Johnson Elise A, Johnson R Michael
From the Ross University School of Medicine, Bridgetown, Barbados.
Division of Plastic & Reconstructive Surgery, Wright State University Boonshoft School of Medicine, Dayton, Ohio.
Plast Reconstr Surg Glob Open. 2024 Mar 1;12(3):e5651. doi: 10.1097/GOX.0000000000005651. eCollection 2024 Mar.
Accessibility of microsurgical equipment is a major barrier to proper training of surgeons before live patient free flap surgery. A technique is presented that uses a smartphone camera as the microscopic field, eliminating the need for an expensive operative microscope for surgical practice. A convenient and cost-effective simulation protocol could reduce the time frame of the microsurgery learning curve. Furthermore, the use of the smartphone video function may allow improved feedback by mentors, improving access and communication between microsurgical teachers and learners. The PocketSuture smartphone stand is a commercially available device that allows the smartphone camera to be used as magnification. The proposed education protocol included suture practice, vessel dissection, and free tissue transfer in nonliving animal models, with vessel anastomosis and patency confirmation performed with a smartphone camera for field magnification. Video of the suturing technique allowed feedback from the mentor. A progressive suturing protocol leading to the ability to perform microsurgical anastomosis on nonliving animal models was developed. The basic costs for the stand, instrument set and suture were less than $500. The PocketSuture smartphone stand can be used for microsurgical training with real-time video for plastic surgery learners with limited access to microscopes and local mentors.
显微外科设备的可及性是在对活体患者进行游离皮瓣手术前对外科医生进行适当培训的主要障碍。本文介绍了一种技术，该技术使用智能手机摄像头作为显微镜视野，无需昂贵的手术显微镜即可进行手术练习。一种方便且经济高效的模拟方案可以缩短显微外科学习曲线的时间框架。此外，使用智能手机视频功能可能会使指导者提供更好的反馈，从而改善显微外科教师与学习者之间的交流与沟通。PocketSuture智能手机支架是一种市售设备，可将智能手机摄像头用作放大镜。拟议的教育方案包括在非活体动物模型中进行缝合练习、血管解剖和游离组织移植，并使用智能手机摄像头进行视野放大以进行血管吻合和通畅确认。缝合技术的视频可让指导者提供反馈。制定了一种循序渐进的缝合方案，以实现对非活体动物模型进行显微外科吻合的能力。支架、器械套装和缝线的基本成本不到500美元。PocketSuture智能手机支架可用于为难以获得显微镜和当地指导者的整形外科学习者提供带有实时视频的显微外科培训。
