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. 2023 Jan 9;57(2):305-309.
doi: 10.1007/s43465-022-00797-z. eCollection 2023 Feb.

Relevance of a Simulation Model to Microvascular Surgery for Military Surgical Residents

Ammar Ghabi  1 , Alexandre Sabate Ferris  2 , Georges Pfister  2   3 , Marie-Pauline Chapon  4 , Josette Legagneux  5 , Madeleine Harion  6 , Bernard De Geofroy  1 , Laurent Mathieu  2   3   7
Affiliations

Relevance of a Simulation Model to Microvascular Surgery for Military Surgical Residents

Ammar Ghabi et al. Indian J Orthop. .

Abstract

Introduction: Microsurgical training is an asset for deployed military orthopaedic surgeons who frequently treat hand or nerve injuries in the field. The objective of this study was to evaluate a microvascular surgery simulation model intended to prepare residents prior to their enrolment in conventional microsurgery degree training.

Methods: An experimental study was conducted to evaluate technical progress and satisfaction of military surgical residents using a model based on Japanese noodles with four tests of increasing difficulty. Objective endpoints included instruments handling, distribution, and quality of stitches, as well as anastomoses duration. Responses to the Structured Assessment of Microsurgery Skill self-assessment questionnaire were also analyzed.

Results: Nine residents from different specialties participated in the study. Their anastomoses quality and average satisfaction significantly increased between the first and the last session (p < 0.05). Conversely, the average operating time decreased significantly over the sessions (p < 0.001).

Conclusion: This simulation model seems to constitute a satisfactory initiation to microsurgery and could limit the use of animal models. It could also be included in the continuing education of military surgeons who have an occasional microsurgical practice during deployments.

Keywords: Initiation; Microsurgery; Military; Simulation; Training.

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Conflict of interest statement

Conflict of interestThe authors declare that they have no competing interest for this study.

Figures

Fig. 1
Fig. 1
Photographs showing the working position of the participants (A), the performance of a lateral anastomosis (B) and the control of the anastomosis by the instructor at the end of the session (C)
Fig. 2
Fig. 2
Anastomosis duration through sessions
Fig. 3
Fig. 3
Structured Assessment of Microsurgery Skill score through sessions [9]
See this image and copyright information in PMC

References

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