Crosby N L, Clapson J B, Buncke H J, Newlin L
Microsurgical Teaching Laboratory, University of Saskatchewan, Saskatoon, Canada.
Microsurgery. 1995;16(9):655-8. doi: 10.1002/micr.1920160913.
For the novice microsurgeon, suturing simple lines on a static model ill prepares them for the technically difficult live model that is to follow. A practice card was therefore designed to make the transition easier. The basic building block is rubber glove sutured to form a simple tube. From this point, progressive exercises are carried out. These are (1) simple suturing, (2) tube anastomosis, (3) end-to-end anastomosis, (4) end-to-side anastomosis, (5) side-to-side anastomosis, (6) inequality of diameters, and (7) free graft placement. Since the student is faced with problems that are challenging and progressively complex, a noticeable improvement is seen in their skills. These models introduce the student to planning and instrumentation that they would deal with in the clinical situation. Once the student has mastered these exercises, he/she is ready to advance to the rat model.
对于新手显微外科医生来说，在静态模型上缝合简单的线条并不能让他们为接下来技术难度大的活体模型做好充分准备。因此，设计了一张练习卡，以使过渡更容易。基本构建单元是缝合形成简单管子的橡胶手套。从这一步开始，进行循序渐进的练习。这些练习包括：（1）简单缝合，（2）管子吻合，（3）端端吻合，（4）端侧吻合，（5）侧侧吻合，（6）直径不等，以及（7）游离移植物植入。由于学生面临具有挑战性且日益复杂的问题，他们的技能有了显著提高。这些模型让学生了解他们在临床情况下会遇到的规划和器械操作。一旦学生掌握了这些练习，他/她就准备好进入大鼠模型的操作了。
