣解剖和显微外科手术方面的信心都很明显。根据我们的经验，我们建议将软组织防腐尸体的皮瓣解剖和显微外科手术培训纳入整形外科研究生课程的教学模块。
