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埃克拉维娅自主操作模型:一种用于显微外科训练的乳胶片卷制导管

Eklavya-Do-It-Yourself Model: A Rolled Latex Sheet Conduit for Microsurgical Training.

作者信息

Mirajkar Girish, Bhat Uday, Peswani Amit, Raut Sushrut, Adenwala Husain, Samudre Sayali

机构信息

Department of Plastic Surgery, Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai Central, Mumbai, Maharashtra, India.

出版信息

Indian J Plast Surg. 2025 Feb 3;58(4):292-297. doi: 10.1055/s-0045-1802555. eCollection 2025 Aug.

DOI:10.1055/s-0045-1802555
PMID:40894813
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12396880/
Abstract

OBJECTIVE

To introduce a simple and innovative low-fidelity microsurgical model using daily articles available in any plastic surgery operation theatre and to determine its quality, ease of use and cost-effectiveness.

MATERIALS AND METHODS

The model is essentially made by rolling a loose disposable glove upon a K-wire to create a true micro-vessel (< 2 mm). Adjustment in the size and thickness of the conduit can be made. Model was assessed by data obtained from subjective questionnaire to 29 experienced microsurgeons with more than 5 years of independent microsurgical practice. This experience of our model was compared with their experience with other material and animal tissue.

RESULTS

The chicken femoral is the best compared to rat model overall, but rolled latex is as good or second best as far as some of the features assessed.

CONCLUSION

"Eklavya" microsurgical model provides a valuable alternative to traditional animal models, allowing trainees to practice and hone their skills without the ethical and financial concerns associated with live animal use.

摘要

目的

介绍一种简单且创新的低逼真度显微外科模型,该模型使用任何整形外科手术室都能找到的日常用品,并确定其质量、易用性和成本效益。

材料与方法

该模型主要是通过将一个宽松的一次性手套套在一根克氏针上制成一个真正的微血管(<2毫米)。可以对管道的尺寸和厚度进行调整。通过向29名有超过5年独立显微外科手术经验的经验丰富的显微外科医生发放主观问卷所获得的数据对该模型进行评估。将我们模型的这种体验与他们使用其他材料和动物组织的体验进行比较。

结果

总体而言,与大鼠模型相比,鸡股模型是最好的,但就所评估的一些特征而言,卷起的乳胶模型同样好或仅次于鸡股模型。

结论

“埃克拉维娅”显微外科模型为传统动物模型提供了一种有价值的替代方案,使学员能够在不涉及与使用活体动物相关的伦理和财务问题的情况下练习和磨练他们的技能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/d795d43774ab/10-1055-s-0045-1802555-i2492426-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/9701f9b5e6cd/10-1055-s-0045-1802555-i2492426-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/f700483e4caf/10-1055-s-0045-1802555-i2492426-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/25e5e00c4f21/10-1055-s-0045-1802555-i2492426-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/56ca50456f1b/10-1055-s-0045-1802555-i2492426-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/09c74726eb1c/10-1055-s-0045-1802555-i2492426-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/e3e4160985de/10-1055-s-0045-1802555-i2492426-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/d795d43774ab/10-1055-s-0045-1802555-i2492426-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/9701f9b5e6cd/10-1055-s-0045-1802555-i2492426-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/f700483e4caf/10-1055-s-0045-1802555-i2492426-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/25e5e00c4f21/10-1055-s-0045-1802555-i2492426-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/56ca50456f1b/10-1055-s-0045-1802555-i2492426-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/09c74726eb1c/10-1055-s-0045-1802555-i2492426-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/e3e4160985de/10-1055-s-0045-1802555-i2492426-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6783/12396880/d795d43774ab/10-1055-s-0045-1802555-i2492426-7.jpg

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本文引用的文献

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Microsurgical Anastomosis Rating Scale (MARS10): A Final Product Scoring System for Initial Microsurgical Training.显微外科吻合评分量表(MARS10):初始显微外科培训的最终产品评分系统。
Plast Surg (Oakv). 2021 Nov;29(4):243-249. doi: 10.1177/2292550320969649. Epub 2020 Nov 15.
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Latex glove conduit as improvised blood vessel model for microvascular anastomosis training.乳胶手套导管作为用于微血管吻合训练的简易血管模型。
JPRAS Open. 2020 Feb 25;24:15-19. doi: 10.1016/j.jpra.2020.02.001. eCollection 2020 Jun.
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A Simple and Cost-effective Method for Practicing Microsurgery.
一种简单且经济高效的显微外科手术练习方法。
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Dermatologic Microsutures Using Human Hair: A Useful Technique in Cutaneous Stitching.使用人发的皮肤显微缝合术:一种皮肤缝合的有用技术。
Eplasty. 2017 Aug 21;17:e24. eCollection 2017.
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Spacing Repetitions Over Long Timescales: A Review and a Reconsolidation Explanation.长时间尺度下的间隔重复:一项综述及再巩固解释
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