2018, Number 6
<< Back Next >>
Cir Cir 2018; 86 (6)
Vascular reparation training program in experimental model for general surgery residents
Sierra-Juárez MA, Cruz-Romero CI, Godinez-Vidal AR, Durán-Padilla MA
Language: Spanish
References: 12
Page: 481-484
PDF size: 400.48 Kb.
ABSTRACT
Introduction: Simulated training programs allow to optimize resources, increase technical practice and shorten learning curves,
constituting a safe, standardized and validated method of learning for all those trained.
Objective: Develop a vascular training
program through the elaboration of an end to end anastomosis of a vessel in an experimental model for General Surgery residents.
Method: For the development of this training model, an amputated limb was used at the supracondylar level free of
medical-legal process. The dissection of the femoral artery was performed, it was divided into two portions and an end to end
anastomosis was performed. A system was designed that included the evaluation of the following variables using the OSATS
(Objective Structured Assessment of Technical Skills) and Likert scales: 1) manual knot and single stitch; 2) permeability of
the anastomosis; 3) symmetry of the stitches; 4) Anastomosis leakage; and 5) total time of the anastomosis.
Discussion: Recognizing the advantages of experimental training, a reproducible, standardized, and low cost experimental
biological model is proposed.
Conclusions: The development of experimental biological models, allows the general surgeon
the acquisition of surgical skills and abilities, improving performance during a surgical procedure and reducing risks.
REFERENCES
Ghaderi I, Fitzgibbons S, Watanabe Y, Lachapalle A, Piage J; Association for Surgical Education Simulation Committee. Surgical skill curricula in American College of Surgeon accredited education institutes: an international survey. Am J Surg. 2016;213:678-86.
Badash I, Burtt K, Solorzano C, Carey J. Innovations in surgery simulation: a review of past, current and future techniques. Ann Transl Med. 2016;4:453.
Córdoba D, Ojeda G, Sapién J, Rosas BJ, Morales MP. La especialidad de cirugía general: experiencias de residentes. Rev Espec Médico-Quirúrgicas. 2009;14(2):79-82.
Vega J, Zaldívar G, Ávila J, Vega J, Romero J. El cirujano científico y la enseñanza de la cirugía en México. Segunda parte: La enseñanza de la cirugía en el postgrado y educación médica continua del cirujano. Cirujano General. 2004;26(4):330-6.
Carrasco Rojas JA, García CB, Carrasco JA. Utilización de simuladores en la educación quirúrgica. Cirujano General. 2013;35(Supl 1):S62-5.
Jakimowicz J. Simulación en cirugía, ¿dónde estamos y a dónde llegaremos? Cir Cir 2011;79:44-49.
Martin JA, Regehr G, Reznick R, MacRae H, Mur-naghan J, Hutchison C, et al. Objective structured assessment of technical skill (OSATS) for surgical residents. Br J Surg. 1997;84:273-8
Van Nortwick SS, Lendvay TS, Jensen AR, Wright AS, Horvath KD, Kim S. Methodologies for establishing validity in surgical simulation studies. Surgery. 2010;147:622-30.
Reznick RK, MacRae H. Teaching surgical skills — changes in the wind. N Engl J Med. 2006;355:2664-9.
Gallagher AG. Metric-based simulation training to proficiency in medical education: what it is and how to do it. Ulster Med J. 2012;81:107-13.
Shamin K, Ahmed K, Gavazzi A. Development and implementation of centralized simulation training: evaluation of feasibility, acceptability and construct validity. BJU Int. 2013;111:518-23.
Sutton E, Billeter A, Druen D, Roberts H, Rice J. Development of a human cadaver model for training in laparoscopic donor nephrectomy. Clin Transplant. 2017;31(6). doi: 10.1111/ctr.12979. Epub 2017 Apr 24.