Ghabi Ammar, Sabate Ferris Alexandre, Pfister Georges, Chapon Marie-Pauline, Legagneux Josette, Harion Madeleine, De Geofroy Bernard, Mathieu Laurent
Clinic of Orthopaedics and Trauma Surgery, Laveran Military Hospital, 34 Boulevard Laveran, 13013 Marseille, France.
Clinic of Orthopaedics, Traumatology and Reconstructive Surgery, Percy Military Hospital, 101 Avenue Henri Barbusse, 92140 Clamart, France.
Indian J Orthop. 2023 Jan 9;57(2):305-309. doi: 10.1007/s43465-022-00797-z. eCollection 2023 Feb.
Microsurgical training is an asset for deployed military orthopaedic surgeons who frequently treat hand or nerve injuries in the field. The objective of this study was to evaluate a microvascular surgery simulation model intended to prepare residents prior to their enrolment in conventional microsurgery degree training.
An experimental study was conducted to evaluate technical progress and satisfaction of military surgical residents using a model based on Japanese noodles with four tests of increasing difficulty. Objective endpoints included instruments handling, distribution, and quality of stitches, as well as anastomoses duration. Responses to the Structured Assessment of Microsurgery Skill self-assessment questionnaire were also analyzed.
Nine residents from different specialties participated in the study. Their anastomoses quality and average satisfaction significantly increased between the first and the last session ( < 0.05). Conversely, the average operating time decreased significantly over the sessions ( < 0.001).
This simulation model seems to constitute a satisfactory initiation to microsurgery and could limit the use of animal models. It could also be included in the continuing education of military surgeons who have an occasional microsurgical practice during deployments.
显微外科培训对于经常在战地治疗手部或神经损伤的现役军队骨科医生来说是一项宝贵技能。本研究的目的是评估一种微血管手术模拟模型，旨在让住院医师在参加传统显微外科学位培训之前做好准备。
进行了一项实验研究，以评估军队外科住院医师使用基于日本面条的模型的技术进展和满意度，该模型有四项难度递增的测试。客观终点包括器械操作、缝线分布和质量，以及吻合时间。还分析了对显微外科技能结构化评估自我评估问卷的回答。
来自不同专业的九名住院医师参与了该研究。他们的吻合质量和平均满意度在第一阶段和最后阶段之间显著提高（<0.05）。相反，各阶段的平均手术时间显著减少（<0.001）。
该模拟模型似乎是显微外科令人满意的入门方法，并且可以减少动物模型的使用。它也可以纳入在部署期间偶尔进行显微外科手术的军队外科医生的继续教育中。
