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2025, Number 4

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Cir Plast 2025; 35 (4)

Microsurgery laboratory: low-cost alternative for basic microsurgical skills

López-Arias GR, López-Pérez SR, Diaz-Mirón DR, Hayakawa-Dávila C
Full text How to cite this article 10.35366/122091

DOI

DOI: 10.35366/122091
URL: https://dx.doi.org/10.35366/122091

Language: Spanish
References: 7
Page: 220-228
PDF size: 3088.60 Kb.


Key words:

microsurgery, surgical training, microsurgical laboratory, medical education, surgical simulation, low-cost alternative.

ABSTRACT

The rapid progress of microsurgery, along with its wide range of applications and superiority over other reconstructive procedures, has consolidated its teaching as a pillar in plastic, aesthetic and reconstructive surgery training. Even in our country, proficiency in microsurgery is a requirement evaluated by the Mexican Board of Plastic, Aesthetic and Reconstructive Surgery (CMCPER). However, many training centers lack microsurgery laboratories or permanent access for residents. A low-cost, detachable and transportable microsurgery laboratory was designed, created and used by residents. It includes a locally manufactured stereomicroscope, reusable instruments and models made from recycled non-biological materials, avoiding animal use. Two practical models were developed for vascular anastomosis and neurorrhaphy training. The total cost of the laboratory was $4,719.89 MXN (253.73 USD). Model 1 costs $13.00 MXN (0.76 USD) per practice and Model 2 costs $359.97 MXN (21.1 USD). This proposal allows us to overcome previously identified barriers: cost, space, consumables and waste. We conclude that this laboratory represents a viable, affordable, reproducible and environmentally responsible alternative for any academic institution or training course.


REFERENCES

  1. Chen WF, Eid A, Yamamoto T, Keith J, Nimmons GL, Lawrence WT. A novel super microsurgery training model: the chicken thigh. J Plast Reconstr Surg 2014; 67 (7): 973-978.

  2. Shurey S, Vara S, Ahmed A. A Manual of Basic Microsurgical Techniques (1st ed.). CRC Press; 2023. https://doi.org/10.1201/9781003413080

  3. Boyd JB, Jones N. Operative Microsurgery. New York: McGraw-Hill Education; 2014.

  4. Khachatryan A, Tevosyan A, Novoselskiy D, Arakelyan G, Yushkevich A, Nazarian DN. Microsurgery manual for medical students and residents: a step-by-step approach. Cham: Springer; 2021.

  5. Shurey S, Akelina Y, Legagneux J, Malzone G, Jiga L, Ghanem AM. The rat model in microsurgery education: classical exercises and new horizons. Arch Plast Surg. 2014; 41 (3): 201-208.

  6. Mohr CJ, Pontell ME. Simulation-based microsurgical training: a randomized controlled trial evaluating quality, efficiency, and retention. J Surg Educ 2017; 74 (5): 867-873.

  7. American Society for Reconstructive Microsurgery (ASRM). Guidelines for Microsurgical Training. 2018.




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Cir Plast. 2025;35