Wintsch K, Wolfensberger C
Handchir Mikrochir Plast Chir. 1982;14(1):41-4.
Microsurgery will in the future play a definite role in the treatment of hand injuries not only for nerves but also for small vessels. With this in mind, it is shown how in a comparatively small team a microsurgical service for emergencies can be organized. Essential is the possibility to learn and train on small animals in a microsurgical laboratory. It is advocated to have a laboratory technician in charge of the laboratory who is specially trained in microsurgery and acts as a permanently available teacher. It is shown how continuity of the team capacity can be improved. This is done by combining the experience of a hand surgeon, who for one reason or another has only limited skill in microsurgery, with younger members who are well-trained in this field. Occasionally the laboratory technician may be incorporated, which is acceptable because he only performs vessel anastomoses.
显微外科手术在未来不仅对手部神经损伤,而且对小血管损伤的治疗都将发挥明确的作用。考虑到这一点,本文展示了如何在一个相对较小的团队中组织急诊显微外科服务。关键在于能够在显微外科实验室中利用小动物进行学习和训练。建议安排一名实验室技术人员负责实验室,该人员应接受过专门的显微外科培训,并作为随时可用的教师。本文还展示了如何提高团队能力的连续性。这可以通过将因某种原因在显微外科技术有限的手外科医生的经验与在该领域训练有素的年轻成员相结合来实现。偶尔实验室技术人员也可参与其中,这是可以接受的,因为他只进行血管吻合。