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. 2015;88(2):196-202.
doi: 10.15386/cjmed-415. Epub 2015 Apr 15.

Evaluation of a training course on open vascular surgical techniques in aortoiliac pathology - 5 years of experience

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Evaluation of a training course on open vascular surgical techniques in aortoiliac pathology - 5 years of experience

Bogdan Stancu et al. Clujul Med. 2015.

Abstract

Introduction: The aim of this prospective study was to assess the efficacy of a vascular surgery course (2008-2012), and to verify the viability and the feasibility of vascular anastomoses.

Material and method: The vascular surgical techniques performed simultaneously on pigs were: enlargement prosthetic angioplasty, abdominal aortic interposition graft and aortoiliac bypass. The endpoints of the study were the surgical skills and the technical quality, assessed on a scale ranging from 1 (satisfactory) to 3 (very good) for our participants.

Results: A significant improvement in vascular surgical skills tasks was observed during the study years and we also found a significant statistical association between the quality of the suture and the surgical technique used (Kendall coefficient=0.71, p=0.001<0.05).

Conclusions: Our course contributed to the improvement of the technical vascular surgical skills of the operator teams, reproducing in vivo, in pigs, the intraoperative environment of human patients.

Keywords: Vascular surgery training; aortoiliac pathology; quality of vascular suture.

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Figures

Figure 1
Figure 1
Abdominal aorta in the pig.
Figure 2
Figure 2
The arteriotomy with Potts scissors.
Figure 3
Figure 3
Enlargement angioplasty with synthetic patch on the abdominal aorta.
Figure 4
Figure 4
Synthetic interposition graft at the abdominal aorta level.
Figure 5
Figure 5
Aorto - iliac bypass.
Figure 6
Figure 6
Postoperative survival rate.
Figure 7
Figure 7
Correlations between the type of suture and the type of prosthesis.
Figure 8
Figure 8
Quality of the suture.

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